Reliability of diagnostic reporting for children aged 6-11 years: a test-retest study of the Diagnostic Interview Schedule for Children-Revised.
Reliability of diagnostic reporting for children aged 6-11 years: a test-retest study of the Diagnostic Interview Schedule for Children-Revised.
复制标题
6-11 岁儿童诊断报告的可靠性：儿童诊断访谈表修订版的测试再测试研究。
DOI：
10.1176/ajp.151.7.1048
复制
发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Crowther,B
中科院分区：
文献类型：
--
作者：
Schwab-Stone,M;Fallon,T;Briggs,M;Crowther,B
本研究探讨的可靠性的症状报告的社区儿童的小学年龄和他们的父母对一个版本的诊断面试时间表的儿童修订（DISC-R）。MethodA样本的109名6-11岁的儿童正在进行的流行病学研究被招募重新测试DISC-R访谈后完成的研究协议。第一次面试后7-18天进行了重新测试面试，并由事先没有关于受试者信息的面试官进行。五个常见的儿童精神疾病诊断的重测信度进行了评估与Kappa统计;组内相关系数被用来评估重测信度的症状scales.ResultsThe父母的报告的DISC-R的信度是好的，以优秀的注意缺陷多动障碍和分离焦虑障碍;这是公平的过度焦虑障碍，对立违抗性障碍，和行为障碍。除了分离焦虑症，孩子们报告的症状比父母少得多;分离焦虑症的可靠性是公平的，注意缺陷多动障碍的可靠性很差。儿童在报告时间因素方面尤其不可靠，如症状持续时间和发作时间。当症状被认为没有持续时间和发病，儿童的报告达到公平的可靠性分离焦虑症，过度焦虑症，注意缺陷多动障碍，但仍然很差oppositive defiant disorder.ConclusionsThe结果表明，高度结构化的诊断访谈，如DISC-R可能不适合与小学年龄较小的儿童在社区为基础的研究。
ObjectiveThis study examined the reliability of symptom reporting by community children of elementary school age and their parents on a version of the Diagnostic Interview Schedule for Children-Revised (DISC-R).MethodA sample of 109 children aged 6-11 years from an ongoing epidemiologic study were recruited for retest DISC-R interviews after completion of the study protocol. Retest interviews took place 7-18 days after the first interview and were conducted by interviewers who had no prior information about the subjects. Test-retest reliability for five common childhood psychiatric diagnoses was evaluated with the kappa statistic; the intraclass correlation coefficient was used to evaluate test-retest reliability of symptom scales.ResultsThe reliability of the parents' reports on the DISC-R was good to excellent for attention deficit hyperactivity disorder and separation anxiety disorder; it was fair for overanxious disorder, oppositional defiant disorder, and conduct disorder. The children reported many fewer symptoms than the parents except for separation anxiety disorder; reliability was fair for separation anxiety disorder and poor for attention deficit hyperactivity disorder. The children were particularly unreliable in reporting about time factors, such as duration and onset of symptoms. When symptoms were considered without duration and onset, children's reports reached fair reliability for separation anxiety disorder, overanxious disorder, and attention deficit hyperactivity disorder but remained poor for oppositional defiant disorder.ConclusionsThe results suggest that highly structured diagnostic interviews such as the DISC-R may not be appropriate for use with younger children of elementary school age in community-based studies.