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儿童精神疾病筛查方法的有效性。

Validity of child psychiatric screening methods.

作者信息

Kresanov K, Tuominen J, Piha J, Almqvist F

机构信息

University of Turku, Department of Child Psychiatry, Finland.

出版信息

Eur Child Adolesc Psychiatry. 1998 Jun;7(2):85-95. doi: 10.1007/s007870050052.

DOI:10.1007/s007870050052
PMID:9712375
Abstract

The Parent Questionnaire (scale A2), the Teacher Questionnaire (scale B2) by Rutter, and the Children's Depression Inventory (CDI) were validated using ROC-analysis. The material was collected from an epidemiological study of a normal population of 5664 8-9 year-old children. The screening results were compared with the corresponding parent, teacher, and child (DISC) interviews. In addition to this traditional way of validating the combined interview, results from all three interviews were also used. We found that the Teacher Questionnaire scale B2 was the most valid, and had the best overall power to discriminate psychiatric disturbances. The Teacher Questionnaire (scale B2) may be recommended when screening child psychiatric disturbances. The Parent Questionnaire (scale A2) was also found to be a valid instrument. Our results do not support the use of CDI as a sole screening instrument of psychiatric disturbances in children.

摘要

使用ROC分析对家长问卷(A2量表)、Rutter教师问卷(B2量表)和儿童抑郁量表(CDI)进行了验证。材料收集自一项对5664名8 - 9岁正常儿童人群的流行病学研究。将筛查结果与相应的家长、教师和儿童(DISC)访谈结果进行了比较。除了这种验证联合访谈的传统方法外,还使用了所有三次访谈的结果。我们发现教师问卷B2量表最有效,并且在区分精神障碍方面具有最佳的总体效能。在筛查儿童精神障碍时,可推荐使用教师问卷(B2量表)。还发现家长问卷(A2量表)也是一种有效的工具。我们的结果不支持将CDI作为儿童精神障碍的唯一筛查工具。

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