Costello H, Moss S, Prosser H, Hatton C
Hester Adrian Reserach Centre, University of Manchester, UK.
Soc Psychiatry Psychiatr Epidemiol. 1997 Aug;32(6):339-43. doi: 10.1007/BF00805439.
The Psychiatric Assessment Schedule for Adults with Developmental Disability (PAS-ADD) is a semi-structured clinical interview designed for use with respondents who have learning disability. The first version was based on the Present State Examination. The revised version was derived from the Schedules for Clinical Assessment in Neuropsychiatry (SCAN), and makes ICD 10 diagnoses using the SCAN diagnostic program. This current version has a 4-point scale of severity, compared with the 3-point scale of the first version. It also has a new module relating to psychotic disorders. The sample consisted of 40 individuals representing a spectrum of neurotic, depressive and psychotic disorders. Videotapes of 40 PAS-ADD interviews were re-rated by trained interviewers who had not been involved in the original study in which the videotapes were produced. The mean Kappa across all individual item codes was 0.65, ranging from 0.94 to 0.35. The mean Kappa agreement on item groups was 0.66. Correlation between total symptom scores was 0.74. Agreement on index of definition was Kappa 0.70. We concluded that, agreement was generally lower than for the ICD 9 version. This was probably due mainly to the increase in the severity categories from three to four. However, the new items (most of which related to psychosis) were of comparable reliability to other items.
《发育障碍成人精神病学评估量表》（PAS - ADD）是一种半结构化临床访谈，专为有学习障碍的受访者设计。第一版基于《现况检查》。修订版源自《神经精神病学临床评估量表》（SCAN），并使用SCAN诊断程序做出国际疾病分类第10版（ICD - 10）的诊断。与第一版的3级严重程度量表相比，当前版本有一个4级严重程度量表。它还有一个关于精神障碍的新模块。样本由40名个体组成，代表一系列神经症性、抑郁性和精神性障碍。40次PAS - ADD访谈的录像带由未参与原始研究（录像带在该研究中制作）的经过培训的访谈者重新评级。所有单个项目编码的平均卡帕值为0.65，范围从0.94到0.35。项目组的平均卡帕一致性为0.66。总症状评分之间的相关性为0.74。定义指标的一致性卡帕值为0.70。我们得出结论，一致性总体上低于ICD - 9版本。这可能主要是由于严重程度类别从三个增加到了四个。然而，新条目（其中大多数与精神病有关）与其他条目的可靠性相当。
