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[《综合国际诊断访谈:在精神病学经济研究中的应用可能性》]

[The Composite International Diagnostic Interview: possibilities of utilization for economic studies in psychiatry].

作者信息

Kiejna A, Grzesiak M, Kantorska-Janiec M

机构信息

Katedry i Kliniki Psychiatrii AM we Wrocławiu.

出版信息

Psychiatr Pol. 1998 Jul-Aug;32(4):463-79.

PMID:9816904
Abstract

The analysis of treatment costs includes two basic elements--direct and indirect costs. Two major models of analysis are distinguished; the first is based on prevalence of disorders in population, the second--on incidence of disorder. Independently of chosen method, detailed epidemiological data are the starting point of each analysis. The diagnostic instrument that can be useful in these studies seems to be the CIDI--the Composite International Diagnostic Interview. It gives possibility not only to evaluate the prevalence of mental disorders in general population but also to analyse the comorbidity of disorders in examined persons during their lifetime. Apart from that, it allows to assess the individual functioning in different aspects of life. The CIDI is a highly structured instrument for assessment of mental disorders according to diagnostic criteria ICD 10 and DSM IV. It was designed by WHO to serve cross-epidemiologic studies of psychopathology in general population. It can be employed by non-clinicians lay interviewers after proper training. The core version of CIDI consists of 16 modules (diagnostic categories) that can be used independently. Great deal of studies on its reliability and validity have confirmed its high quality, and nowadays it is used widely in several countries in epidemiological studies.

摘要

治疗成本分析包括两个基本要素——直接成本和间接成本。区分了两种主要的分析模型;第一种基于人群中疾病的患病率,第二种基于疾病的发病率。无论选择哪种方法,详细的流行病学数据都是每次分析的起点。在这些研究中可能有用的诊断工具似乎是复合国际诊断访谈(CIDI)。它不仅能够评估普通人群中精神障碍的患病率,还能分析被检查者一生中疾病的共病情况。除此之外,它还能评估生活不同方面的个体功能。CIDI是一种根据国际疾病分类第10版(ICD 10)和精神疾病诊断与统计手册第4版(DSM IV)诊断标准评估精神障碍的高度结构化工具。它由世界卫生组织设计,用于普通人群精神病理学的跨流行病学研究。经过适当培训后,非临床的外行访谈者也可以使用它。CIDI的核心版本由16个模块(诊断类别)组成,可以独立使用。大量关于其可靠性和有效性的研究证实了它的高质量,如今它在多个国家的流行病学研究中被广泛使用。

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