CLINICAL ASSESSMENT: USE OF NONPHYSICIAN INTERVIEWERS
CLINICAL ASSESSMENT: USE OF NONPHYSICIAN INTERVIEWERS
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临床评估：使用非医师访谈者
DOI：
10.1097/00005053-197808000-00008
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发表时间：
1978
期刊：
影响因子：
--
通讯作者：
T. Reich
中科院分区：
文献类型：
--
作者：
W. Coryell;C. Robert Cloninger;T. Reich
一个全面的结构化的精神病学访谈适合使用的非医师描述和其可靠性进行评估。该时间表被称为家庭环境和终身精神病评估记录（HELPER），包括广泛的社会背景数据，家庭环境因素的评估，以及使用几套可用的操作标准进行精神病诊断所需的所有项目。这个时间表强调事件的一生年表，并包括比其他可用的工具更详细的非情感性行为学和社会环境背景的评估。34精神科住院患者进行了评估，医生和非医生使用的采访者/观察员设计。精神症状和11种可能的综合征的评分者间一致性是实质性的（平均K分别为0.70和0.72），家庭环境经验是极好的（平均K 0.88）。非医生访谈者的评分与医生的评分相当，即使是那些被认为需要最临床和医学判断的项目。这些发现证明了非医生访谈者作为研究团队的一部分的可靠性和实用性。结构化精神病访谈的更广泛应用是值得提倡的。
A comprehensive structured psychiatric interview suitable for use by nonphysicians is described and its reliability evaluated. The schedule, called the Home Environment and Lifetime Psychiatric Evaluation Record (HELPER), includes extensive social background data, assessment of home environmental factors, and all items necessary for psychiatric diagnoses using several available sets of operational criteria. This schedule emphasizes the lifetime chronology of events and includes more detailed assessment of nonaffective symptomatology and social environmental background than other available instruments. Thirty-four psychiatric inpatients were assessed by physicians and nonphysicians using an interviewer/observer design. Inter-rater agreement for psychiatric symptoms and 11 possible syndromes was substantial (mean K 0.70 and 0.72, respectively) and for home environmental experience it was excellent (mean K 0.88). Nonphysician interviewers made ratings comparable to those of physicians even for those items thought to require the most clinical and medical judgment. The reliability and usefulness of nonphysician interviewers as part of a research team are demonstrated by these findings. More extensive application of structured psychiatric interviewing is encouraged.3