情感性障碍C ID I-C与SCAN多中心现场测试对比研究  

A multi centre trial of CIDI C and SCAN in mood disorder

作　　者：包锡卿[1] 龚绍麟[1] 郭传琴[1] 马登岱[1] 张淑琴[1] 张志华[1] 邱惠敏[1] 张燕[1] 原伟[1] 刘兆玺 谷旦华 张敦平 陈玉民 张守来 卢振胜 李涛 王新刚 

机构地区：[1]山东省精神卫生中心,250014 [2]威海市精神病院 [3]淄博市精神病院 [4]日照市精神病医院 [5]烟台市莱阳精神病医院

出　　处：《临床精神医学杂志》1999年第5期271-273,共3页Journal of Clinical Psychiatry

摘　　要：目的： 了解ＣＩＤＩ－Ｃ／ＩＣＤ－１０、ＣＩＤＩ－Ｃ／ＤＳＭ－Ⅲ－Ｒ、ＳＣＡＮ／ＩＣＤ－１０、ＳＣＡＮ／ＤＳＭ－Ⅲ－Ｒ诊断系统诊断情感性障碍的信度和效度。　方法： 所有研究者在培训后， 应用ＣＩＤＩ－Ｃ和ＳＣＡＮ量表， 对其单位中符合ＣＣＭＤ－２ 诊断标准的情感性障碍、精神分裂症和神经症病人按住院或门诊顺序进行测试， 测试资料应用ＷＨＯ提供的ＣＩＤＩ－Ｃ／ＩＣＤ－１０、ＣＩＤＩ－Ｃ／ＤＳＭ－Ⅲ－Ｒ、ＳＣＡＮ／ＩＣＤ－１０ 和ＳＣＡＮ／ＤＳＭ－Ⅲ－Ｒ诊断系统作出诊断， 计得有效资料情感性障碍５０例， 神经症３０例， 精神分裂症１５６ 例。以情感性障碍为研究组， 以神经症及精神分裂症为对照组， 以ＣＣＭＤ－２ 为金标准， 比较４ 种计算机诊断系统对情感性障碍诊断的信度和效度。　结果： ＣＩＤＩ－Ｃ／ＩＣＤ－１０、ＣＩＤＩ－Ｃ／ＤＳＭ－Ⅲ－Ｒ、ＳＣＡＮ／ＩＣＤ－１０ 和ＳＣＡＮ／ＤＳＭ－Ⅲ－Ｒ诊断情感性障碍的信度依次为９８％ 、９８％ 、１００％ 及６４％ ，效度Ｋａｐｐａ值依次为０．７６、０．８２、０．８１ 及０．６１。　结论： 研究显示， ＳＣＡＮ／ＩＣＤ－１０ 的效度、信度好于其他３个诊断系统， 更适用于临床情感性障碍的检查诊断。Objective:To compare the reliability and validity of CIDI C and SCAN in mood disorder. Method:236 patients admitted consecutively into the psychiatric unit were interviewed by trained raters with CIDI C and SCAN,and who also made diagnosis according to CCMD 2.There were 50 cases of mood disorder,30 neurosis.156 schizophrenia.Further diagnoses were made by the computer diagnostic system of CIDI C/ICD 10,CIDI C/DSM Ⅲ R,SCAN/ICD 10,SCAN/DSM Ⅲ R with software supplied by the World Health Organisation.Mood disorder was designated as the studied group while schizophrenia and neurosis acted as control.CCMD 2 was used as the gold standard for diagnosis. Results:The reliability of CIDI C/ICD 10,CIDI C/DSM Ⅲ R,SCAN/ICD 10,SCAN/DSM Ⅲ R was 98%,98%,100% and 64% respectively.The Kappa values of validity for mood disorder were 0 76,0 82,0 81 and 0 61 respectively. Conclusion:The results suggest that reliability and validity of SCAN/ICD 10 were better than other three interview diagonstic systems in mood disorder.

关 键 词：情感性障碍 诊断 计算机诊断系统 信度 效度 

分 类 号：R749.404[医药卫生—神经病学与精神病学]