Test-retest reliability of the Preschool Age Psychiatric Assessment (PAPA)
Test-retest reliability of the Preschool Age Psychiatric Assessment (PAPA)
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DOI：
10.1097/01.chi.0000205705.71194.b8
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发表时间：
2006-05-01
影响因子：
13.3
通讯作者：
Angold, A
中科院分区：
文献类型：
--
作者：
Egger, HL;Erkanli, A;Angold, A
目的：检验一种新的基于访谈者的精神病学诊断量表（学龄前精神病学评估）用于2 - 5岁学龄前儿童父母的重测信度。方法：在一家大型儿科诊所就诊的1,073名儿童家长填写了儿童行为检查表1(1)/(2)-5。在18个月的时间里，193名高分学生的父母和114名低分学生的父母接受了两次采访，平均间隔11天。结果：诊断可靠性的估计值与从对年龄较大的儿童和成人的父母的访谈中获得的结果非常相似，K值在0.36到0.79之间。DSM-IV综合征量表得分的重测相关性为0.56 ~ 0.89。年龄、性别或种族（非裔美国人与非裔美国人）在可靠性方面没有显著差异。结论：学龄前精神病学评估为DSM-IV学龄前儿童的精神症状和障碍提供了一种合理可靠的标准化测量方法，可用于2岁以下学龄前儿童的研究和临床服务评估。
Objective: To examine the test-retest reliability of a new interviewer-based psychiatric diagnostic measure (the Preschool Age Psychiatric Assessment) for use with parents of preschoolers 2 to 5 years old. Method: A total of 1,073 parents of children attending a large pediatric clinic completed the Child Behavior Checklist 1(1)/(2)-5. For 18 months, 193 parents of high scorers and 114 parents of low scorers were interviewed on two occasions on an average of 11 days apart. Results: Estimates of diagnostic reliability were very similar to those obtained from interviews with parents of older children and adults, with K ranging from 0.36 to 0.79. Test-retest intraclass correlations for DSM-IV syndrome scale scores ranged from 0.56 to 0.89. There were no significant differences in reliability by age, sex, or race (African American versus non-African American). Conclusions: The Preschool Age Psychiatric Assessment provides a reasonably reliable standardized measure of DSM-IV psychiatric symptoms and disorders in preschoolers for use in both research and clinical service evaluations of preschoolers as young as 2 years old.