Hasin D S, Trautman K D, Miele G M, Samet S, Smith M, Endicott J
Columbia University/New York State Psychiatric Institute, NY 10032, USA.
Am J Psychiatry. 1996 Sep;153(9):1195-201. doi: 10.1176/ajp.153.9.1195.
The purpose of this study was to investigate the reliability of a new semistructured diagnostic interview, the Psychiatric Research Interview for Substance and Mental Disorders (PRISM), for substance-abusing patients. The reliability of psychiatric diagnoses for individuals who drink heavily or use drugs has been shown to be problematic. The PRISM was designed to improve the reliability for such individuals.
A test-retest reliability study of the PRISM was conducted with 172 patients being treated in dual-diagnosis or substance abuse settings.
Good to excellent reliability was shown for many diagnoses, including affective disorders, substance use disorders, eating disorders, some anxiety disorders, and psychotic symptoms. The interview has recently been updated for DSM-IV diagnoses.
The PRISM offers a method of producing psychiatric diagnoses with improved reliability for patients and other research subjects who have problems with alcohol or drugs.
本研究旨在调查一种新的半结构化诊断访谈工具——物质与精神障碍精神病学研究访谈（PRISM）——用于药物滥用患者的可靠性。对于大量饮酒或使用药物的个体，精神病学诊断的可靠性已被证明存在问题。PRISM旨在提高此类个体诊断的可靠性。
对172名在双重诊断或药物滥用治疗环境中接受治疗的患者进行了PRISM的重测信度研究。
许多诊断显示出良好到极佳的可靠性，包括情感障碍、物质使用障碍、饮食障碍、一些焦虑障碍和精神病症状。该访谈最近已针对《精神疾病诊断与统计手册》第四版（DSM-IV）的诊断进行了更新。
PRISM为对酒精或药物有问题的患者及其他研究对象提供了一种提高精神病学诊断可靠性的方法。
