[Problems in case identification using a semi-structured psychiatric interview as exemplified by an epidemiological study in general practices (author's transl)].

W Bruder, S Weyerer, H Dilling
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引用次数: 3

Abstract

From 1973 to 1974 research psychiatrists studied 1,274 patients in general practices in the county of Traunstein (FRG). On the basis of an interview developed by Goldberg et al. (1970), it could be shown that objective symptoms registered by the interviewers generally differentiate better between cases and non-cases than do subjective symptoms. According to the weighting suggested by the developers of the interview, singly weighting the subjective and doubly weighting the objective symptoms, a total score was compared with the psychiatric diagnosis made by the interviewer. At a cut-off of 20 points, the overall agreement reached an optimum of 83.1% and increased only slightly due to a-posterior weighting of the items. A cluster analysis of the symptoms showed that patients demonstrate significantly different combinations of symptoms according to the nature of their mental disorder.

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[在一般实践的流行病学研究中,使用半结构化精神病学访谈识别病例的问题(作者译)]。
从1973年到1974年,研究精神科医生研究了特劳恩斯坦县(FRG)的1274名普通病人。根据Goldberg et al.(1970)的一项访谈,可以发现访谈者记录的客观症状通常比主观症状更能区分病例和非病例。根据访谈者建议的权重,主观症状单权重,客观症状双权重,将总分与访谈者的精神病学诊断进行比较。在20点的截止点上,总体一致性达到了83.1%的最佳值,并且由于项目的后验加权仅略有增加。对症状的聚类分析表明,根据精神障碍的性质,患者表现出明显不同的症状组合。
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