Study IV: Concurrent validity of the DSM-IV revised Children's Interview for Psychiatric Syndromes (ChIPS)
Study IV: Concurrent validity of the DSM-IV revised Children's Interview for Psychiatric Syndromes (ChIPS)
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DOI：
10.1089/cap.1998.8.227
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发表时间：
1998-01-01
影响因子：
1.9
通讯作者：
Weller, RA
中科院分区：
文献类型：
--
作者：
Fristad, MA;Cummins, J;Weller, RA
目的：检验《精神障碍诊断与统计手册》(第四版)的效度。(DSM-TV)修订的住院儿童和青少年精神症状(CHIPS)儿童访谈。方法：调查对象为47名6~12岁的住院精神病患者(n=23)，12~18岁的患者(n=24)。所有参与者都服用了CHIP。对40名受试者进行了儿童与青少年诊断性访谈-儿童修订版(DICA-R-C)。所有参与者的出院诊断都被记录下来。结果：CHIPS/DICA-R-C Kappas不能计算两种疾病的诊断符合率，因为它们100%的不存在。16个Kappa中有14个有意义(p<；0.05)。其余16个障碍中的2个符合98%(kappa(X)=0.494，p<；0.157)。当CHIP结果与出院诊断相比较时，对每种疾病的敏感性平均为70%，而特异性平均为84%。当三个来源之间出现不一致时，CHIP比DICA-R-C更有可能与出院诊断相一致(27%对22%)。对儿童和青少年重复分析，然后对男孩和女孩进行分析。与女孩和青少年相比，男孩和儿童的显着筹码和DICA-R-C卡帕系数较少；这似乎与他们支持的诊断数量较少有关。CHIPS/临床医生协议对男孩和女孩以及儿童和青少年都是相似的。CHIPS的使用时间少于DICA-R-C(p<；0.08)。结论：DSM-IV修订后的CHIP的心理测量学特性优于其他结构化访谈。薯条似乎对青少年和儿童都很有效。
Objective: To determine validity of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) (DSM-TV) revised Children's Interview for Psychiatric Syndromes (ChIPS) in inpatient children and adolescents.Method: Participants were 47 psychiatric inpatients 6-12 (n = 23) and 12 to 18 years of age (n = 24). ChIPS was administered to all participants. The Diagnostic Interview for Children and Adolescents-Revised-Child Version (DICA-R-C) was administered to 40 participants. Discharge diagnoses were recorded for all participants. Kappas, low base rate kappas, and percentage agreement were used to assess diagnostic agreement between sources for 18 disorders.Results: ChIPS/DICA-R-C kappas could not be calculated for two disorders because of 100% agreement on their absence. Fourteen of 16 kappas were significant (p < 0.05). The remaining 2 of 16 disorders had 98% agreement (kappa(x) = 0.494, p < 0.157). When ChIPS results were compared with discharge diagnoses, sensitivity for each disorder averaged 70%, whereas specificity averaged 84%. When disagreements occurred between all three sources, ChIPS was somewhat more likely than DICA-R-C to agree with discharge diagnoses (27% versus 22%). Analysis were repeated for children and adolescents, then for boys and girls. Boys and children had fewer significant ChIPS and DICA-R-C kappa coefficients compared with girls and adolescents; this appeared to be related to the fewer number of diagnoses they endorsed. ChIPS/clinician agreement was similar for boys and girls as well as for children and adolescents. Administration time was less for ChIPS than for DICA-R-C (p < 0.08).Conclusion: Psychometric properties of the DSM-IV revised ChIPS compare favorably,vith that of other structured interviews. ChIPS appears to work well for adolescents as well as children.