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魁北克儿童诊断访谈量表(DISC - 2.25):基于MECA研究的信效度结果

Diagnostic Interview Schedule for Children (DISC-2.25) in Quebec: reliability findings in light of the MECA study.

作者信息

Breton J J, Bergeron L, Valla J P, Berthiaume C, St-Georges M

机构信息

Rivière-des-Prairies Hospital, Montreal, Quebec, Canada.

出版信息

J Am Acad Child Adolesc Psychiatry. 1998 Nov;37(11):1167-74. doi: 10.1097/00004583-199811000-00016.

DOI:10.1097/00004583-199811000-00016
PMID:9808928
Abstract

OBJECTIVE

To examine the reliability of the French Diagnostic Interview Schedule for Children (DISC-2.25) in Quebec in light of other DISC-2 studies conducted in the National Institute of Mental Health's Methods for the Epidemiology of Child and Adolescent Mental Disorders Study.

METHOD

Reliability was assessed for DSM-III-R disorders in a community sample comprising 260 parents of youths aged 6 to 14 years and 145 adolescents aged 12 to 14 years. The DISC was completed at home. The mean test-retest interval was 13.8 days for parents and 12.8 days for adolescents.

RESULTS

Parents' reports: Internal consistency was acceptable for a majority of disorders. The kappa coefficients were in the fair or good ranges except for depressive disorders and were higher for children than for adolescents, and intraclass correlations were higher than kappa coefficients. Adolescents' reports: Internal consistency was acceptable or nearly acceptable for a majority of disorders. The kappa coefficients were in the fair range, and intraclass correlations were higher than kappa coefficients. The kappa coefficients were significantly higher for the test-retest interval of 7 to 14 days than for 14 to 21 days for adolescents' reports of anxious disorders and internalizing disorders.

CONCLUSION

The French DISC-2.25 shows acceptable internal consistency and fair to good test-retest reliability. Across DISC-2 studies, test-retest reliability of the parents' reports improved for anxiety and depressive disorders. Among sources of variation, studies on attributes of questions would be meaningful.

摘要

目的

根据美国国立精神卫生研究所儿童与青少年精神障碍流行病学研究方法中开展的其他儿童诊断访谈量表(DISC-2)研究,检验法语版儿童诊断访谈量表(DISC-2.25)在魁北克的可靠性。

方法

在一个社区样本中评估DSM-III-R障碍的可靠性,该样本包括260名6至14岁青少年的父母和145名12至14岁的青少年。DISC在家中完成。父母的重测间隔平均为13.8天,青少年为12.8天。

结果

父母报告:大多数障碍的内部一致性可接受。除抑郁症外,kappa系数处于中等或良好范围,儿童的kappa系数高于青少年,组内相关系数高于kappa系数。青少年报告:大多数障碍的内部一致性可接受或接近可接受。kappa系数处于中等范围,组内相关系数高于kappa系数。青少年焦虑障碍和内化障碍报告中,7至14天重测间隔的kappa系数显著高于14至21天的。

结论

法语版DISC-2.25显示出可接受的内部一致性和中等至良好的重测可靠性。在各项DISC-2研究中,父母报告的焦虑症和抑郁症重测可靠性有所提高。在变异来源中,关于问题属性的研究将具有意义。

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