Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: the National Institute of Mental Health methods for the epidemiology of child and adolescent mental disorders (MECA) study
Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: the National Institute of Mental Health methods for the epidemiology of child and adolescent mental disorders (MECA) study
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DOI：
10.1007/s001270050039
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发表时间：
1998-04-01
影响因子：
4.4
通讯作者：
Dulcan, MK
中科院分区：
文献类型：
--
作者：
Goodman, SH;Hoven, CW;Dulcan, MK
本文介绍了国家精神卫生研究所儿童和青少年精神障碍流行病学方法（MECA）研究的目标，测量风险因素和能力的实施。重点是制定和测试这些措施。在田间试验之前，选择了与精神病理学相关的风险和能力测量的相关结构并进行了初步测试。一个结构化的采访，开发和现场测试使用外行采访。使用来自田间试验的完整样本（n = 1285对看护人-青年），样本平均值，标准差。计算了内部一致性、父母与青少年的一致性以及与儿童疾病的关联。描述性统计揭示了一系列分数和平均值与正常样本一致，如果可用。内出血为中度至高度。家长和青少年在事实项目上的一致性非常好，在量表上与文献一致。在危险因素和疾病之间发现了几种强相关性，尽管大多数与一般疾病有关，而不是特定于诊断类别。该工具提供了一种获取数据的方法，这些数据对进行流行病学和临床研究的研究人员有用，旨在促进对儿童和青少年精神障碍的了解，包括疾病分类学、风险因素、背景、适应功能和治疗。
This paper describes the implementation of the National Institute of Mental Health Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) study's goals of measuring risk factors and competence. The emphasis is on the development and testing of the measures. Relevant constructs fur measurement of risk and competence in relation to psychopathology wen selected and pilot tested prior to the field trials. A structured interview was developed and field tested using lay interviewers. Using the full sample from the field trials (n = 1285 caretaker-youth pairs), sample means, standard deviations. internal consistencies, parent-youth agreement, and associations with childhood disorder were computed. Descriptive statistics reveal a range of scores and means consistent with norming samples, when available. Internal consistencies were moderate to high. Parent-youth agreement on factual items was excellent and on scales was consistent with the literature. Several strong associations were found between risk factors and disorder, although most were related to disorder in general and not specific to a diagnostic category. This instrument provides a means of obtaining data that will be useful to researchers conducting epidemiologic and clinical studies designed to contribute to the understanding of mental disorders in children and adolescents, including nosology, risk factors, context, adaptive functioning, and treatment.