King C A, Katz S H, Ghaziuddin N, Brand E, Hill E, McGovern L
Department of Psychiatry, University of Michigan Medical School, An Arbor 48109, USA.
J Abnorm Child Psychol. 1997 Jun;25(3):173-81. doi: 10.1023/a:1025739730823.
The diagnostic Interview Schedule for Children (DISC-2.3) was studied in a sample of 265 adolescent inpatients to determine type and concurrent validity of depressive symptoms and depressive disorder diagnoses for different DISC-2.3 informants (parent, adolescent, both). The Children's Depression Rating Scale--Revised, Reynolds Adolescent Depression Scale (RADS), Suicide Ideation Questionnaire--Junior, Spectrum of Suicide Behavior Scale, and clinical consensus diagnoses were used to assess concurrent validity. Results indicated that (1) parents, compared to adolescents, reported a higher prevalence of all depressive symptoms with the exception of weight change; (2) DISC-2.3 depressive and suicidality symptoms were related positively to independent validating criteria for all informant conditions, suggesting good concurrent validity; (3) the DISC-2.3 both informant condition correctly identified the most depressive disorders; and (4) the parent, but not the adolescent, DISC-2.3 Informant condition contributed to the prediction of clinical consensus diagnoses of depression after taking into account RADS scores.
对265名青少年住院患者样本进行了儿童诊断访谈量表（DISC - 2.3）研究，以确定不同DISC - 2.3信息提供者（父母、青少年、双方）的抑郁症状和抑郁症诊断的类型及同时效度。使用儿童抑郁评定量表修订版、雷诺兹青少年抑郁量表（RADS）、自杀意念问卷青少年版、自杀行为谱量表和临床共识诊断来评估同时效度。结果表明：（1）与青少年相比，父母报告的所有抑郁症状患病率更高，但体重变化除外；（2）DISC - 2.3抑郁和自杀症状与所有信息提供者情况的独立验证标准呈正相关，表明同时效度良好；（3）DISC - 2.3双方信息提供者情况正确识别出的抑郁症最多；（4）在考虑RADS评分后，父母而非青少年DISC - 2.3信息提供者情况有助于预测抑郁症的临床共识诊断。
