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  • 标题:Confiabilidade de instrumentos diagnósticos: estudo do inventário de sintomas psiquiátricos do DSM-III aplicado em amostra populacional
  • 其他标题:Reliability of diagnostic instruments: investigating the psychiatric DSM-III checklist applied to community samples
  • 本地全文:下载
  • 作者:Andreoli, Sérgio Baxter ; Blay, Sergio Luis ; Almeida Filho, Naomar de
  • 期刊名称:Cadernos de Saúde Pública
  • 印刷版ISSN:0102-311X
  • 电子版ISSN:1678-4464
  • 出版年度:2001
  • 卷号:17
  • 期号:6
  • 页码:1393-1402
  • DOI:10.1590/S0102-311X2001000600023
  • 语种:Portuguese
  • 出版社:Escola Nacional de Saúde Pública,Fundação Oswaldo Cruz
  • 摘要:

    This study focused on the reliability of the DSM-III inventory of psychiatric symptoms in representative general population samples in three Brazilian cities. Reliability was assessed through two different designs: inter-rater reliability and internal consistency. Diagnosis of lifetime (k = 0.46) and same-year generalized anxiety (k = 1.00), lifetime depression (k = 0.77), and lifetime alcohol abuse and dependence (k = 1.00) was consistently reliable in the two methods. Lifetime diagnosis of agoraphobia (k = 1.00), simple phobia (k = 0.77), non-schizophrenic psychosis (k = 1.00), and psychological factors affecting physical health (1.00) showed excellent reliability as measured by the kappa coefficient. The main reliability problem in general population studies is the low prevalence of certain diagnoses, resulting in small variability in positive answers and hindering kappa estimation. Therefore it was only possible to examine 11 of 39 diagnoses in the inventory. We recommend test and re-test methods and a short time interval between interviews to decrease the errors due to such variations.

  • 关键词:Psiquiatria;Transtornos Mentais;Escalas de Graduação Psiquiátrica
  • 其他关键词:Psychiatric;Mental Disorders;Psychiatric Status Rating Scales
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