Reliability of psychiatric diagnosis. II. The test/retest reliability of diagnostic classification.
Reliability of psychiatric diagnosis. II. The test/retest reliability of diagnostic classification.
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精神病学诊断的可靠性。
DOI：
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发表时间：
1977
影响因子：
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通讯作者：
Michael A. Reveley
中科院分区：
文献类型：
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作者：
J. Helzer;Paula J. Clayton;R. Pambakian;Theodore Reich;Robert A. Woodruff;Michael A. Reveley
在一项评定者间诊断可靠性的研究中，医生使用结构化访谈对101名精神科住院患者进行了独立访谈。新入院的患者被随机选取，并由三名精神科医生中的一位进行检查。大约24小时后，另一名精神科医生对同一患者进行再次检查。对两次检查的访谈进行独立评估，并根据客观标准做出诊断。使用卡帕统计量计算两次检查的诊断一致性程度。与精神医学文献中的其他研究相比，发现一致性较高，尽管在之前的大多数研究中诊断并非独立做出。研究结果还与医学判断可靠性的研究进行了比较。讨论了评定者间可靠性较高的可能原因，包括使用结构化访谈和客观诊断标准。
In a study of interrater diagnostic reliability, 101 psychiatric inpatients were independently interviewed by physicians using a structured interview. Newly admitted patients were randomly selected and examined by one of three psychiatrists. A second psychiatrist reexamined the same patient about 24 hours later. Interviews from the two examinations were evaluated independently and diagnoses were made on the basis of objective criteria. The degree of diagnostic agreement for the two examinations were calculated using the kappa statistic. Agreement was found to be high as compared to other studies in the psychiatric literature, despite the fact that in most previous investigations diagnoses were not made independently. The results were also compared to studies of reliability of medical judgments. Possible reasons for the high interrater reliability are discussed and include the use of a structured interview and objective diagnostic criteria.