Reliability and validity of the SPAID-G checklist for detecting psychiatric disorders in adults with intellectual disability
Reliability and validity of the SPAID-G checklist for detecting psychiatric disorders in adults with intellectual disability
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DOI：
10.1016/j.ridd.2011.08.020
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发表时间：
2012-03-01
影响因子：
3.1
通讯作者：
Monchieri, Sergio
中科院分区：
文献类型：
--
作者：
Bertelli, Marco;Scuticchio, Daniela;Monchieri, Sergio
SPAID（智力残疾成人精神病仪器）是意大利第一个对智力残疾成人进行精神病诊断的工具包。它包括用于一般诊断方向的“G”表，以及根据现有分类系统列出的所有综合征组的具体核对表。SPAID的建立是为了为使用ID的人员提供一个简单快捷的日常实践工具。本研究旨在评估SPAID-G的心理测量学和精神诊断特征，并提供关于生活在不同环境中的多中心意大利ID患者精神疾病患病率的新数据。SPAID-G随机应用于意大利各地居住设施或评估服务的304名具有ID的参与者。部分样本也通过DASH连续评估。PDD-MRS和临床应用的DSM-IV TR标准。SPAID-G评分与其他评估工具提供的评分相关性超过60%。结果表明，该方法具有较好的内部一致性和内部信度。在大约40%的样本中检测到精神病理症状。自闭症谱系障碍、冲动控制障碍、情绪障碍和戏剧性人格障碍分别是提供最普遍的阈值得分的诊断取向。SPAID-G似乎是一种有效的诊断工具，可以快速简便地用于意大利ID人群的精神疾病评估。(C) 2011 Elsevier Ltd.版权所有。
SPAID (Psychiatric Instrument for the Intellectually Disabled Adult) is the first Italian tool-package for carrying out psychiatric diagnosis in adults with Intellectual Disabilities (ID). It includes the "G" form, for general diagnostic orientation, and specific checklists for all groups of syndromes stated by the available classification systems. SPAID was established to provide an easy and quick tool for daily practice of the personnel working with ID. The present study was aimed at evaluating psychometric and psychodiagnostic characteristics of the SPAID-G and at supplying new data on the prevalence rate of psychiatric disorders in a multicentric Italian sample of people with ID living in different settings. The SPAID-G was randomly applied to 304 participants with ID attending residential facilities or assessment services across Italy. A part of the sample was also consecutively assessed through the use of DASH. PDD-MRS and by the clinical application of the DSM-IV TR criteria. The correlation between SPAID-G scores and those provided by other evaluation tools was over 60%. Additionally, the internal consistency and inter-rater reliability resulted to be good. Psychopathological symptoms were detected in approximately 40% of the sample. Respectively, autistic spectrum disorders, impulse control disorders, mood disorders, and dramatic personality disorders were the diagnostic orientations providing the most prevalent over-threshold scores. SPAID-G seems to be a valid diagnostic tool, quick and easy to use in psychiatric disorders assessment within the Italian population with ID. (C) 2011 Elsevier Ltd. All rights reserved.