The Spanish alcohol use disorder and associated disabilities interview schedule (AUDADIS):: Reliability and concordance with clinical diagnoses in a Hispanic population
The Spanish alcohol use disorder and associated disabilities interview schedule (AUDADIS):: Reliability and concordance with clinical diagnoses in a Hispanic population
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DOI：
10.15288/jsa.1999.60.790
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发表时间：
1999-11-01
期刊：
影响因子：
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通讯作者：
Hasin, D
中科院分区：
文献类型：
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作者：
Canino, G;Bravo, M;Hasin, D
目的：该研究报告的过程中翻译成西班牙语和适应西班牙文化的酒精使用障碍和相关的残疾时间表（AUDADIS）。该工具是一个结构化的诊断访谈时间表，专门开发用于评估物质相关疾病及其共病疾病和残疾，方法：从波多黎各的初级卫生保健诊所随机抽取成人样本（N = 169）。跨时间和跨访谈者的重测信度的仪器进行了检查，并通过比较计算机获得的诊断，通过管理层的非专业访谈者与最佳估计的诊断委员会认证的精神科医生进行了评估的有效性。结果如下：对于大多数诊断和症状的研究，以及大多数的酒精消费措施，测试的重测信度的西班牙AUDADIS是一致的，在其他国家和国际研究使用该工具报告的结果。酒精依赖和抑郁症的诊断获得良好的重测信度。同样，对于大多数诊断类别，除心境恶劣外，非专业人员给予的AUDADIS和最佳估计诊断之间的一致性为良好至极好。与其他研究一样，药物滥用类别的可靠性和有效性很差。当这一类的协议估计独立的寿命依赖性，可靠性和有效性系数大大提高。结论：西班牙AUDADIS一般表现出良好的可靠性和有效性水平，与其他国家和国际研究中报告的该工具的结果相当。
Objective: The study reports the process of translation into Spanish and adaptation to the Hispanic culture of the Alcohol Use Disorder and Associated Disabilities Schedule (AUDADIS). This instrument is a structured diagnostic interview schedule specifically developed for the assessment of substance-related disorders and their comorbid disorders and disabilities, Method: A random sample (N = 169) of adults from a primary health care clinic in Puerto Rico was selected. The test-retest reliability of the instrument was examined across time and across interviewers, and the validity was assessed by comparing computer-derived diagnoses obtained through the administration of lay interviewers with best estimate diagnoses given by board-certified psychiatrists. Results: For most diagnoses and symptoms studied, as well as for most of the alcohol consumption measures, the test-retest reliability of the Spanish AUDADIS was consistent with results reported in other national and international studies using this instrument. Good to excellent test-retest reliability was obtained for the diagnoses of alcohol dependence and major depression. Similarly, good to excellent agreement was obtained between the lay administered AUDADIS and best estimate diagnoses for most diagnostic categories, with the exception of dysthymia. As in other studies, the reliability and validity of the substance abuse category was poor. When agreement for this category was estimated independent of lifetime dependence, both the reliability and validity coefficients were considerably improved. Conclusions: The Spanish AUDADIS generally demonstrates good to excellent levels of reliability and validity that are comparable to findings reported for this instrument in other national and international studies.