Peters L, Clark D, Carroll F
Clinical Research Unit for Anxiety Disorders, St Vincent's Hospital, Darlinghurst, NSW, Australia.
Psychol Med. 1998 Jul;28(4):893-901. doi: 10.1017/s0033291798006655.
The equivalency of the Composite International Diagnostic Interview delivered by human interviewers (CIDI) and its computerized version (CIDI-Auto) was examined for anxiety and depressive disorders.
Subjects were 40 patients at an Anxiety Disorders Clinic and 40 general medical practice attenders. The CIDI-Auto and CIDI were administered in counterbalanced order on the same day and measures of computer attitudes and the acceptability of the two interview formats were also taken.
The CIDI-Auto and the CIDI were found to be equally acceptable to subjects on the dimensions of comfort and preference, while the CIDI-Auto was rated as less embarrassing but too long in comparison with the CIDI. The agreement between the two formats was acceptable with kappa values for ICD-10 diagnoses being above 0.65 and for DSM-III-R diagnoses above 0.5 except for two diagnoses (generalized anxiety disorder and dysthymia). Discrepancies between the two formats were predicted by computer attitudes and not by computer experiences or the tendency to respond in a socially desirable fashion.
It is concluded that the CIDI-Auto in its self-administered form is an acceptable substitute for the CIDI for suitable subjects.
对由人类访谈员进行的复合国际诊断访谈（CIDI）及其计算机化版本（CIDI-Auto）在焦虑症和抑郁症方面的等效性进行了检验。
研究对象为40名焦虑症诊所患者和40名普通医疗门诊患者。CIDI-Auto和CIDI在同一天以平衡顺序进行施测，同时还测量了对计算机的态度以及两种访谈形式的可接受性。
在舒适度和偏好维度上，研究发现CIDI-Auto和CIDI对受试者同样可接受，而与CIDI相比，CIDI-Auto被评为尴尬程度较低但时间过长。两种形式之间的一致性是可接受的，ICD-10诊断的kappa值高于0.65，DSM-III-R诊断的kappa值高于0.5，但有两个诊断（广泛性焦虑症和心境恶劣障碍）除外。两种形式之间的差异是由对计算机的态度预测的，而不是由计算机使用经验或社会期望的反应倾向预测的。
得出结论，对于合适的受试者，自我施测形式的CIDI-Auto是CIDI的可接受替代方案。
