摘要
目的: 了解CIDI-C/ICD-10、CIDI-C/DSM-Ⅲ-R、SCAN/ICD-10、SCAN/DSM-Ⅲ-R诊断系统诊断情感性障碍的信度和效度。 方法: 所有研究者在培训后, 应用CIDI-C和SCAN量表, 对其单位中符合CCMD-2 诊断标准的情感性障碍、精神分裂症和神经症病人按住院或门诊顺序进行测试, 测试资料应用WHO提供的CIDI-C/ICD-10、CIDI-C/DSM-Ⅲ-R、SCAN/ICD-10 和SCAN/DSM-Ⅲ-R诊断系统作出诊断, 计得有效资料情感性障碍50例, 神经症30例, 精神分裂症156 例。以情感性障碍为研究组, 以神经症及精神分裂症为对照组, 以CCMD-2 为金标准, 比较4 种计算机诊断系统对情感性障碍诊断的信度和效度。 结果: CIDI-C/ICD-10、CIDI-C/DSM-Ⅲ-R、SCAN/ICD-10 和SCAN/DSM-Ⅲ-R诊断情感性障碍的信度依次为98% 、98% 、100% 及64% ,效度Kappa值依次为0.76、0.82、0.81 及0.61。 结论: 研究显示, SCAN/ICD-10 的效度、信度好于其他3个诊断系统, 更适用于临床情感性障碍的检查诊断。
Objective:To compare the reliability and validity of CIDI C and SCAN in mood disorder. Method:236 patients admitted consecutively into the psychiatric unit were interviewed by trained raters with CIDI C and SCAN,and who also made diagnosis according to CCMD 2.There were 50 cases of mood disorder,30 neurosis.156 schizophrenia.Further diagnoses were made by the computer diagnostic system of CIDI C/ICD 10,CIDI C/DSM Ⅲ R,SCAN/ICD 10,SCAN/DSM Ⅲ R with software supplied by the World Health Organisation.Mood disorder was designated as the studied group while schizophrenia and neurosis acted as control.CCMD 2 was used as the gold standard for diagnosis. Results:The reliability of CIDI C/ICD 10,CIDI C/DSM Ⅲ R,SCAN/ICD 10,SCAN/DSM Ⅲ R was 98%,98%,100% and 64% respectively.The Kappa values of validity for mood disorder were 0 76,0 82,0 81 and 0 61 respectively. Conclusion:The results suggest that reliability and validity of SCAN/ICD 10 were better than other three interview diagonstic systems in mood disorder.
出处
《临床精神医学杂志》
1999年第5期271-273,共3页
Journal of Clinical Psychiatry