CAJ | 학술논문

目的:采用以社区为基础的研究方法评价世界卫生组织复合性国际诊断交谈表(CIDI-3.0)中文版信度和效度.方法:以大连市精神障碍流行病学调查的社区中202名居民为研究对象,其中经美国精神障碍诊断与统计手册第四版(DSM-Ⅳ)确诊为心境障碍、焦虑障碍、精神分裂症和精神病性障碍共102人为患者组,其余100人为对照组,进行CIDI-3.0访谈以评价效标效度.同时进行CIDI-3.0的调查员一致性及重测信度检查.结果:(1)问卷筛查部分的灵敏度为60.4%～93.1%,特异度为33.6%～92.7%,阳性预测值为60.1%～95.1%,阴性预测值为68.1%～93.7%;(2)问卷各病种诊断部分的特异度为97.1%～98.9%,灵敏度为33.3%～70.3%,阳性预测值为66.7%～95.7%,阴性预测值为87.7%～95.4%;(3)调查员对各类精神障碍阳性诊断一致性的Kappa为值0.78;(4)重测信度kappa值从0.737～1.0.结论:复合性国际诊断交谈表3.0中文版有较好的效标效度和满意的重测信度,筛查部分具有高灵敏度,诊断部分具有高特异度,可以作为精神障碍流行病学研究的筛查和诊断工具.
목적:채용이사구위기출적연구방법평개세계위생조직복합성국제진단교담표(CIDI-3.0)중문판신도화효도.방법:이대련시정신장애류행병학조사적사구중202명거민위연구대상,기중경미국정신장애진단여통계수책제사판(DSM-Ⅳ)학진위심경장애、초필장애、정신분렬증화정신병성장애공102인위환자조,기여100인위대조조,진행CIDI-3.0방담이평개효표효도.동시진행CIDI-3.0적조사원일치성급중측신도검사.결과:(1)문권사사부분적령민도위60.4%～93.1%,특이도위33.6%～92.7%,양성예측치위60.1%～95.1%,음성예측치위68.1%～93.7%;(2)문권각병충진단부분적특이도위97.1%～98.9%,령민도위33.3%～70.3%,양성예측치위66.7%～95.7%,음성예측치위87.7%～95.4%;(3)조사원대각류정신장애양성진단일치성적Kappa위치0.78;(4)중측신도kappa치종0.737～1.0.결론:복합성국제진단교담표3.0중문판유교호적효표효도화만의적중측신도,사사부분구유고령민도,진단부분구유고특이도,가이작위정신장애류행병학연구적사사화진단공구.
Objective:To evaluate the test-retest reliability and validity of Chinese version of World Health Organization Composite International Diagnostic Interview version 3.0(CIDI-3.0)by community-based study.Methods:Among 202 subjects from Dalian city,with the clinician-administered Structured Clinical Interview for DSM-IV(SCID),102 patents were diagnostic as mood disorder,anxiety disorder,schizophrenia or psychotic disorder and so on.All of the patients and the other 100 subjects without mental disorders as the control group were interviewed blindly by CIDI-3.0 to test the validity of CIDI-3.0.Ten patients among them were interviewed twice independently in a 7-day interval to evaluate the reliability of CIDI-3.0.Results:(1)For the screen section,the sensitivity values of different mental disorders ranged from 60.4% to 93.1%,while the specificity values from 33.6% to 92.7%.The positive predictive values were from 60.1% to 95.1%,and the negative predictive values were from 68.1% to 93.7%.(2)For different mental disorders,the specificity values ranged from 97.1% to 98.9%,while the sensitivity values were from 33.3% to 70.3%.Positive predict values were from 66.7% to 95.7%,and negative predictive values were from 87.7% to 95.4%.(3)The consistency was 0.78 in any mental disorder.(4)For test-retest reliability,kappa values ranged from 0.737 to 1.0.Conclusion:By clinical reappraisal,the Chinese version of CIDI-3.0 has satisfied validity and reliability.The screen section has high sensitivity,while the diagnostic sections have high specificities.That indicates that CIDI-3.0 is acceptable as a validated instrument for community survey on mental disorders.