Okasha A, Sadek A, al-Haddad M K, Abdel-Mawgoud M
Department of Psychiatry, Ain Shams University, Cairo, Egypt.
Br J Psychiatry. 1993 May;162:621-6. doi: 10.1192/bjp.162.5.621.
A random sample of 100 new patients referred consecutively to the psychiatric hospital was assessed using the Arabic translation of the PSE. An abstract form was designed to include all PSE scores as well as the necessary extra data to make ICD-9, ICD-10, and DSM-III-R diagnoses. Kappa correlation was calculated for inter-rater and intra-rater reliability. Overall reliability and reliability of each major psychiatric diagnosis were compared between the three systems. The use of the PSE helped in achieving good agreement between Arab psychiatrists for all the three systems, but ICD-10 was found to have the highest reliability figures both for three-digit and four-digit psychiatric diagnoses.
对连续转诊至精神病医院的100名新患者进行随机抽样，使用精神现状检查（PSE）的阿拉伯语译本进行评估。设计了一份摘要表格，纳入所有PSE评分以及做出国际疾病分类第九版（ICD - 9）、国际疾病分类第十版（ICD - 10）和精神疾病诊断与统计手册第三版修订本（DSM - III - R）诊断所需的额外数据。计算了评分者间和评分者内信度的kappa相关性。比较了这三种系统在总体信度以及每种主要精神疾病诊断信度方面的情况。使用PSE有助于阿拉伯精神科医生在这三种系统上达成良好的一致性，但发现ICD - 10在三位数和四位数精神疾病诊断方面的信度数据最高。
