查詢結果分析
來源資料
頁籤選單縮合
題 名 | Reliability of HDRS and HARS Telepsychiatric Assessment of Anxiety and Depression=焦慮與憂鬱之遠距精神症狀評量信度 |
---|---|
作 者 | 李毅達; 紀志賢; 李秋月; 張音; 陳純誠; | 書刊名 | 臺灣精神醫學 |
卷 期 | 12:3 1998.09[民87.09] |
頁 次 | 頁64-70 |
分類號 | 415.9982 |
關鍵詞 | 遠距醫療; 精神疾病診斷; 漢氏憂鬱量表; 漢氏焦慮量表; Telemedicine; Psychiatric diagnosis; Hamilton depression and anxiety rating scale; Simultaneous rating; |
語 文 | 英文(English) |
中文摘要 | 目的:檢定比較使用遠距視訊會議系統之臨床精神科症狀評量與一般現場會談評 量,其評分者間信度之差異。方法:在建立可靠之評分者間信度(r=0.8)後,兩位評分者針對現 場組14位及遠距組18位精神官能症患者,輪流使用漢氏憂鬱(HDRS)及漢氏焦慮(HARS)量表施 行半結構式面談,並同時進行量表之評分。統計比較兩組間各量表總分及子項度得分之評分 者間信度差異。結果:就量表總分而言,兩種會談方式於兩種量表之評分者間信度皆 達r值0.8以上之優異水準,且兩種會談之評分者間信度未達統計學上差異。子項度得分方面 ,兩種會談方式則有水準不一,時有優劣之情形。結論:與一般現場會談此較,使用遠距醫 療系統進行精神症狀之評量,並未降低評分者間信度。至於現行系統於其他精神科臨床工作之 適用性,則應進一步評估。 |
英文摘要 | Objective:This study analyzed the reliability of psychiatric assessment of anxiety and depression via video interview in an experimental telemedicine system. Methods:Remote video and live interivew were employed in the assessment of psychopathology of patients with a previous diagnosis of anxiety and depressive disorders according to DSM-Ⅲ R criteria. The Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS) were used for the assessment of depression and anxiety. The inter-rater reliability coefficients of the two approaches were compared. Results:A total of 18 patients participated in video interviews and 14 in live interviews. Video interview-based assessment had similar inter-rater reliability coefficients to live interview in Hamilton Depression Rating Scale (HDRS) and Hamilton Anxiety Rating Scale (HARS). However, variable changes were noted in the reliability ratings on depressed mood, retardation Rating Scale (HDRS). Conclusion: The findings of this study suggest that psychiatric assessment of anxiety and depression symptoms may be reliably carried out via this telemedicine system. |
本系統中英文摘要資訊取自各篇刊載內容。