Reliability of lifetime diagnoses and symptoms in patients with a current psychiatric disorder.
Reliability of lifetime diagnoses and symptoms in patients with a current psychiatric disorder.
复制标题
当前患有精神疾病的患者终生诊断和症状的可靠性。
DOI：
10.1016/0022-3956(81)90017-0
复制
发表时间：
1981
影响因子：
4.8
通讯作者：
Croughan,J
中科院分区：
文献类型：
--
作者：
Keller,MB;Lavori,PW;McDonald-Scott,P;Scheftner,WA;Andreasen,NC;Shapiro,RW;Croughan,J
在这项研究中，我们评估的可靠性评级过去的精神病症状和终身诊断在目前患病的人口使用SADS和RDC。来自不同研究中心的五名评分员采用短间隔重测设计对25名受试者进行了访谈。受试者有广泛的情感和非情感的诊断和高水平的显着精神病理学。我们的研究结果表明，来自不同研究中心的评估者可以可靠地评估终身诊断和既往症状。高可靠性的两个重要例外是终身诊断和重性抑郁症的复发性单极亚型，我们提醒临床医生和研究人员在诊断这些疾病时要谨慎。我们的结论是，在测量可靠性的下一步应该是一个长时间间隔的重测设计与单独的访谈进行了评估，一个由原来的评分员和其他由一个盲评分员。
In this study we assess the reliability of rating past psychiatric symptoms and lifetime diagnoses in a currently ill population using the SADS and RDC. Five raters from different centers interviewed 25 subjects in a short-interval test-retest design. Subjects had a wide diversity of affective and non-affective diagnoses amd high levels of manifest psychopathology. Our results demonstrate that it is possible for raters from different research centers to reliably rate lifetime diagnoses and previous symptoms. Two important exceptions to the high reliability are the lifetime diagnoses and the recurrent unipolar subtype of major depressive disorder, and we alert clinicians and researchers to be cautious when diagnosing these conditions. We conclude that the next step in measuring reliability should be a long-interval test-retest design with separate interviews conducted at the later assessment, one by the original rater and the other by a blind rater.