Psychiatrists and a Computer as Interrogators of Patients with Alcohol-Related Illnesses: A Comparison

Psychiatrists and a Computer as Interrogators of Patients with Alcohol-Related Illnesses: A Comparison
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精神科医生和计算机作为酒精相关疾病患者的询问者:比较

DOI:
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发表时间:
1977
影响因子:
10.5
通讯作者:
G21 3UW
G21 3UW
中科院分区:
医学1区
文献类型:
--
作者:
R. W. Lucas;P. J. Mullin;C. B. X. Luna;D. C. McInroy;Departmentof ResearchFellow HonoraryLecturer;Universityof Psychology;M. D.C.Mclnroy;G21 3UW

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摘要 开发了一种计算机辅助的“访谈”,用于获取与酗酒问题相关的证据。36名首次前往专科戒酒诊所就诊的男性志愿者患者接受了三次访谈,分别由两名精神科医生和计算机进行;收集了关于72项预先定义的涉及饮酒量、饮酒行为和症状的指标信息。要求每位患者匿名完成一份态度调查问卷。计算机和精神科医生所获取证据之间的一致性程度相当高,他们估计的错误率也非常相似,总计都在10%到12%之间。在饮酒量方面,患者向计算机报告的饮酒量明显多于向精神科医生报告的量。根据向其中一名精神科医生报告的数据计算,每周纯乙醇摄入量的中位数为1.19千克,而根据向计算机报告的数据计算则高达1.58千克。态度调查问卷的结果表明,患者对计算机询问的接受程度较高。
Summary A computer-administered ‘interview’ was developed for eliciting evidence relating to alcohol problems. Thirty-six volunteer male patients on their first visits to a specialist alcohol clinic were interviewed three times, by two psychiatrists and by the computer; information was sought about 72 predefined indicants concerning alcohol consumption, drinking behaviour, and symptoms. Each patient was asked to complete an attitude questionnaire anonymously. The extent of agreement between the evidence elicited by the computer and by the psychiatrists was quite high, and their estimated error rates were very similar, all between 10 per cent and 12 per cent in total. With respects to amounts of alcohol consumed, patients reported significantly greater amounts to the computer than they reported to the psychiatrists. The median amounts of pure ethanol consumed ranged from 1 · 19 kg per week calculated from reports made to one of the psychiatrists, up to 1 · 58 kg per week calculated from reports made to the computer. The results from the attitude questionnaire indicated a high level of acceptability to patients of computer interrogation.