日本门诊患者情感性障碍和精神分裂症的儿童时间表的心理测量学现状和DSM-5的终生版本。

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research Pub Date : 2023-01-02 DOI:10.1002/mpr.1957

Takuya Makino, Futoshi Suzuki, Takeshi Nishiyama, Saeko Ishibashi, Hidetaka Nakamichi, Tomoko Iida, Shoko Shimada, Shinji Tomari, Eiji Imanari, Takuma Higashi, Shintaro Fukumoto, Sawa Kurata, Yoshifumi Mizuno, Takuma Kimura, Yukiko Kuru, Takeshi Morimoto, Hirotaka Kosaka

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引用次数: 0

摘要

目的:《学龄期儿童情感障碍和精神分裂症量表-现在和终生版》(K-SADS-PL)是一种广泛应用于儿童和青少年精神病学的半结构化诊断访谈。然而，其更新版本的心理测量属性，DSM-5的K-SADS-PL，几乎没有被检查，特别是标准效度。本研究旨在对137名日本门诊患者进行DSM-5的K-SADS-PL量表的信度、效度和结构效度的检验。方法:12名经验丰富的临床医生中的2名在联合会议中独立对每位患者进行了K-SADS访谈，并将得出的共识诊断与8名经验丰富的临床医生中2名使用患者所有可用信息做出的“最佳估计”诊断进行比较。结果:量表间信度极好，除当前分离焦虑障碍外，所有障碍的κ > 0.75。标准效度从一般到良好，除当前和终生广场恐怖症外，所有障碍的κ > 0.40。K-SADS-PL诊断与儿童行为检查表子量表之间的理论预期关联表明，建构效度也很好。结论:DSM-5的K-SADS-PL在儿童和青少年精神病学诊断中是有效的。

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Psychometrics of the kiddie schedule for affective disorders and schizophrenia present and lifetime version for DSM-5 in Japanese outpatients

Objective

The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) is a widely used semi-structured diagnostic interview in child and adolescent psychiatry. However, the psychometric properties of its updated version, the K-SADS-PL for DSM-5, have scarcely been examined, especially for criterion validity. This study was designed to examine the inter-rater reliability, criterion validity and construct validity of the K-SADS-PL for DSM-5 in 137 Japanese outpatients.

Methods

Two of 12 experienced clinicians independently performed the K-SADS interview for each patient in a conjoint session, and the resulting consensus diagnosis was compared with a “best-estimate” diagnosis made by two of eight experienced clinicians using all available information for the patient.

Results

The inter-rater reliability was excellent, as shown by κ > 0.75 for all disorders, with the exception of current separation anxiety disorder. The criterion validity was fair to good, as shown by κ > 0.40 for all disorders, with the exception of current and lifetime agoraphobia. The construct validity was also good, as shown by theoretically expected associations between the K-SADS-PL diagnoses and subscales of the child behavior checklist.

Conclusion

The K-SADS-PL for DSM-5, now available in Japanese, generates valid diagnoses in child and adolescent psychiatry.

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来源期刊

International Journal of Methods in Psychiatric Research 医学-精神病学

CiteScore

5.20

自引率

6.50%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.