A structured diagnostic interview for identification of primary alcoholism: a preliminary evaluation.
A structured diagnostic interview for identification of primary alcoholism: a preliminary evaluation.
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用于识别原发性酒精中毒的结构化诊断访谈：初步评估。
DOI：
10.15288/jsa.1988.49.93
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
T. Smith
中科院分区：
文献类型：
--
作者：
M. Schuckit;M. Irwin;T. Howard;T. Smith
本研究以40名男性酒精中毒住院患者为研究对象，对一种新的结构化诊断访谈方法的重测信度和效度进行了评价。酒精研究中心（ARC）的摄入量访谈是从情感障碍和精神分裂症（SADS）的第一和第二部分的时间表和诊断访谈时间表家族史部分，通过提取信息的诊断最有可能看到在酒精患者和扩大数据集与酒精和药物使用相关的问题。患者的主要和次要诊断的重测信度包括访谈者A和B比较的Kappa值为1.00（100%一致率），访谈者A和C的Kappa值为0.76。ARC入院访谈患者诊断的有效性与SADS相比，总体一致率为91%至100%。在任何一级亲属中，将家庭标记为特定疾病的阳性或阴性的可靠性显示Kappa为1.00;家庭诊断的有效性范围为77%至100%，ARC摄入访谈确定了比SADS更多的家庭疾病。虽然需要进一步评估ARC摄入访谈，但建议研究人员尝试评估酗酒者的临床病程和治疗需求，特别是那些有多个诊断的患者。
Forty alcoholic inpatient men were used to evaluate the test-retest reliability and the validity of a new structured diagnostic interview. The Alcohol Research Center (ARC) Intake Interview was constructed from the Schedule of Affective Disorders and Schizophrenia (SADS) parts I and II and from the Diagnostic Interview Schedule family history section by extracting information on diagnoses most likely to be seen in alcoholic patients and by expanding the data set with questions relevant to alcohol and drug use. The test-retest reliability for patients' primary and secondary diagnoses included a kappa of 1.00 for the comparison of interviewers A and B (100% agreement) and of .76 for interviewers A and C. The validity of ARC Intake Interview patient diagnoses as compared to the SADS demonstrated an overall agreement between 91 and 100%. Reliabilities for labeling of families as positive or negative for specific illness in any first-degree relatives revealed a kappa of 1.00; validities on family diagnoses ranged from 77 to 100%, with the ARC Intake Interview identifying more illness in families than the SADS. Although further evaluation of the ARC Intake Interview is needed, this instrument is recommended to investigators attempting to evaluate the clinical course and treatment needs among alcoholics, especially those patients presenting with multiple diagnoses.