Schwab-Stone M, Fisher P, Piacentini J, Shaffer D, Davies M, Briggs M
Yale Child Study Center, New Haven, CT 06510-8009.
J Am Acad Child Adolesc Psychiatry. 1993 May;32(3):651-7. doi: 10.1097/00004583-199305000-00024.
Test-retest reliability and internal consistency of the Diagnostic Interview Schedule for Children-Revised Version (DISC-R) were examined to evaluate the effects of a recent revision process.
A sample of outpatients 11 to 17 years old and their parents were administered the DISC-R in a test-retest design.
For the parent interview, four diagnoses had sufficient cases to examine reliability; agreement was good to excellent for three of these. For the child interview, two of the four diagnoses with adequate cases showed good or excellent reliability. Using a combined parent-child algorithm, three of five diagnoses showed good or excellent reliability. Test-retest reliability for symptom scales was excellent for the parent DISC-R and good for the child version, except for oppositional defiant disorder. Maternal depressive symptoms did not affect reliability of reporting about the child's symptomatology. Internal consistency was satisfactory for symptom items comprising most diagnoses.
Although some revision of the instrument will be necessary, the findings from this study suggest that the DISC-R is a promising research instrument for the diagnosis of psychopathology in older children and adolescents.
检验儿童诊断访谈量表修订版（DISC-R）的重测信度和内部一致性，以评估近期修订过程的效果。
采用重测设计，对11至17岁的门诊患者及其父母进行DISC-R测试。
对于父母访谈，有四个诊断有足够的病例来检验信度；其中三个诊断的一致性良好至优秀。对于儿童访谈，四个有足够病例的诊断中有两个显示出良好或优秀的信度。使用父母-儿童联合算法，五个诊断中有三个显示出良好或优秀的信度。除对立违抗障碍外，父母版DISC-R症状量表的重测信度优秀，儿童版良好。母亲的抑郁症状不影响对儿童症状报告的信度。构成大多数诊断的症状项目的内部一致性令人满意。
尽管该工具仍需进行一些修订，但本研究结果表明，DISC-R是诊断大龄儿童和青少年精神病理学的一种有前景的研究工具。
