| Summary: | 碩士 === 高雄醫學院 === 行為科學研究所 === 84 === The reliability of a clinical diagnosis or research instrument
is heavily depended on the assessment tool itself. Moreover,
interviewers themselves have also had a great impact on the
reliability of a diagnosis. The purpose of this patper is to
assess the validity and use of a Chinese computerizedassessment
(PROQSY-CM), developed based on the Chinese Clinical
InterviewSchedule (CIS).Eighty seven subjects participated in
this study. All subjets were asked to complete PROQSY-CM and an
interview by a psychiatrist. Among them, 46 patietswere admitted
for general physical examination; while the other 41
werepatients who were diagnosed as suffering form minor
psychiatric disorder at their first visit to the psychiatric
outpatient department in a mendical center. They were all ruled
out as suffering from organic mental disorders or problems of
substandce abuse.The results showed that there were no sex
differences between these 87 individuals. Their average age was
45.23 years old, and the educational levelwas 9.54 years.
Individual symptoms elicited by the computer and the CIS were
compared, with highest level of agreement being "sleep
disturbance", while the lowest level of agreement was "excessive
bodily concern".Most patients responded that the PROQSY-CM was
easy to operate, and they didn'tfeel nervous or afraid while
doing the above computerized assessment. Most patients reported
that the PROQSY-CM could delineate their complains and clearly
reflected their current situation. Besides, they felt that
answers in the computerized questionnaire were reliable.It is
concluded that this computerized assessment of neurotic symptoms
is at least as valid and reliable as standardized interviews.
The PROQSY-CM could be recommended as a research tool, providing
an alternative measurement of minor psychiatric morbidity in the
general practice.
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