RELIABILITY, VALIDITY, AND PARENT-CHILD AGREEMENT STUDIES OF THE DIAGNOSTIC-INTERVIEW-FOR-CHILDREN-AND-ADOLESCENTS (DICA)

RELIABILITY, VALIDITY, AND PARENT-CHILD AGREEMENT STUDIES OF THE DIAGNOSTIC-INTERVIEW-FOR-CHILDREN-AND-ADOLESCENTS (DICA)
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DOI:
10.1097/00004583-198709000-00007
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发表时间:
1987-09-01
影响因子:
13.3
通讯作者:
AMADO, H
AMADO, H
中科院分区:
医学1区
文献类型:
--
作者:
WELNER, Z;REICH, W;AMADO, H

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儿童和青少年诊断访谈(DICA)是一种针对学龄儿童的结构化访谈,以国家心理健康诊断访谈时间表(DIS)为模板,并基于DSM-III标准。儿童版(DICA-C)的访谈信度研究是通过对27名7 - 17岁的精神科住院患者的访谈来确定的。将kappa统计量用于多个主要诊断类别,结果显示出较高的可靠性。将DICA-C诊断与医院出院诊断进行比较,验证DICA-C的有效性,81.5%的病例临床医生与DICA-C诊断一致。与医院出院诊断相比,DICA-C对每个儿童的诊断更高。根据不同的评价方法对结果进行了讨论。基于84例门诊患儿DICA-C和DICA-P访谈的亲子协议。7至17岁,他们的母亲在大多数DSM-III诊断类别中表现出良好到中度的一致性。综上所述,这些数据表明DICA-C是临床或研究目的的可靠和有效的工具。
The Diagnostic Interview for Children and Adolescents (DICA) is a structured interview for school-age children, patterned after the National Institute of Mental Health Diagnostic Interview Schedule (DIS) and based on the DSM-III criteria. An inter-interview reliability study of the child version (DICA-C) was determined by interviewing 27 psychiatric inpatients, 7 to 17 years of age. Using the kappa statistic for multiple major diagnostic categories, the results demonstrated high reliability. A comparison of the DICA-C diagnoses with the hospital discharge diagnoses for validation of the DICA-C showed that in 81.5% of the cases, the clinicians were in agreement with the DICA-C diagnoses. The DICA-C resulted in more diagnoses per child compared with the hospital discharge diagnoses. The results are discussed in view of the different methods of evaluation. Parent-child agreement based on the DICA-C and DICA-P interview in 84 outpatients. 7 to 17 years of age, and their mothers showed a good to moderate agreement in most DSM-III diagnostic categories. Taken together, these data suggest that the DICA-C is a reliable and valid instrument for either clinical or research purposes.