The SCID was administered twice, once by telephone and once in person (1 week later) to 41 college age men. For major depression (lifetime k =.64, current k =.66), results indicated good agreement. The lifetime occurrence estimate based on the telephone SCID diagnosis was lower than the in-person SCID estimate. Kappas for specific diagnoses were calculable for simple phobia (lifetime k =. 47, current k = .03) and social phobia (lifetime k =.29). Base rates were less than 10% for all individual diagnoses except lifetime major depression; therefore, the kappas may be unstable. For all diagnoses where there were any positive cases, percentages of negative agreement and specificity were high, whereas percentages of positive agreement and sensitivity were lower. Overall agreement was fair for specific lifetime diagnoses but poor for current diagnoses. These results suggest caution in assuming comparability of in-person and telephone SCID diagnoses. Circumstances under which a telephone SCID may be useful and ways to improve reliability are discussed.

译文

对41名大学年龄的男性进行了两次SCID,一次是通过电话进行的,一次是亲自进行的 (1周后)。对于重度抑郁症 (终生k =.64,当前k =.66),结果表明良好的一致性。基于电话SCID诊断的终生发生估计值低于面对面SCID估计值。对于简单恐惧症 (终生k = 0.47,当前k = .03) 和社交恐惧症 (终生k =.29),可计算特定诊断的Kappas。除终生严重抑郁症外,所有个体诊断的基本率均低于10%; 因此,kappas可能不稳定。对于所有存在阳性病例的诊断,阴性一致性和特异性的百分比较高,而阳性一致性和敏感性的百分比较低。对于特定的终生诊断,总体协议是公平的,但对于当前诊断而言,总体协议较差。这些结果表明,在假设面对面和电话SCID诊断的可比性时要谨慎。讨论了电话SCID可能有用的情况以及提高可靠性的方法。

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