综合国际诊断访谈是否会漏诊饮食失调症？
Does the Composite International Diagnostic Interview underdiagnose the eating disorders?
作者信息
Thornton C, Russell J, Hudson J
机构信息
School of Behavioural Sciences, Macquarie University, Sydney, Australia.
出版信息
Int J Eat Disord. 1998 Apr;23(3):341-5. doi: 10.1002/(sici)1098-108x(199804)23:3<341::aid-eat11>3.0.co;2-0.
OBJECTIVE
A study was undertaken to assess the procedural validity of the Composite International Diagnostic Interview (CIDI) for the diagnosis of eating disorders.
METHOD
The CIDI was administered to 44 patients consecutively admitted to an eating disorders unit. CIDI-generated diagnoses were compared with clinical diagnoses documented in patient files. Discrepancies between diagnoses were examined in detail.
RESULTS
A significant level of disagreement was apparent, particularly for anorexia nervosa patients. A large number of patients with symptoms requiring inpatient treatment did not reach criteria using CIDI's diagnostic algorithm.
CONCLUSION
Considerable difficulties remain in the use of standardized assessments, such as the CIDI, to diagnose eating disorders. While presenting features of the illness, for example, ego syntonic nature of the illness, secrecy, and denial, may be part of the reason, the questions used by the CIDI appear to be in need of some refinement.
目的
开展一项研究以评估复合国际诊断访谈（CIDI）用于诊断饮食失调症的程序效度。
方法
对连续入住饮食失调症科室的44名患者进行CIDI访谈。将CIDI得出的诊断结果与患者病历中记录的临床诊断结果进行比较。对诊断之间的差异进行了详细检查。
结果
明显存在显著程度的不一致，尤其是对于神经性厌食症患者。大量有症状且需要住院治疗的患者未达到CIDI诊断算法的标准。
结论
在使用标准化评估工具（如CIDI）诊断饮食失调症方面仍存在相当大的困难。虽然该疾病呈现出的特征，例如疾病的自我协调性质、隐秘性和否认态度，可能是部分原因，但CIDI所使用的问题似乎需要进行一些改进。
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