MEASURING PSYCHIATRIC-DISORDER IN THE COMMUNITY - A STANDARDIZED ASSESSMENT FOR USE BY LAY INTERVIEWERS
MEASURING PSYCHIATRIC-DISORDER IN THE COMMUNITY - A STANDARDIZED ASSESSMENT FOR USE BY LAY INTERVIEWERS
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DOI：
10.1017/s0033291700030415
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发表时间：
1992-05-01
影响因子：
6.9
通讯作者：
DUNN, G
中科院分区：
文献类型：
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作者：
LEWIS, G;PELOSI, AJ;DUNN, G
目前精神病学中使用的许多标准化访谈都要求访谈者使用专家的精神病学判断来决定是否存在精神病理学。然而，当病例定义标准化时，临床判断通常被规则所取代。因此，修订的临床访谈时间表，以提高标准化，并使其适合使用的“外行”访谈者在评估社区，综合医院，职业和初级保健research.Two的可靠性研究修订后的临床访谈时间表（CIS-R）进行了初级卫生保健诊所在伦敦和圣地亚哥，智利。两项研究都比较了接受过精神病学培训的采访者和非专业采访者。估计的可靠性的CIS-R相比，有利的其他标准化面试的研究结果。此外，非专业访谈者与精神科医生一样可靠，在使用CIS-R时没有表现出任何偏见。实证因素分析模型也被用来估计的信度的CIS-R和自填问卷，并表示，传统的可靠性措施可能高估。
Many of the standardized interviews currently used in psychiatry require the interviewer to use expert psychiatric judgements in deciding upon the presence or absence of psychopathology. However, when case definitions are standardized it is customary for clinical judgements to be replaced with rules. The Clinical Interview Schedule was therefore revised, in order to increase standardization, and to make it suitable for use by 'lay' interviewers in assessing minor psychiatric disorder in community, general hospital, occupational and primary care research.Two reliability studies of the revised Clinical Interview Schedule (CIS-R) were conducted in primary health care clinics in London and Santiago, Chile. Both studies compared psychiatrically trained interviewer(s) with lay interviewer(s). Estimates of the reliability of the CIS-R compared favourably with the results of studies of other standardized interviews. In addition, the lay interviewers were as reliable as the psychiatrists and did not show any bias in their use of the CIS-R. Confirmatory factor analysis models were also used to estimate the reliabilities of the CIS-R and self-administered questionnaires and indicated that traditional measures of reliability are probably overestimates.