【摘要】 目的本研究主要评估SCID在心理解剖中进行精神疾病诊断时的可靠性、灵敏度和特异度问题。方法对精神疾病住院患者进行SCID访谈(为患者SCID诊断),对患者亲属进行SCID访谈(为心理解剖SCID诊断)。计算两种SCID诊断的重测信度,评分者信度以及心理解剖SCID诊断的灵敏度和特异度。结果患者SCID诊断,除焦虑障碍外,临床常见精神障碍的重测信度及评分者信度都高于0.75;心理解剖SCID诊断的酒精相关障碍、精神病性障碍、双相障碍、抑郁障碍及焦虑障碍的重测信度及评分者信度都大于0.75;在所有轴I的疾病中,除酒精滥用和恶劣心境外,心理解剖SCID诊断与患者SCID诊断一致性系数均大于0.6。心理解剖SCID诊断的特异度都大于88%,但敏感度都低于特异度。结论研究表明SCID诊断具有较高的重测信度和评分者信度。心理解剖SCID诊断具有较好的灵敏度和特异度,与患者SCID诊断的一致性良好。更多还原

【Abstract】 Objective The reliability,sensitivity,specificity and adoption of the Structured Clinical Interview for DSM-IV Axis I(SCID)in psychological autopsy were investigated.Method All subjects were the psychiatric patients in the No.7 people’s hospital of Dalian.Diagnosis was made by patients SCID interview and by psychological autopsy SCID interview.Inter-rater reliability and test-retest reliability were assessed in 30 and 35 patients SCID diagnosis and psychological autopsy SCID diagnosis,respectively.Chi-square and kappa analysis were used to determine agreement of diagnoses.Results Kappa coefficients were above 0.75 for alcohol-related disorders,psychiatric disorders,bipolar disorders and depression disorders for inter-rater and test-retest reliability in patients SCID diagnosis.Kappa coefficients were above 0.75 for alcohol-related disorders,psychiatric disorders,bipolar disorders,depression disorders and anxiety disorders for inter-rater and test-retest更多还原