The Development and Well-Being Assessment: Description and initial validation of an integrated assessment of child and adolescent psychopathology
The Development and Well-Being Assessment: Description and initial validation of an integrated assessment of child and adolescent psychopathology
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DOI：
10.1017/s0021963099005909
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发表时间：
2000-07-01
影响因子：
7.6
通讯作者：
Meltzer, H
中科院分区：
文献类型：
--
作者：
Goodman, R;Ford, T;Meltzer, H
发展和幸福感评估（DAWBA）是一套新颖的问卷，访谈和评级技术，旨在对5-16岁的儿童进行ICD-10和DSM-IV精神病诊断。非临床访谈者对父母进行结构化访谈，了解精神症状及其影响。当通过结构化问题确定明确的症状时，访谈者使用开放式问题和补充提示，让父母用自己的话描述问题。这些描述是由采访者逐字转录的，但不是由他们评级。对11至16岁的青少年也进行了类似的访谈。教师完成一份简短的问卷，涵盖主要的行为，情绪和多动症症状和任何由此产生的损害。不同种类的信息通过一个计算机程序汇集在一起，该程序也预测可能的诊断。这些计算机生成的汇总表和诊断为经验丰富的临床评估者提供了一个方便的起点，他们根据对所有数据（包括成绩单）的审查来决定是否接受或推翻计算机诊断（或缺乏诊断）。在本研究中，将DAWBA施用于社区（N = 491）和诊所（N = 39）样本。有很好的区分社区和诊所样本之间的诊断疾病的比率。在社区样本中，有和没有被诊断出的疾病的受试者在外部特征和预后方面存在显着差异。在临床样本中，DAWBA和病例记录诊断之间存在实质性一致性，尽管DAWBA诊断了更多的共病疾病。筛选问题和跳过规则的使用允许省略许多部分，大大缩短了面试时间，而积极信息的损失很少。总的来说，DAWBA成功地结合了基于应答者的测量的廉价和简单性与基于应答者的诊断的临床说服力。DAWBA作为流行病学措施具有相当大的潜力，也可能证明具有临床价值。
The Development and Well-Being Assessment (DAWBA) is a novel package of questionnaires, interviews, and rating techniques designed to generate ICD-10 and DSM-IV psychiatric diagnoses on 5-16-year-olds. Nonclinical interviewers administer a structured interview to parents about psychiatric symptoms and resultant impact. When definite symptoms are identified by the structured questions, interviewers use open-ended questions and supplementary prompts to get parents to describe the problems in their own words. These descriptions are transcribed verbatim by the interviewers but are not rated by them. A similar interview is administered to 11-16-year-olds. Teachers complete a brief questionnaire covering the main conduct, emotional, and hyperactivity symptoms and any resultant impairment. The different sorts of information are brought together by a computer program that also predicts likely diagnoses. These computer-generated summary sheets and diagnoses form a convenient starting point for experienced clinical raters, who decide whether to accept or overturn the computer diagnosis (or lack of diagnosis) in the light of their review of all the data, including transcripts. In the present study, the DAWBA was administered to community (N = 491) and clinic (N = 39) samples. There was excellent discrimination between community and clinic samples in rates of diagnosed disorder. Within the community sample, subjects with and without diagnosed disorders differed markedly in external characteristics and prognosis. In the clinic sample, there was substantial agreement between DAWBA and case note diagnoses, though the DAWBA diagnosed more comorbid disorders. The use of screening questions and skip rules greatly reduced interview length by allowing many sections to be omitted with very little loss of positive information. Overall, the DAWBA successfully combined the cheapness and simplicity of respondent-based measures with the clinical persuasiveness of investigator-based diagnoses. The DAWBA has considerable potential as an epidemiological measure, and may prove to be of clinical value too.