IMPROVING THE RELIABILITY OF THE DISC

提高光盘的可靠性

• 批准号: 2891087
• 负责人: CHRISTOPHER PAUL LUCAS
• 金额: $ 23.19万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-30 至 2001-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2891087
• 关键词: adolescence (12-20); clinical research; cognition; community health services; diagnosis design /evaluation; diagnosis quality /standard; human subject; interview; mental disorder diagnosis; middle childhood (6-11); outcomes research; parent offspring interaction; parents; psychological tests; psychometrics; questionnaires; racial /ethnic difference

The search for accurate and reliable diagnostic measures has been long, and only partially successful, since significant problems remain with frequent attenuation of symptom reports. The appreciation of cognitive and communication principles associated with the process of structured diagnostic interviewing has lead to renewed efforts to understand the determinants of unreliability and reduce the phenomenon of diagnostic and symptomatic attenuation. This study will systematically examine the nature, sources and correlates of unreliability in repeated measurements of child psychopathology using the Present State Version of the NIMH- DISC. It will investigate the impact of two experimental modifications on the test-retest reliability of the DISC. The sample will be derived from the general population and balanced with regards to age and probable diagnosis of child. Following initial enumeration and recruitment of eligible households via telephone, a brief screen will be given to both the adolescent (aged 9-16) and a parental informant. Screen positives, derived independently from both informants and a proportion of the screen negatives will then be invited to participate in a second stage procedure. This will include a test- retest reliability study of the NIMH-DISC (Present State Version) examining the effect of two modifications to the DISC intended to reduce symptomatic and diagnostic attenuation. A factorial design will enable the impact of a series of graphical aids to symptom recall, as well as the effect of providing a cognitive road map to the interview and allowing subject to choose the order in which diagnostic modules are completed, to be measured. Addition of a detailed discrepancy interview protocol/cognitive interview and associated measurements of factors predictive of unreliability will also enable examination of the determinants of unreliability and a more qualitative assessment of the effects of the experimental interventions.

寻找准确可靠的诊断方法已经很久了， 而且只有部分成功，因为仍然存在重大问题， 症状报告的频繁衰减。 认知欣赏 与结构化过程相关的沟通原则 诊断性访谈导致重新努力了解 不可靠性的决定因素，减少诊断的现象 和症状性衰减。 本研究将系统地研究 重复测量不可靠性的性质、来源和相关因素 儿童精神病理学使用的NIMH的现状版本- DISC. 它将调查两个实验性修改的影响 DISC的重测信度。 样本将来自一般人群，并与 关于孩子的年龄和可能的诊断。以下初始 透过电话进行合资格住户的点算及招募， 将对青少年（9-16岁）和 父母的线人筛查阳性，独立于 然后将邀请知情人和一部分屏幕底片 参加第二阶段的手术 这将包括一个测试- NIMH-DISC（现状版）重测信度研究 研究两项旨在减少DISC的修改的效果 症状和诊断衰减。 析因设计将使 一系列图形辅助工具对症状回忆的影响，以及 为面试提供认知路线图的效果， 允许受试者选择诊断模块被 已完成，待测量。 增加详细的差异访谈 协议/认知访谈和相关因素测量 不可靠性的预测也将使检查 不可靠性的决定因素以及对不可靠性的更定性评估 实验干预的效果。