Utility of the diagnostic interview schedule for children for assessing Tourette syndrome in children.
Utility of the diagnostic interview schedule for children for assessing Tourette syndrome in children.
复制标题
儿童诊断访谈时间表用于评估儿童抽动秽语综合征的实用性。
DOI：
10.1089/cap.2013.0128
复制
发表时间：
2014
影响因子：
1.9
通讯作者：
Murphy,TanyaK
中科院分区：
文献类型：
--
作者：
Lewin,AdamB;Mink,JonathanW;Bitsko,RebeccaH;Holbrook,JosephR;Parker-Athill,ECarla;Hanks,Camille;Storch,EricA;Augustine,ErikaF;Adams,HeatherR;Vierhile,AmyE;Thatcher,AlyssaR;Murphy,TanyaK
目的：儿童诊断访谈表 IV (DISC) 已广泛用于研究和筛查。尽管广泛使用，但关于 DISC 诊断抽动障碍有效性的信息很少。方法：参与者是 181 名临床专家诊断为抽动秽语综合征 (TS) 的青少年。结果：使用临床专家诊断的 TS 作为金标准，DISC-Y（青少年，0.27）和 DISC-P（父母，0.44）的敏感性较差。 DISC-Y 发现了 29.7% 的青少年患有 TS，而 DISC-P 发现了 47.4% 的病例。只有 54% 的 TS 病例被 DISC-Y 或 -P 检测到。 DISC 与临床专家诊断之间的诊断一致性较差。 DISC-Y/P 结果与抽动严重程度的函数没有差异。结论：尽管 DISC 可用于评估儿童精神疾病，但 DISC 检测 TS 的敏感性似乎很差。这项研究表明 DISC 与临床专家对 TS 的诊断一致性较低。研究结果强调需要修改 DISC 和/或确定和开发更敏感的 TS 筛查措施。
Objective:The Diagnostic Interview Schedule for Children IV (DISC) has been used extensively in research and screening. Despite wide use, little information exists on the validity of the DISC for diagnosing tic disorders.Methods:Participants were 181 youth with expert clinician-diagnosed Tourette syndrome (TS).Results:Using expert clinician-diagnosed TS as the gold standard, the sensitivity of the DISC-Y (youth, 0.27) and DISC-P (parent, 0.44) was poor. The DISC-Y identified 29.7% of youth with diagnosed TS whereas the DISC-P identified 47.4% of cases. Only 54% of cases of TS were detected by either the DISC-Y or -P. Diagnostic agreement between the DISC and expert clinician diagnosis was poor. The DISC-Y/P results did not differ as a function of tic severity.Conclusions:Despite utility for assessing child psychiatric disorders, the sensitivity of the DISC for detecting TS appears poor. This study suggests that DISC has low agreement with expert clinician diagnosis of TS. Findings highlight the need for modification of the DISC and/or the identification and development of more sensitive measures for TS screening.