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首页> 美国卫生研究院文献>International Journal of Methods in Psychiatric Research >Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
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Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

机译：陆军研究中综合国际诊断面试综合量表（CIDI-SC）的临床评估以评估服务人员的风险和应变能力（陆军STARRS）

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摘要

A clinical reappraisal study was carried out in conjunction with the Army STARRS All-Army Study (AAS) to evaluate concordance of DSM-IV diagnoses based on the Composite International Diagnostic Interview screening scales (CIDI-SC) and PTSD Checklist (PCL) with diagnoses based on independent clinical reappraisal interviews (Structured Clinical Interview for DSM-IV [SCID]). Diagnoses included: lifetime mania/hypomania, panic disorder, and intermittent explosive disorder; 6-month adult attention-deficit/hyperactivity disorder; and 30-day major depressive episode, generalized anxiety disorder, PTSD, and substance (alcohol or drug) use disorder (abuse or dependence). The sample (n=460) was weighted for over-sampling CIDI-SC/PCL screened positives. Diagnostic thresholds were set to equalize false positives and false negatives. Good individual-level concordance was found between CIDI-SC/PCL and SCID diagnoses at these thresholds (AUC = .69–.79). AUC was considerably higher for continuous than dichotomous screening scale scores (AUC = .80–.90), arguing for substantive analyses using not only dichotomous case designations but also continuous measures of predicted probabilities of clinical diagnoses.
机译：与陆军STARRS全军研究（AAS）一起进行了临床重新评估研究，以基于综合国际诊断面试筛选量表（CIDI-SC）和PTSD检查表（PCL）评估DSM-IV诊断的一致性基于独立的临床重新评估访谈（DSM-IV [SCID]的结构化临床访谈）。诊断包括：一生躁狂症/低躁狂症，惊恐症和间歇性爆发性疾病； 6个月的成年人注意力不足/多动症；和30天的重度抑郁发作，广泛性焦虑症，PTSD和物质（酒精或药物）使用障碍（滥用或依赖性）。对样品（n = 460）进行加权以对CIDI-SC / PCL筛选的阳性样品进行过采样。诊断阈值设置为使假阳性和假阴性相等。在这些阈值下，CIDI-SC / PCL和SCID诊断之间发现了良好的个体水平一致性（AUC = .69–.79）。连续的AUC显着高于二分法筛查量表评分（AUC = .80–.90），这表明不仅要进行二分法病例分配，而且要对临床诊断的预测概率进行连续测量，以进行实质性分析。

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