The Mandarin version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Epidemiological version for DSM-5-A psychometric study
The Mandarin version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Epidemiological version for DSM-5-A psychometric study
复制标题
DOI：
10.1016/j.jfma.2017.06.013
复制
发表时间：
2017-09-01
影响因子：
3.2
通讯作者：
Gau, Susan Shur-Fen
中科院分区：
文献类型：
--
作者：
Chen, Yi-Lung;Shen, Lih-Jong;Gau, Susan Shur-Fen
背景/目的：2013年出版的《精神障碍诊断和统计手册》（DSM-5）第五版中精神疾病诊断覆盖范围和标准的变化导致需要更新情感障碍和精神分裂症儿童量表-流行病学版（K-SADS-E）。本研究旨在探讨修订后的K-SADS-E量表在DSM-5中的信度、聚合效度和发散效度。方法：以台湾北方、中部和南部44所学校的3242名三年级、五年级和七年级学生为研究对象，进行问卷调查。精神病诊断是通过K-SADS-E访谈做出的。采用Swanson、Nolan和Pelham IV量表、社会反应量表和儿童行为量表的中文版对注意缺陷多动障碍（ADHD）、自闭症谱系障碍（ASD）、情绪和行为问题进行临床问卷调查。K-SADS-E在8名访谈者中显示出令人满意的评分者间信度（患病率调整偏倚调整kappa = 0.80-1.00）。结论：K-SADS-E是一种基于DSM-5的儿童青少年精神障碍诊断工具，具有较高的信效度和效度。进一步的研究将检查K-SADS-E在临床和社区样本中的敏感性、特异性和测试可靠性。版权所有（C）2017，台湾医学会.出版社：Elsevier Taiwan LLC
Background/Purpose: Changes of diagnostic coverage and criteria for psychiatric disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published in 2013 cause a need for updating the Kiddie-Schedule for Affective Disorders and Schizophrenia-Epidemiological version (K-SADS-E). This study examined the preliminary psychometric properties, including inter-rater reliability, and convergent and divergent validity of the modified K-SADS-E for DSM-5.Methods: A national survey of a school-based sample of 3242 students in grade 3, 5, and 7 from 44 schools was conducted in Northern, Central, and Southern Taiwan. Psychiatric diagnoses were made by the K-SADS-E interviews. Clinical questionnaires for attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and emotional and behavioral problems were examined using the Chinese version of the Swanson, Nolan, and Pelham IV scale, Social Responsiveness Scale, and Child Behavior Checklist.Results: The K-SADS-E showed satisfactory inter-rater reliability (prevalence adjusted bias adjusted kappa = 0.80-1.00) among eight interviewers. The diagnoses of K-SADS-E demonstrated good convergent and divergent validity with most corresponding clinical questionnaires.Conclusion: Our finding suggests that the K-SADS-E is a reliable and valid instrument for diagnosing child and adolescent psychiatric disorders based on DSM-5. Further study will examine the sensitivity, specificity, and testeretest reliability of the K-SADS-E in clinical and community samples. Copyright (C) 2017, Formosan Medical Association. Published by Elsevier Taiwan LLC.