Informant-based determinants of symptom attenuation in structured child psychiatric interviews.
Informant-based determinants of symptom attenuation in structured child psychiatric interviews.
复制标题
结构化儿童精神病学访谈中基于知情者的症状减弱决定因素。
DOI：
10.1023/a:1021923808118
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发表时间：
1999
影响因子：
3.6
通讯作者：
Dulcan,M
中科院分区：
文献类型：
--
作者：
Piacentini,J;Roper,M;Jensen,P;Lucas,C;Fisher,P;Bird,H;Bourdon,K;Schwab-Stone,M;Rubio-Stipec,M;Davies,M;Dulcan,M
在国家儿童和青少年精神疾病流行病学研究精神卫生方法研究所的245对亲子对的丰富社区亚样本中，研究了项目衰减的与举报人相关的决定因素，即重新测试时症状认可率的下降。使用儿童诊断访谈表（版本2.3;DISC-2.3）对青少年及其父母进行两次访谈，平均重测间隔为12天。两名被调查者的项目衰减率都很高，在重新测试时，42%的成人和58%的儿童未能确认基线反应。逐步回归显示，在DISC-P重测中，年龄较小的成人举报人和年龄较大且受损程度较轻的儿童的举报人的项目衰减更高。在DISC-C上，受损程度较轻、在学校表现较差、重测间隔较长的儿童的衰减程度更高。这些结果与过去研究衰减和重测可靠性决定因素的研究大体一致，并对结构化诊断仪器的设计和使用产生影响。
Informant-related determinants of item attenuation, that is, the drop-off in symptom endorsement rates at retest, were examined in an enriched community subsample of 245 parent–child pairs drawn from the National Institute of Mental Health Methods for Epidemiology of Child and Adolescent Mental Disorders Study. Youngsters and their parents were interviewed with the Diagnostic Interview Schedule for Children (Version 2.3; DISC-2.3) on two occasions with a mean test–retest interval of 12 days. Item attenuation rates were high for both informants, with adults failing to confirm 42% and children 58% of baseline responses at retest. Stepwise regressions revealed that item attenuation at DISC-P retest was higher for adult informants who were younger, and who reported on older and less impaired children. On the DISC-C, attenuation was higher for children who were less impaired, rated as doing worse in school, and who had a longer test–retest interval. These results are broadly consistent with past studies examining the determinants of attenuation and test–retest reliability and have implications for the design and use of structured diagnostic instruments.