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[精神分裂症综合征临床评估(CASS)初步版本的信度和效度评估]

[The evaluation of reliability and validity of a preliminary version of the Clinical Assessment of Schizophrenic Syndrome (CASS)].

作者信息

Wciórka J, Anczewska M, Charaziński M, Gołebiewska M, Nurowska K, Skowrońska J, Stanikowska I

机构信息

I Klinika Psychiatryczna IPiN w Warszawie.

出版信息

Psychiatr Pol. 1997 Jan-Feb;31(1):71-86.

PMID:9527657
Abstract

Basic indices of reliability and validity of a preliminary version of the new tool for "Clinical Assessment of Schizophrenic Syndrome" (CASS) was evaluated. Six experienced psychiatrists working in two teams examined the mental state of 49 patients with clinical diagnosis of schizophrenia, in the majority of them confirmed by the criteria of DSM-IV and ICD-10 (one of the teams examined 25 patients, the other-24). Each diagnostician rated the patients' mental state independently, by means of three-level rating permitted by the CASS-CASS-G (global), CASS-D (dimensions), and CASS-S (symptoms)--as well as by means of BPRS and PANSS scale included in the study as international standard scales for validity testing. Statistical analysis of the results confirmed that the scales under study allow to obtain results which could be characterized, with few minor exceptions, by high concordance coefficients (Kendall's W) high internal consistence coefficients (Cronbach's alpha) and high correlations (as measured both by Pearson's and Kendall's rank correlation coefficients taub) with internationally appreciated standard scales. It suggests reliability and validity of the CASS to the degree which could be considered as encouraging to continue the study on this instrument.

摘要

对“精神分裂症综合征临床评估”(CASS)新工具初步版本的可靠性和有效性基本指标进行了评估。两组共六位经验丰富的精神科医生对49例临床诊断为精神分裂症的患者进行了精神状态检查,其中大多数患者符合DSM-IV和ICD-10标准(其中一组检查了25例患者,另一组检查了24例)。每位诊断医生通过CASS-CASS-G(总体)、CASS-D(维度)和CASS-S(症状)所允许的三级评定独立对患者的精神状态进行评定,同时还通过作为有效性测试国际标准量表纳入研究的BPRS和PANSS量表进行评定。结果的统计分析证实,所研究的量表能够得出这样的结果,即除少数小例外,其具有较高的一致性系数(肯德尔W系数)、较高的内部一致性系数(克朗巴哈α系数),并且与国际公认的标准量表具有较高的相关性(通过皮尔逊和肯德尔等级相关系数taub测量)。这表明CASS的可靠性和有效性达到了可视为鼓励继续对该工具进行研究的程度。

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