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
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.
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.
引文
[1]Sheehan DV,Lecrubier Y,Sheehan KH,et al.The Mini-International Neuropsychiatric Interview(M.I.N.I.):thedevelopment and validation of a structured diagnostic psy-chiatric interview for DSM-IV and ICD-10[J].J ClinPsychiatry,1998,59(Suppl20):22-33;quiz34-57.
[2]Sheehan DV,Lecrubier Y,Harnett Sheehan K,et al.Thevalidity of the Mini International Neuropsychiatric Interview(MINI)according to the SCID-P and its reliability[J].Eur Psychiatry,1997,12:232-241.
[3]Lecrubier Y,Sheehan DV,Weiller E,et al.The Mini In-ternational Neuropsychiatric Interview(MINI).A shortdiagnostic structured interview:reliability and validity ac-cording to the CIDI[J].Eur Psychiatry,1997,12:224-231.
[4]蒋清,张明园,何燕玲.CIDI、MINI和SCID的诊断一致性分析[G]∥中华医学会精神病学分会.2008年学术会议论文集.重庆:中华医学会精神病学分会,2008:1-2.
[5]司天梅,舒良,党卫民,等.简明国际神经精神访谈中文版的临床信效度[J].中国心理卫生杂志,2009,23(7):457-462.
[6]Sheehan DV,Lecrubier Y,Janavs J,et al.简明国际神经精神访谈(中文版).司天梅,孔庆梅,刘琦,等.译.中国心理卫生杂志,2009,23(9):增刊.
[7]First MB,Spitzer RL,Gibbon M,等.DSM-IV-TR轴I障碍定式临床检查病人版(2002年11月)=Structuredclinical interview for DSM-IV-TRaxis I disorders.Researchversion.2001Non-patient edition(SCID-I/NP)[M].李涛,周茹英,胡峻梅,等译.北京:北京回龙观医院临床流行病学研究室,2008:159-164.
[8]Shrout PE,Spitzer RL,Fleiss JL.Quantification of agree-ment in psychiatric diagnosis revisited[J].Arch Gen Psy-chiatry,1987,44(2):172-177.
[9]Eytan A,Durieux-Paillard S,Whitaker-Clinch B,et al.Transcultural validity of a structured diagnostic interview toscreen for major depression and posttraumatic stress disor-der among refugees[J].J Nerv Ment Dis,2007,195(9):723-728.
[10]Kadri N,Agoub M,El Gnaoui S,et al.Moroccan collo-quial Arabic version of the Mini International Neuropsychi-atric Interview(MINI):qualitative and quantitative vali-dation[J].Eur Psychiatry,2005,20(2):193-195.
[11]Rossi A,Alberio R,Porta A,et al.The reliability of theMini-International Neuropsychiatric Interview-Italian ver-sion[J].J Clin Psychopharmacol,2004,24(5):561-563.
[12]Otsubo T,Tanaka K,Koda R,et al.Reliability and va-lidity of Japanese version of the Mini-International Neuro-psychiatric Interview[J].Psychiatry Clin Neurosci,2005,59(5):517-526.
[13]Eksi A,Braun KL.Over-time changes in PTSD and de-pression among children surviving the1999Istanbul earth-quake[J].Eur Child Adolesc Psychiatry,2009,18(6):384-391.
[14]Marshall GN,Schell TL,Elliott MN,et al.Mental healthof Cambodian refugees2decades after resettlement in theUnited States[J].JAMA,2005,294(5):571-579.
[15]Hinton DE,Chhean D,Pich V,et al.Assessment of po-sttraumatic stress disorder in Cambodian refugees using theClinician-Administered PTSD Scale:Psychometric proper-ties and symptom severity[J].J Trauma Stress,2006,19(3):405-409.
[16]Durieux-Paillard S,Whitaker-Clinch B,Bovier PA,et al.Screening for major depression and posttraumatic stress dis-order among asylum seekers:adapting a standardized in-strument to the social and cultural context[J].Can J Psy-chiatry,2006,51(9):587-597.
[2]Sheehan DV,Lecrubier Y,Harnett Sheehan K,et al.Thevalidity of the Mini International Neuropsychiatric Interview(MINI)according to the SCID-P and its reliability[J].Eur Psychiatry,1997,12:232-241.
[3]Lecrubier Y,Sheehan DV,Weiller E,et al.The Mini In-ternational Neuropsychiatric Interview(MINI).A shortdiagnostic structured interview:reliability and validity ac-cording to the CIDI[J].Eur Psychiatry,1997,12:224-231.
[4]蒋清,张明园,何燕玲.CIDI、MINI和SCID的诊断一致性分析[G]∥中华医学会精神病学分会.2008年学术会议论文集.重庆:中华医学会精神病学分会,2008:1-2.
[5]司天梅,舒良,党卫民,等.简明国际神经精神访谈中文版的临床信效度[J].中国心理卫生杂志,2009,23(7):457-462.
[6]Sheehan DV,Lecrubier Y,Janavs J,et al.简明国际神经精神访谈(中文版).司天梅,孔庆梅,刘琦,等.译.中国心理卫生杂志,2009,23(9):增刊.
[7]First MB,Spitzer RL,Gibbon M,等.DSM-IV-TR轴I障碍定式临床检查病人版(2002年11月)=Structuredclinical interview for DSM-IV-TRaxis I disorders.Researchversion.2001Non-patient edition(SCID-I/NP)[M].李涛,周茹英,胡峻梅,等译.北京:北京回龙观医院临床流行病学研究室,2008:159-164.
[8]Shrout PE,Spitzer RL,Fleiss JL.Quantification of agree-ment in psychiatric diagnosis revisited[J].Arch Gen Psy-chiatry,1987,44(2):172-177.
[9]Eytan A,Durieux-Paillard S,Whitaker-Clinch B,et al.Transcultural validity of a structured diagnostic interview toscreen for major depression and posttraumatic stress disor-der among refugees[J].J Nerv Ment Dis,2007,195(9):723-728.
[10]Kadri N,Agoub M,El Gnaoui S,et al.Moroccan collo-quial Arabic version of the Mini International Neuropsychi-atric Interview(MINI):qualitative and quantitative vali-dation[J].Eur Psychiatry,2005,20(2):193-195.
[11]Rossi A,Alberio R,Porta A,et al.The reliability of theMini-International Neuropsychiatric Interview-Italian ver-sion[J].J Clin Psychopharmacol,2004,24(5):561-563.
[12]Otsubo T,Tanaka K,Koda R,et al.Reliability and va-lidity of Japanese version of the Mini-International Neuro-psychiatric Interview[J].Psychiatry Clin Neurosci,2005,59(5):517-526.
[13]Eksi A,Braun KL.Over-time changes in PTSD and de-pression among children surviving the1999Istanbul earth-quake[J].Eur Child Adolesc Psychiatry,2009,18(6):384-391.
[14]Marshall GN,Schell TL,Elliott MN,et al.Mental healthof Cambodian refugees2decades after resettlement in theUnited States[J].JAMA,2005,294(5):571-579.
[15]Hinton DE,Chhean D,Pich V,et al.Assessment of po-sttraumatic stress disorder in Cambodian refugees using theClinician-Administered PTSD Scale:Psychometric proper-ties and symptom severity[J].J Trauma Stress,2006,19(3):405-409.
[16]Durieux-Paillard S,Whitaker-Clinch B,Bovier PA,et al.Screening for major depression and posttraumatic stress dis-order among asylum seekers:adapting a standardized in-strument to the social and cultural context[J].Can J Psy-chiatry,2006,51(9):587-597.
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