简明国际神经精神访谈中文版筛查地震受灾者创伤后应激障碍的信效度  

Reliability and validity of Chinese version of the Mini-International Neuropsychiatric Interview (MINI) to screen posttraumatic stress disorder among earthquake sufferers

作　　者：马宁[1] 向虎[2] 王荣科[2] 何鸣[3] 程章[1] 崔立军[4] 梁光明 杨磊[1] 刘永桥[4] 严保平[4] 张燕[6] 李凌江[6] 马弘[1] 何燕玲[7] 

机构地区：[1]北京大学精神卫生研究所,卫生部精神卫生学重点实验室(北京大学),北京100191 [2]四川省精神卫生中心,四川绵阳621000 [3]杭州第七人民医院,杭州310013 [4]河北省第六人民医院,河北保定071000 [5]沈阳精神卫生中心,沈阳110168 [6]中南大学湘雅二医院精神卫生研究所,长沙410011 [7]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中国心理卫生杂志》2010年第9期643-646,共4页Chinese Mental Health Journal

基　　金：国家科技支撑计划课题(2007BAI17B02);国家自然科学基金(30830046);国家973课题(2009CB918303)

摘　　要：目的:评价简明国际神经精神访谈(Mini-International Neuropsychiatric Interview,MINI)中文版诊断地震受灾者中创伤后应激障碍(Posttraumatic Stress Disorder,PTSD)的信度和效度。方法:以定式临床访谈患者版(Structured Clinical Interview for DSM-ⅣPatients,SCID-P)的PTSD诊断作为"金标准",评估MINI-PTSD中文版的效标效度。方便选取193名直接经历汶川地震的受灾者,选择其中8人进行研究者内部一致性评定,另选择185人进行MINI和SCID-P中文版PTSD模块的访谈,完成率为98.4%(182/185)。评估后20天对其中50名调查对象再次进行MINI-PTSD访谈,以评价MINI-PTSD的重测一致性。结果:MINI-PTSD中文版的研究者间一致性和重测一致性Kappa值均为0.63。MINI诊断PTSD的灵敏度为83.3%,特异度为79.3%,阳性预测值为54.7%,阴性预测值为94.1%。结论:MINI-PTSD中文版对诊断地震后创伤后应激障碍有较好的信效度,适合作为灾后创伤后应激障碍诊断性筛查工具。Objective： To evaluate the reliability and validity of the Mini-International Neuropsychiatric Interview （MINI ） Chinese version in diagnose of posttraumatic stress disorder （PTSD） among earthquake sufferers. Methods： A total of 193 Wenchuan earthquake sufferers were enrolled in the study by convenient sampling. Eight of them were administered for inter-rater reliability and 185 participants were interviewed With both the MINI and the Structured Clinical Interview for DSM-Ⅳ Patients （SCID-P） ＇s PTSD module independently in random order. The completion rate was 98.4% （ 182/185 ） . At 20 days after the first interview, 50 of the 182 subjects were interviewed again to assess the test-retest reliability. Results： The Kappa of inter-rater consistency and test-retest reliabilities were both 0. 63. The sensitivity, specificity, positive predictive value and the negative predictive value of MINI-PTSD were 83.3%, 79.3%, 54.7% and 94. 1%, respectively when refer to SCID-PTSD as golden standard. Conclusion ： The results supported the validity and reliability of the MINI-PTSD Chinese version. It can be used as a diagnostic screening tool for PTSD after disasters.

关 键 词：简明国际神经精神访谈 创伤后应激障碍 信度 效度 

分 类 号：R749.504[医药卫生—神经病学与精神病学] B845.67[医药卫生—临床医学]