The World Health Organization Somatoform Disorders Schedule. A preliminary report on design and reliability

The World Health Organization Somatoform Disorders Schedule. A preliminary report on design and reliability
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DOI:
10.1016/0924-9338(96)80340-3
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发表时间:
1995-01-01
影响因子:
7.8
通讯作者:
Tacchini, G
Tacchini, G
中科院分区:
医学2区
文献类型:
--
作者:
Janca, A;Burke, JD;Tacchini, G

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世界卫生组织(WHO)躯体形式障碍量表(SDS)是根据国际疾病分类第十次修订版(ICD-10)和诊断和统计手册第四版(DSM-IV)评估躯体形式障碍的高度标准化工具。SDS是在世卫组织躯体形式障碍国际研究的框架内编制的,并在巴西、印度、意大利、美国和津巴布韦进行了可靠性测试。来自普通精神病学,初级保健和一般医疗环境的180例患者的样本进行了采访,SDS在三天的时间间隔内由非临床医生和临床医生的采访者。使用组内相关系数(ICC)和Kappa统计量检验两次访谈之间的一致性。SDS的重测信度非常好(所有中心的ICC为0.76; SDS问题的总体Kappa值为0.58;三分之一的SDS问题的Kappa值为0.60或更高)。SDS的现场测试结果表明,该仪器可以管理在较大的研究,由非临床医生的采访者,而不损害的能力,以文件的患病率在不同的文化中的躯体形式障碍。
The World Health Organization (WHO) Somatoform Disorders Schedule (SDS) is a highly standardized instrument for the assessment of somatoform disorders according to the tenth revision of the International Classification of Diseases (ICD-10) and the fourth edition of the Diagnostic and Statistical Manual (DSM-IV). The SDS was produced in the framework of the WHO International Study of Somatoform Disorders and tested for its reliability in Brazil, India, Italy, the USA and Zimbabwe. A sample of 180 patients from general psychiatry, primary care and general medical settings were interviewed with the SDS within a three-day interval by non-clinician and clinician interviewers. The agreement between the two interviews was tested using the intraclass correlation coefficients (ICC) and kappa statistic. The test-retest reliability of the SDS was found to be very good (the ICC for all the centres was 0.76; overall kappa value for SDS questions was 0.58; one-third of SDS questions had a kappa value of 0.60 or higher). The field test results of the SDS indicated that the instrument may be administered in larger studies by non-clinician interviewers without compromising the ability to document the prevalence of somatoform disorders in different cultures.