精神分裂症阳性和阴性症状量表结构化临床访谈的评分者间信度。
Interrater reliability of the Structured Clinical Interview for the Positive and Negative Syndrome Scale for schizophrenia.
作者信息
Lindström E, Wieselgren I M, von Knorring L
机构信息
Department of Psychiatry, University Hospital, Uppsala, Sweden.
出版信息
Acta Psychiatr Scand. 1994 Mar;89(3):192-5. doi: 10.1111/j.1600-0447.1994.tb08091.x.
The Swedish version of the Positive and Negative Syndrome Scale for schizophrenia (PANSS) has been tested and construct validity, internal reliability and interrater reliability have been demonstrated to be quite satisfactory. However, the interrater reliability of the negative symptoms was unsatisfactory low. In this study, the Swedish version of the Structured Clinical Interview for the PANSS has been tested. The interrater reliability is increased as compared with the inter-rater reliability achieved by means of the PANSS. As concerns the positive scale, the intraclass coefficients increased to 0.98-0.99 with the SCID-PANSS. For the negative scale, the intraclass coefficients increased to 0.83-0.90 with the SCID-PANSS, and for the general scale the increase was to 0.95-0.98 with the SCID-PANSS. It was also demonstrated that the interrater reliability is higher for the positive and the negative factors derived from the PANSS than for the positive and the negative scales.
精神分裂症阳性和阴性症状量表（PANSS）的瑞典语版本已经过测试，其结构效度、内部信度和评定者间信度均表现出相当令人满意。然而，阴性症状的评定者间信度低得不尽人意。在本研究中，对PANSS的瑞典语版结构化临床访谈进行了测试。与通过PANSS获得的评定者间信度相比，评定者间信度有所提高。关于阳性量表，使用SCID - PANSS时组内相关系数增至0.98 - 0.99。对于阴性量表，使用SCID - PANSS时组内相关系数增至0.83 - 0.90，对于一般量表，使用SCID - PANSS时增至0.95 - 0.98。研究还表明，源自PANSS的阳性和阴性因子的评定者间信度高于阳性和阴性量表的评定者间信度。
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