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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >National comorbidity survey replication adolescent supplement (NCS-A): III. Concordance of DSM-IV/CIDI diagnoses with clinical reassessments.
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National comorbidity survey replication adolescent supplement (NCS-A): III. Concordance of DSM-IV/CIDI diagnoses with clinical reassessments.

机译：全国合并症调查复制青春期补充剂（NCS-A）：III。 DSM-IV / CIDI诊断与临床重新评估的一致性。

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OBJECTIVE: To report results of the clinical reappraisal study of lifetime DSM-IV diagnoses based on the fully structured lay-administered World Health Organization Composite International Diagnostic Interview (CIDI) Version 3.0 in the U.S. National Comorbidity Survey Replication Adolescent Supplement (NCS-A). METHOD: Blinded clinical reappraisal interviews with a probability subsample of 347 NCS-A respondents were administered using the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS) as the gold standard. The DSM-IV/CIDI cases were oversampled, and the clinical reappraisal sample was weighted to adjust for this oversampling. RESULTS: Good aggregate consistency was found between CIDI and K-SADS prevalence estimates, although CIDI estimates were meaningfully higher than K-SADS estimates for specific phobia (51.2%) and oppositional defiant disorder (38.7%). Estimated prevalence of any disorder, in comparison, was only slightly higher in the CIDI than K-SADS (8.3%). Strong individual-level CIDI versus K-SADS concordance was found for most diagnoses. Area under the receiver operating characteristic curve, a measure of classification accuracy not influenced by prevalence, was 0.88 for any anxiety disorder, 0.89 for any mood disorder, 0.84 for any disruptive behavior disorder, 0.94 for any substance disorder, and 0.87 for any disorder. Although area under the receiver operating characteristic curve was unacceptably low for alcohol dependence and bipolar I and II disorders, these problems were resolved by aggregation with alcohol abuse and bipolar I disorder, respectively. Logistic regression analysis documented that consideration of CIDI symptom-level data significantly improved prediction of some K-SADS diagnoses. CONCLUSIONS: These results document that the diagnoses made in the NCS-A based on the CIDI have generally good concordance with blinded clinical diagnoses.
机译：目的：根据美国国家合并症调查复制青春期补充剂（NCS-A）中结构完整的非常规管理的世界卫生组织综合国际诊断面试（CIDI）3.0版，报告对终生DSM-IV诊断进行临床重新评估研究的结果。方法：以“情感障碍表和学龄儿童精神分裂症”（K-SADS）为金标准，进行了以347名NCS-A受访者的概率子样本进行的盲临床重新评估访谈。对DSM-IV / CIDI病例进行了过度抽样，并对临床重新评估样本进行了加权以针对这种过度抽样进行调整。结果：尽管特定恐惧症（51.2％）和对立违抗性疾病（38.7％）的CIDI估算值明显高于K-SADS估算值，但CIDI与K-SADS患病率估算值之间具有良好的总体一致性。相比之下，CIDI中任何疾病的估计患病率仅略高于K-SADS（8.3％）。对于大多数诊断，发现个人水平的CIDI与K-SADS的一致性很高。接受者工作特征曲线下的面积（不受患病率影响的分类准确度的一种度量），对于任何焦虑症来说都是0.88，对于任何情绪障碍来说都是0.89，对于任何破坏性行为障碍来说都是0.84，对于任何物质障碍来说都是0.94，对于任何疾病来说都是0.87。尽管对于酒精依赖和I，II型双相情感障碍，接受者工作特征曲线下的面积低得令人无法接受，但这些问题分别通过与酒精滥用和I型双相情感障碍的聚集得到解决。 Logistic回归分析表明，CIDI症状水平数据的考虑可以显着改善某些K-SADS诊断的预测。结论：这些结果证明，基于CIDI的NCS-A诊断与盲临床诊断总体上具有良好的一致性。

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