SCALES, DIAGNOSES, AND CHILD PSYCHOPATHOLOGY .1. CBCL AND DISK RELATIONSHIPS
SCALES, DIAGNOSES, AND CHILD PSYCHOPATHOLOGY .1. CBCL AND DISK RELATIONSHIPS
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DOI：
10.1097/00004583-199303000-00022
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发表时间：
1993-03-01
影响因子：
13.3
通讯作者：
WATANABE, HK
中科院分区：
文献类型：
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作者：
JENSEN, PS;SALZBERG, AD;WATANABE, HK
目的：为明确量表与结构化诊断访谈诊断之间的关系，作者采用两阶段筛选法对201个有一个或多个5 - 17岁子女的军人家庭进行研究。方法：采用《儿童诊断性访谈表》（DISC 2）对家长和儿童进行访谈。1);家长完成儿童行为检查表（CBCL），儿童完成其他自报告症状量表。结果：结果表明，只有适度的能力量表区分离散磁盘派生的dsm - iii诊断。来自父母和孩子的诊断信息的纳入比单独来自任何一方的诊断结果更多，并且额外的诊断主要由儿童来源的DISC信息引起的内化障碍组成。一般来说，在同一被调查者中（无论诊断结构如何），量表和诊断之间的相关性大于被调查者之间（但在同一诊断结构中）的相关性。儿童自我报告措施倾向于优于CBCL作为筛选者对DISC的整体“病例”标准。然而，儿童自我报告量表相对而言是非特异性的，并且在选择性识别诸如焦虑和/或抑郁等内化障碍方面表现出很小的能力。与单一信息提供者诊断相比，综合信息提供者诊断在显示与父母和儿童症状量表更广泛的关系方面通常更优越。结论：需要进一步的研究，以便在评估儿童精神病理学的各种方法之间建立仔细的交叉通道，决定组合信息建立诊断的最佳规则，并验证当前可用的评估替代方案。
Objective: To clarify the relationship between scales and structured diagnostic interview diagnoses, the authors used a two-stage screening method to study 201 military families with one or more children ages 5 to 17. Method: Parents and children were interviewed with the Diagnostic Interview Schedule for Children (DISC 2. 1); parents also completed the Child Behavior Checklist (CBCL) while the children completed other self-report symptom scales. Results: Results indicate only a modest ability of scales to discriminate among discrete DISC-derived DSM-III-diagnoses. Inclusion of diagnostic information from both parents and children resulted in more diagnoses than from either informant alone, and the additional diagnoses consisted mostly of internalizing disorders contributed by child-derived DISC information. In general, correlations were larger between scales and diagnoses within the same informant (regardless of diagnostic construct) than across informants (but within the same diagnostic construct). Child self-report measures tended to outperform the CBCL as screeners against the overall ''caseness'' criterion on the DISC. However, child self-report scales were relatively nonspecific and showed little ability to selectively identify internalizing disorders such as anxiety and/or depression. Compared with single informant diagnoses, combined-informant diagnoses were generally superior in demonstrating broader relationships to both parent and child symptom scales. Conclusions: Additional research is needed in order to build careful crosswalks between the various approaches to assessing childhood psychopathology, to decide on optimal rules for combining information to establish diagnoses, and to validate the currently available assessment alternatives.