Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version (K-SADS-PL): Initial reliability and validity data
Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version (K-SADS-PL): Initial reliability and validity data
复制标题
DOI：
10.1097/00004583-199707000-00021
复制
发表时间：
1997-07-01
影响因子：
13.3
通讯作者：
Ryan, N
中科院分区：
文献类型：
--
作者：
Kaufman, J;Birmaher, B;Ryan, N
目的：描述学龄儿童情感障碍和精神分裂症量表-现在和终身版（K-SADS-PL）访谈的心理测量学特性，该访谈调查了先前K-SADS中未评估的其他障碍，包含改进的探针和锚点，包括诊断特异性损伤评级，生成DSM-III-R和DSM-IV诊断，并将调查的症状分为筛查访谈和五种诊断补充。方法：研究对象为55例精神科门诊患者和11例正常对照组，年龄7 ~ 17岁。父母和孩子都被用作线人。根据标准自我报告量表评估筛查标准和K-SADS-PL诊断的同时有效性。还收集了评价者间（n = 15）和重测（n = 20）可靠性数据（平均重测间隔：18天;范围：2至38天）。结果：量表数据支持筛查和K-SADS-PL诊断的同时效度。评分筛选和诊断的评分者间一致性较高（范围：93%至100%）。重测信度Kappa系数在重度抑郁症、任何双相情感障碍、广泛性焦虑、品行障碍和对立违抗性障碍的当前和/或终生诊断中处于极好的范围（0.77至1.00），在创伤后应激障碍和注意缺陷多动障碍的当前诊断中处于良好的范围（0.63至0.67）。结论：结果表明，K-SADS-PL产生可靠和有效的儿童精神病诊断。
Objective: To describe the psychometric properties of the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) interview, which surveys additional disorders not assessed in prior K-SADS, contains improved probes and anchor points, includes diagnosis-specific impairment ratings, generates DSM-III-R and DSM-IV diagnoses, and divides symptoms surveyed into a screening interview and five diagnostic supplements. Method: Subjects were 55 psychiatric outpatients and 11 normal controls (aged 7 through 17 years). Both parents and children were used as informants. Concurrent validity of the screen criteria and the K-SADS-PL diagnoses was assessed against standard self-report scales. Interrater (n = 15) and test-retest (n = 20) reliability data were also collected (mean retest interval: 18 days; range: 2 to 38 days). Results: Rating scale data support the concurrent validity of screens and K-SADS-PL diagnoses. Interrater agreement in scoring screens and diagnoses was high (range: 93% to 100%). Test-retest reliability kappa coefficients were in the excellent range for present and/or lifetime diagnoses of major depression, any bipolar, generalized anxiety, conduct, and oppositional defiant disorder (.77 to 1.00) and in the good range for present diagnoses of posttraumatic stress disorder and attention-deficit hyperactivity disorder (.63 to .67). Conclusion: Results suggest the K-SADS-PL generates reliable and valid child psychiatric diagnoses.