摘要
目的本研究主要评估SCID在心理解剖中进行精神疾病诊断时的可靠性、灵敏度和特异度问题。方法对精神疾病住院患者进行SCID访谈(为患者SCID诊断),对患者亲属进行SCID访谈(为心理解剖SCID诊断)。计算两种SCID诊断的重测信度,评分者信度以及心理解剖SCID诊断的灵敏度和特异度。结果患者SCID诊断,除焦虑障碍外,临床常见精神障碍的重测信度及评分者信度都高于0.75;心理解剖SCID诊断的酒精相关障碍、精神病性障碍、双相障碍、抑郁障碍及焦虑障碍的重测信度及评分者信度都大于0.75;在所有轴I的疾病中,除酒精滥用和恶劣心境外,心理解剖SCID诊断与患者SCID诊断一致性系数均大于0.6。心理解剖SCID诊断的特异度都大于88%,但敏感度都低于特异度。结论研究表明SCID诊断具有较高的重测信度和评分者信度。心理解剖SCID诊断具有较好的灵敏度和特异度,与患者SCID诊断的一致性良好。
Objective The reliability, sensitivity, specificity and adoption of the Structured Clinical Interview for DSM - IV Axis Ⅰ （SCID） in psychological autopsy were investigated. Method All subjects were the psychiatric patients in the No. 7 people＇ s hospital of Dalian. Diagnosis was made by patients SCID interview and by psychological autopsy SCID interview. Inter - rater reliability and test - retest reliability were assessed in 30 and 35 patients SCID diagnosis and psychological autopsy SCID diagnosis, respectively. Chi - square and kappa analysis were used to determine agreement of diagnoses. Results Kappa coefficients were above 0. 75 for alcohol -related disorders, psychiatric disorders, bipolar disorders and depression disorders for inter - rater and test - retest reliability in patients SCID diagnosis. Kappa coefficients were above 0. 75 for alcohol - related disorders, psychiatric disorders, bipolar disorders, depression disorders and anxiety disorders for inter -rater and test -retest reliability in psychological autopsy SCID diagnosis. The kappa coefficients of agreement between patients SCID and psychological autopsy SCID diagnosis were above 0. 65 for most Axis I disorders except alcohol abuse and dysthymia; The specificity of psychological autopsy SCID diagnosis was 88% higher. Conclusion The reliability, sensitivity and specificity of using psychological autopsies SCID to diagnose psychiatric disorders were excellent.
出处
《国际精神病学杂志》
2011年第4期201-204,共4页
Journal Of International Psychiatry
