Reliability of the Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-U-KSADS) mania and rapid cycling sections
Reliability of the Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-U-KSADS) mania and rapid cycling sections
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DOI：
10.1097/00004583-200104000-00014
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发表时间：
2001-04-01
影响因子：
13.3
通讯作者：
Soutullo, C
中科院分区：
文献类型：
--
作者：
Geller, B;Zimerman, B;Soutullo, C
目的：探讨华盛顿大学圣犯规儿童情感障碍和精神分裂症(WASH-U-KSADS)躁狂症和快速循环部分的信度。方法：对1986年版的KSADS进行了修改和扩展，包括当前和终生发作的每种症状的开始和消除，扩大的青春期前躁狂和快速循环部分，以及注意力缺陷/多动障碍和其他DSM-IV诊断的类别。为了优化诊断研究，跳过被最小化了。受试者参加了正在进行的“儿童双相情感障碍的现象学和病程”研究。母亲和孩子分别接受了研究护士的采访，他们对诊断小组的状况视而不见。此外，根据每个WASH-U-KSADS项目的叙述性文件对经常出现的儿童精神病学家的评级与研究护士的评级进行了比较。这项工作是在1995年至2000年期间进行的。结果：经过10~15次试验，作为采访者和观察者，连续5次，采访者的可信度为100%。研究护士与非现场盲人对躁狂症和快速循环科的最佳估计值比较，x值为0.74~1.00。对于躁狂症的诊断(85.7%)和个人躁狂症条目以及针对父母和老师报告的有效性，先前已有报道。结论：WASH-U-KSADS躁狂症和快速循环测验具有较好的信度。
Objective: To investigate the reliability of the Washington University in St. Fouls Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-U-KSADS) mania and rapid cycling sections. Method: The 1986 version of the KSADS was modified and expanded to include onset and offset of each symptom for both current and lifetime episodes, expanded prepubertal mania and rapid cycling sections, and categories for attention-deficit/hyperactivity disorder and other DSM-IV diagnoses. To optimize diagnostic research, skip-outs were minimized. Subjects participated in the ongoing "Phenomenology and Course of Pediatric Bipolar Disorder" study. Mothers and children were interviewed separately by research nurses who were blind to diagnostic group status. In addition, ratings of oft-site child psychiatrists, made from the narrative documentation given for each WASH-U-KSADS item, were compared with research nurse ratings. This work was performed between 1995 and 2000. Results: There was 100% interrater reliability, five consecutive times, as both interviewer and observer after 10 to 15 trials. The x values of comparisons between research nurse and off-site blind best-estimate ratings of mania and rapid cycling sections were excellent (0.74-1.00). High B-month stability for mania diagnoses (85.7%) and for individual mania items and validity against parental and teacher reports were previously reported. Conclusions: The WASH-U-KSADS mania and rapid cycling sections have acceptable reliability.