在进食障碍的标准结局测量方法（改良的摩根-拉塞尔评估量表）中，评分者间信度较低。
Low levels of interrater reliability in a standard measure of outcome in eating disorders (the modified Morgan-Russell Assessment Schedule).
作者信息
Freeman R K, Walker M K, Ben-Tovim D I
机构信息
Weight Disorder Unit, Flinders Medical Centre, Bedford Park, South Australia.
出版信息
Int J Eat Disord. 1996 Jul;20(1):51-6. doi: 10.1002/(SICI)1098-108X(199607)20:1<51::AID-EAT6>3.0.CO;2-3.
OBJECTIVE
The interrater reliability of the modified version of the widely used Morgan-Russell Assessment Schedule was assessed.
METHOD
Sixty-six female patients presenting for treatment for the first time in a general hospital and a community health center were assessed by a treating clinician and a researcher during sequential interviews. Two extra items were added to the Schedule to allow for the assessment of bulimic behaviors. Ratings were analyzed using the Cohen's weighted kappa.
RESULTS
Poor to very poor levels of agreement were found between rater pairs assessing the 66 separate patients.
DISCUSSION
The necessity for a specific, standardized format in using the Morgan-Russell Schedule is discussed. In its current, unstandardized format the Schedule may not be suitable for comparing outcome in eating disorders across different centers.
目的
评估广泛使用的摩根 - 拉塞尔评估量表修订版的评分者间信度。
方法
在一家综合医院和一个社区卫生中心首次就诊接受治疗的66名女性患者，由一名主治医生和一名研究人员在连续访谈中进行评估。量表中增加了两个额外项目以评估暴食行为。使用科恩加权kappa分析评分。
结果
评估66名不同患者的评分者之间一致性水平差至极差。
讨论
讨论了使用摩根 - 拉塞尔量表时采用特定标准化格式的必要性。以其当前未标准化的格式，该量表可能不适用于比较不同中心饮食失调的治疗结果。
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