Andersen J, Kørner A, Larsen J K, Schultz V, Nielsen B M, Behnke K, Munk-Andersen E, Bjørum N
Department of Psychiatry, Frederiksberg Hospital, Denmark.
Acta Psychiatr Scand. 1993 Feb;87(2):128-32. doi: 10.1111/j.1600-0447.1993.tb03343.x.
In 103 schizophrenic patients we investigated the extent of practice needed in the use of the Brief Psychiatric Rating Scale (BPRS) to enable its reliability to be assessed. The agreement level of the 7 raters was analysed. Generally, the lowest mean agreement found was for the negative symptoms of the BPRS schizophrenia subscale. A high degree of agreement was attained both for the positive symptoms of the BPRS schizophrenia subscale and for the symptoms of the depression--and of the mania subscale. The degree of disagreement observed was due to both individual differences in assessment ability and the rating procedure. These results indicate that it is necessary to state the degree of agreement achieved in studies in which several raters are taking part.
在103名精神分裂症患者中，我们调查了使用简明精神病评定量表（BPRS）所需的实践程度，以评估其可靠性。分析了7名评定者的一致性水平。一般来说，发现一致性最低的是BPRS精神分裂症分量表的阴性症状。BPRS精神分裂症分量表的阳性症状以及抑郁和躁狂分量表的症状都达成了高度一致。观察到的不一致程度是由于评估能力的个体差异和评定程序所致。这些结果表明，在有多名评定者参与的研究中，有必要说明所达成的一致程度。
