Diagnosis of comorbid psychiatric disorders in substance users assessed with the Psychiatric Research Interview for Substance and Mental Disorders for DSM-IV.
Diagnosis of comorbid psychiatric disorders in substance users assessed with the Psychiatric Research Interview for Substance and Mental Disorders for DSM-IV.
复制标题
DOI：
10.1037/t70162-000
复制
发表时间：
2006-04
期刊：
影响因子：
--
通讯作者：
D. Hasin;Sharon Samet;E. Nunes;Jakob Meydan;Karen Matseoane;R. Waxman
中科院分区：
文献类型：
--
作者：
D. Hasin;Sharon Samet;E. Nunes;Jakob Meydan;Karen Matseoane;R. Waxman
目的：作者使用DSM-IV的物质和精神障碍的精神病学研究访谈（PRISM-IV）来测试DSM-IV定义的障碍，包括原发性和物质诱导的障碍，在物质滥用受试者中的可靠性。方法物质滥用患者（N=285）从物质滥用/双诊断治疗设置和心理健康治疗设置参加了测试和盲重测采访的PRISM-IV，其中包括具体的指导方针，评估物质滥用者。结果原发性和物质诱发的重性抑郁障碍的Kappas为0.66 ~ 0.75。精神障碍、进食障碍、反社会人格障碍和边缘型人格障碍的信度在相同范围内。大多数焦虑症的可靠性较低。对于大多数物质依赖性疾病，可靠性为良好至极好（kappas >/=0.65）。连续测量（严重程度、发病年龄）的组内相关系数>0.70，只有少数例外。可靠性是更好的主要比物质引起的疾病，虽然不是很大。结论大多数精神疾病可以通过专门设计的程序在物质滥用者中进行评估，具有可接受到极好的信度。良好的可靠性提高了重要研究结果的可能性。
OBJECTIVE The authors used the Psychiatric Research Interview for Substance and Mental Disorders for DSM-IV (PRISM-IV) to test the reliability of DSM-IV-defined disorders, including primary and substance-induced disorders, in substance-abusing subjects. METHOD Substance-abusing patients (N=285) from substance abuse/dual-diagnosis treatment settings and mental health treatment settings participated in test and blind retest interviews with the PRISM-IV, which includes specific guidelines for assessment of substance abusers. RESULTS Kappas for primary and substance-induced major depressive disorder ranged from 0.66 to 0.75. Reliability for psychotic disorders, eating disorders, antisocial personality disorder, and borderline personality disorder was in the same range. Reliability for most anxiety disorders was lower. Reliability was good to excellent (kappas >/=0.65) for most substance dependence disorders. Continuous measures (severity, age at onset) had intraclass correlation coefficients >0.70 with few exceptions. Reliability was better for primary than for substance-induced disorders, although not greatly so. CONCLUSION Most DSM-IV psychiatric disorders can be assessed in substance-abusing subjects with acceptable to excellent reliability by using specifically designed procedures. Good reliability improves the likelihood of significant study results.