提高儿童焦虑障碍诊断面试的效率,通过联合儿童-家长管理
Sarah Radtke1, Stephen P H Whiteside2, Thomas H Ollendick3
1Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Journal of psychopathology and behavioral assessment
|November 17, 2025
概括
将焦虑障碍面试时间表 (ADIS) 和儿童和青少年迷你国际神经精神病学面试 (MINI-KID) 联合给年轻人和护理人员,可以提高研究和临床环境中的诊断准确性和效率.
科学领域:
- 儿童和青少年精神病学
- 临床心理学 临床心理学
- 心理测量评估 心理测量评估
背景情况:
- 结构化和半结构化诊断面试 (SDIs) 对于诊断至关重要,但可能是资源密集的,并导致青年评估中的信息分歧.
- 现有的方法往往耗费时间和人员,影响从多个来源收集的诊断信息的可靠性.
研究的目的:
- 评估联合向青年及其家长管理焦虑障碍面试时间表 (ADIS) 的可靠性和有效性.
- 评估ADIS在与儿童和青少年迷你国际神经精神病学面试 (MINI-KID) 同步使用时的融合和分歧有效性.
- 确定是否纳入MINI-KID可提高临床评估中的诊断特异性.
主要方法:
- 焦虑障碍面试时间表 (ADIS) 联合对89名青年及其家长进行了面试.
- 青少年评估的一个子集包括儿童和青少年迷你国际神经精神病学面试 (MINI-KID);其他人使用了非结构化的面试.
- 对联合使用的ADIS和MINI-KID分析了心理测量特性,包括可靠性,收有效性和分歧有效性.
主要成果:
- 联合管理的ADIS被证明是可靠的,并显示出良好的收和分歧有效性.
- MINI-KID证明了与ADIS的有效性和一致性,证实了其适合并发使用.
- 将MINI-KID纳入临床评估导致了医疗记录中记录的诊断特异性的增加.
结论:
- 在临床和研究环境中,ADIS和MINI-KID的联合照顾者-儿童管理得到支持.
- 这些综合措施可能会降低研究中的资源需求.
- 实施这些工具可能会提高临床摄入会所提供的诊断的准确性和有效性.
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