DIAGNOSTIC AGREEMENT BETWEEN THE SCID-II SCREENING QUESTIONNAIRE AND THE PERSONALITY-DISORDER EXAMINATION
DIAGNOSTIC AGREEMENT BETWEEN THE SCID-II SCREENING QUESTIONNAIRE AND THE PERSONALITY-DISORDER EXAMINATION
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DOI：
10.1207/s15327752jpa6503_4
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发表时间：
1995-12-01
影响因子：
3.4
通讯作者：
FRANCES, A
中科院分区：
文献类型：
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作者：
JACOBSBERG, L;PERRY, S;FRANCES, A
评估人格障碍的工具提供了可靠性，但以熟练的临床医生花费大量时间进行评估为代价。DSM-III轴II的结构化临床访谈（SCID-II; Spitzer，威廉姆斯，Giant，& First，1990），包括一个自我报告的筛选问卷，减少了访谈者需要评估的项目数量。然而，假阴性反应可能会导致临床重要领域被忽视。为了确定假阴性反应的发生率，我们比较了参与者在SCID-II上的自我报告与临床医生使用人格障碍检查进行的Axis II诊断评估（Loranger，Susman，奥尔德姆，& Russakoff，1987）。每个诊断的假阴性率都很低，这支持了临床医生仅对自我报告中认可的诊断要素进行随访的有效性。回避型和依赖型人格障碍是准确的自我报告。因此，一个有效的人格障碍评估工具可能会结合联合收割机的自我报告，这些疾病的自我报告是可靠的，与临床医生的评估，在需要的地方。
Instruments to assess personality disorders offer reliability, but at the cost of large amounts of a skilled clinician's time to make assessments. The Structured Clinical Interview for DSM-III Axis II(SCID-II; Spitzer, Williams, Gibbon, & First, 1990), incorporates a self-report screening questionnaire, reducing the number of items needing evaluation by the interviewer. However, false negative responses may cause clinically important areas to be overlooked. To establish the rate of false negative responses, we compared participant self-report on the SCID-II with Axis II diagnostic assessment done by clinicians using the Personality Disorder Examination (Loranger, Susman, Oldham, & Russakoff, 1987). The false negative rate was low for every diagnosis, supporting the validity of following up with clinician questioning only those diagnostic elements endorsed in the self-report. Avoidant and dependent personality disorders were accurately self-reported. Thus, an efficient assessment instrument for personality disorders might combine self-report of those disorders where selfreport is reliable, with clinician assessment where needed.