The reliability and validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean version (K-SADS-PL-K)
The reliability and validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean version (K-SADS-PL-K)
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DOI：
10.3349/ymj.2004.45.1.81
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发表时间：
2004-02-29
影响因子：
2.4
通讯作者：
Leventhal, B
中科院分区：
文献类型：
--
作者：
Kim, YS;Cheon, KA;Leventhal, B
为了开发一个结构化的和客观的诊断工具，作者完成了：（1）翻译和回译韩国版的儿童情感障碍和精神分裂症量表-现在和终身版本（K-SADS-PL）和（2）检查其有效性和可靠性的K-SADS-PL-韩国版（K-SADS-PL）时，用于韩国儿童。从儿童和青少年精神科门诊招募了91名研究对象。临床诊断被用作检验K-SADS-PL-K有效性的金标准。阈值和亚阈值诊断的诊断效度对于注意缺陷/多动障碍（ADHD）为良好至极好，对于抽动和对立违抗性障碍为一般，对于焦虑和抑郁障碍为差至一般。评定者间和重测信度在ADHD和抽动障碍方面为良好。K-SADS-PL-K与韩国儿童行为量表（K-CBCL）之间存在显著相关，这为K-SADS-PL-K的同时效度提供了额外的支持。敏感性根据诊断类别而变化，但特异性在所有诊断中保持较高，表明K-SADS-PL-K是理想的确证性诊断工具。本研究的结果表明，K-SADS-PL-K是一种有效的工具，用于诊断主要的儿童精神疾病，包括多动症，行为障碍和抽动障碍的韩国儿童。未来的研究将在更大的样本中检查K-SADS-PL-K的有效性和可靠性，包括青少年和社区样本的各种儿童和青少年精神疾病。
In order to develop a structured and objective diagnostic instrument, authors completed: (1) the translation and back translation of the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (K-SADS-PL) and (2) the examination of its validity and reliability of the K-SADS-PL-Korean version (K-SADS-PL) when used with Korean children. A total of 91 study subjects were recruited from child and adolescent psychiatry outpatient clinics. Clinical diagnoses were used as a gold standard for the examination of validity of K-SADS-PL-K. Consensual validity of threshold and sub-threshold diagnoses were good to excellent for attention-deficit/hyperactivity disorder (ADHD), fair for tic and oppositional defiant disorders, and poor to fair for anxiety and depressive disorders. Inter-rater and test-retest reliabilities were fair to excellent for ADHD and tic disorder. The significant correlations between the K-SADS-PL-K and Korean Child Behavior Checklist (K-CBCL) were found, which provided additional support for the concurrent validity of the K-SADS-PL-K. Sensitivities varied according to the diagnostic categories, but specificities remained high over all diagnoses, suggesting that the K-SADS-PL-K is a desirable confirmatory diagnostic tool. The results of this study suggest that the K-SADS-PL-K is an effective instrument for diagnosing major child psychiatric disorders, including ADHD, behavioral disorders and tic disorders in Korean children. Future studies will examine the validity and reliability of the K-SADS-PL-K in larger samples, including adolescents and community samples on a variety of child and adolescent psychiatric disorders.