Etic and emic criteria for non psychotic mental disorder: A study of the CISR and care provider assessment in Harare
Etic and emic criteria for non psychotic mental disorder: A study of the CISR and care provider assessment in Harare
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DOI：
10.1007/bf00788925
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发表时间：
1997-02-01
影响因子：
4.4
通讯作者：
Mann, A
中科院分区：
文献类型：
--
作者：
Patel, V;Mann, A
本文介绍了修订的临床访谈时间表（CISR）和精神状态的评估，由初级保健提供者在哈拉雷之间的关系。初级保健诊所（PHC）和传统的医生（TMP）的诊所就诊者（n=302）进行了采访的Shona症状问卷，CISR和解释性模型访谈。PHC护士和TMP进行了采访，以引出诊断配方使用世卫组织卫生工作人员评级代码。“Etic”病例是那些在CISR上得分为12分或以上的病例，“emic”病例是那些被护理人员评估为患有精神障碍的病例。总体而言，52%的受试者被归类为客病病例，59%被归类为贫血病例。两个标准之间的总体一致性为55%。四分之三的护理提供者“假阳性”是由于未能考虑到咨询的不同原因，如社会或精神问题。大多数“假阴性”组都是有症状的受试者，尽管症状比“确诊病例”组少。一个概念恐惧症-不被认为是一种精神障碍，似乎缺乏概念的有效性，在这种情况下。
The paper describes the relationships between the Revised Clinical Interview Schedule (CISR) and the assessment of psychiatric status by primary care providers in Harare. Primary care clinic (PHC) and traditional medical practitioner (TMP) clinic attenders (n=302) were interviewed with the Shona Symptom Questionnaire, the CISR and the Explanatory Model Interview. The PHC nurses and TMP were interviewed to elicit diagnostic formulation using the WHO Health Staff Rating codes. ''Etic'' cases were those who scored 12 or more on the CISR and ''emic'' cases were those whom the care provider had assessed as having a mental disorder. In all, 52% of subjects were classified as etic cases and 59% as emic cases. Overall agreement between the two criteria was 55%. Three-quarters of care provider ''false-positives'' were accounted for by a failure to take into account the varying reasons for consultation, such as social or spiritual problems. Most of the ''false-negative'' groups were symptomatic subjects, though with fewer symptoms than those who were ''definite cases''. One etic conceptphobia-was not considered as a mental disorder and appeared to lack concept validity in this setting.