【摘要】 目的:评价简明儿童少年国际神经精神访谈(Mini International Neuropsychiatric Interview for children and adolescents,MINI Kid)(父母版)的信度和效度。方法:以北京大学第六医院门诊和病房患儿、九一小学学生、海淀寄宿学校初中学生共369人为研究对象,由评定者盲法评定,同时以学龄儿童情感障碍和精神分裂症问卷(The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version,K-SADS-PL)量表为诊断金标准,评价量表效度。测定量表的重测信度和内部一致性信度。结果:量表的评定者间一致性Kappa值均在0.80以上,重测信度0.90。以K-SADS-PL为诊断金标准,对MINI Kid父母版进行效度检验显示,诊断灵敏度分别为注意缺陷多动障碍(80.9%)、对立违抗障碍(78.0%)、品行障碍(75.0%)、儿童情感障碍及情绪问题(65.8%)、抽动障碍(66.0%)、精神病性障碍(91.5%)、广泛发育障碍(74.0%);诊断特异度分别为注意缺陷多动障碍(97.0%)、对立违抗障碍(91.1%)、品行障碍(94.2%)、儿童情感障碍及情绪问题(77.8%)、抽动障碍(99.2%)、精神病性障碍(99.6%)、广泛发育障碍(100.0%)。结论:简明儿童少年国际神经精神访谈父母版具有较好的信度和效度,适用于儿童精神障碍的流行病学研究。更多还原

【Abstract】 Objective:To evaluate the reliability and validity of the Chinese version of Mini-International Neuropsychiatric Interview for Children and Adolescents,parent version(MINI Kid parent version).Methods:MINI Kid(parent version)was translated into Chinese with the permission of authors.The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version(K-SADS-PL)was used as the gold standard.The reliability and validity of MINI Kid(parent version)was investigated in this study.A total of 369 subjects,including out-patients and in-patients from Peking University Institute of Mental Health and students from a primary school and a secondary school were included in this study.MINI Kid(parent version)and K-SADS-PL were performed independently with qualified interviewers.Seventeen interviewers for MINI Kid were included in the inter-rater reliability training.Two weeks after the first MINI Kid interview,10 parents were evaluated by the second MINI Kid interview to assess the test-retest reliability.Results:The interrater reliability was higher than 0.80,and the test-retest reliability was 0.90.Using K-SADS-PL as the gold standard,the validity rest showed that the sensitivity were 80.9% for attention deficit hyperactivity disorder,78.0% for oppositional defiant disorder,75.0% for conduct disorder,65.8% for children affect disorder and emotional problem,66.0% fortic disorder,91.5% for psychotic disorder,74.0% for pervasive developmental disorder,respectively.The specificity were 97.0% for attention deficit hyperactivity disorder,91.1% for oppositional defiant disorder,94.2% for conduct disorder,77.8% for children affect disorder and emotional problem,99.2% for tic disorder,99.6% for psychotic disorder,100.0% for pervasive developmental disorder,respectively.Conclusion:The results suggest that the Chinese version of MINI Kid(parent version)has satisfied reliability and validity and is suitable for epidemiological study.更多还原