IMPROVING THE RELIABILITY OF THE DISC

提高光盘的可靠性

• 批准号: 2602887
• 负责人: CHRISTOPHER PAUL LUCAS
• 金额: $ 14.26万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-30 至 2001-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2602887
• 关键词: adolescence (12-20); clinical research; cognition; community health services; diagnosis design /evaluation; diagnosis quality /standard; human subject; interview; mental disorder diagnosis; middle childhood (6-11); outcomes research; parent offspring interaction; parents; psychological tests; psychometrics; questionnaires; racial /ethnic difference

The search for accurate and reliable diagnostic measures has been long, and only partially successful, since significant problems remain with frequent attenuation of symptom reports. The appreciation of cognitive and communication principles associated with the process of structured diagnostic interviewing has lead to renewed efforts to understand the determinants of unreliability and reduce the phenomenon of diagnostic and symptomatic attenuation. This study will systematically examine the nature, sources and correlates of unreliability in repeated measurements of child psychopathology using the Present State Version of the NIMH- DISC. It will investigate the impact of two experimental modifications on the test-retest reliability of the DISC. The sample will be derived from the general population and balanced with regards to age and probable diagnosis of child. Following initial enumeration and recruitment of eligible households via telephone, a brief screen will be given to both the adolescent (aged 9-16) and a parental informant. Screen positives, derived independently from both informants and a proportion of the screen negatives will then be invited to participate in a second stage procedure. This will include a test- retest reliability study of the NIMH-DISC (Present State Version) examining the effect of two modifications to the DISC intended to reduce symptomatic and diagnostic attenuation. A factorial design will enable the impact of a series of graphical aids to symptom recall, as well as the effect of providing a cognitive road map to the interview and allowing subject to choose the order in which diagnostic modules are completed, to be measured. Addition of a detailed discrepancy interview protocol/cognitive interview and associated measurements of factors predictive of unreliability will also enable examination of the determinants of unreliability and a more qualitative assessment of the effects of the experimental interventions.

寻找准确可靠的诊断措施的搜索很长， 而且只有部分成功，因为存在重大问题 经常衰减症状报告。 认知的欣赏 以及与结构化过程相关的沟通原则 诊断访谈已导致努力了解 不可靠性的决定因素并减少诊断现象 和有症状的衰减。 这项研究将系统地检查 重复测量的性质，来源和不可靠性的相关性 使用NIMH的现状版本的儿童心理病理学 光盘。 它将研究两种实验修改的影响 关于光盘的重测可靠性。 样本将来自一般人口，并与 关于儿童的年龄和可能的诊断。遵循初始 通过电话列举和招募合格家庭 将对青少年（9-16岁）和A进行简短屏幕 父母线人。屏幕阳性，独立于两者中得出 然后将邀请线人和一定比例的屏幕负面。 参加第二阶段的程序。 这将包括一个测试 - NIMH-DISC（现状版本）的重新测试可靠性研究 检查旨在减少光盘的两种修饰的影响 有症状和诊断的衰减。 阶乘设计将启用 一系列图形辅助工具对症状回忆的影响以及 为面试提供认知路线图的影响 允许受试者选择诊断模块的顺序 完成，待测量。 添加详细的差异访谈 协议/认知访谈和相关因素的测量 预测不可靠性也将能够检查 对不可靠性的决定因素和对 实验干预的影响。