摘要
目的:评价中文版神经精神病学评定表2.1(Schedules for Clinical Assessment in Neuropsychiatry Version 2.1,SCAN2.1)在精神科应用的信度和效度。方法:选取门诊及住院的各类精神障碍患者100例,选取与精神障碍组在性别、年龄及教育程度相匹配的正常对照100例作为对照。由6名研究人员对8例病例同时进行评定以检验研究者信度;选取另外10例病例由1名研究人员1周后进行重测,以检验重测信度。精神科医生对200例入组者根据国际疾病和相关健康问题统计分类第十版(ICD-10)做出的临床诊断作为"金标准",6名研究者对200例被试用SCAN2.1中的精神现状检查第十版(PSE-10)部分进行访谈,得出诊断结果与"金标准"进行比较,评估中文版SCAN2.1的效度;结果:SCAN2.1中文版研究人员之间信度和重测信度kappa值分别为0.76和0.74。校标效度中,灵敏度95.0%,特异度100%,阳性预测值100%,阴性预测值95.2%,kappa值0.95。对精神分裂症病诊断的灵敏度88.5%、特异度100%、阳性预测值100%、阴性预测值98.9%、kappa值0.89;对心境障碍病的灵敏度100%、特异度100%、阳性预测值100%、阴性预测值100%、Kappa值1.0,对神经症、应激相关及躯体形式障碍病种的灵敏度92.3%、特异度100%、阳性预测值100%、阴性预测值98.9%、kappa值0.95。结论:神经精神病学评定表2.1中文版有较高的信度和效度,可在国内临床中应用。
[Abstract] Objective： To test the reliability and validity of the Chinese version of the Schedules for Clinical Assessment in Neuropsychiatry Version 2. 1 （ SCAN2. 1） in psychiatric patients. Methods： A total of 1013 various out- patients and inpatients were selected, and 100 normal adults matched with gender, age and education level were en- rolled as controls. Eight patients were included in the inter-rater reliability study, and other 10 patients were included in the test-retest reliability study. Using the clinical diagnosis made by psychiatrists according to the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision （ICD-10） as the gold standard, 6 researchers interviewed 200 subjects with the Present State Examination-10 （PSE-10） of SCAN2.1 to assess the re- liability and validity of the＇ Chinese version of SCAN2. 1. Results： In general, the inter-rater and test-retest reliability were 0. 76 and 0. 74. For criterion validity, the sensitivity was 95.0%, the specificity was 100%, the positive predic- tive value was 100%, the negative predictive value was 95.2%, and the kappa value was 0. 95. The sensitivity, spe- cificity, positive predictive value, negative predictive value and kappa value in diagnosis of schizophrenia was 88.5%, 100%, 100%, 98.9%, and O. 89 respectively. The sensitivity, specificity, positive predictive value, negative predictive value and kappa value in diagnosis of mood disorders was 100%, 100%, 100%, 100%, and 1.0 respec- tively. The sensitivity, specificity, positive predictive value, negative predictive value and kappa value in diagnosis of neurosis, stress-related and somatoform disorders was 92.3%, 100%, 100%, 98.9%, and 0.95 respectively. Conclusion： The results suggest that the SCAN2. 1 Chinese version has good reliability and validity, and could be used for clinical diagnosis.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2013年第12期890-895,共6页
Chinese Mental Health Journal
基金
北京大学第六医院青年基金166号
关键词
中文版神经精神病学评定表2
1
信度
效度
[ Key words ] Chinese version of Schedules for Clinical Assessment in Neuropsychiatry Version 2. 1
reliabil-ity
validity
