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.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
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)
关键词
简明国际神经精神访谈
创伤后应激障碍
信度
效度
Mini-International Nenropsychiatric Interview （ MINI ）
posttraumatic stress disorder （ PTSD ）
reliability
validity
