■由于使用非标准化评估,在常规诊断程序中,精神障碍通常未被诊断;这可能导致人们无法接受必要的治疗或接受无效的治疗。Klenico是一个在线诊断软件系统,通过使用标准化程序促进成人精神障碍的诊断。该程序包括两个模块,自我报告和临床验证。本研究旨在证实Klenico评估在大量临床样本中的有效性。
■使用了495名成年住院患者的完全匿名数据。ICD-10诊断是在临床工作人员的初次访谈中进行的。之后,患者填写了自我报告问卷(BDI-II,BSI,EDE-Q,OCI-R,PHQ-D,和Y-BOCS),并完成了Klenico自我报告模块,这涉及选择和评估适用症状的严重程度。最后,在临床验证模块中,心理健康专业人员验证了自我报告模块中认可的症状。通过遵循多特征多方法方法,针对患者自我报告和常规ICD-10诊断测试了六个Klenico域。通过计算克朗巴赫的α来评估内部一致性。
■克列尼科抑郁症,强迫症,和躯体形式障碍领域显示出与一致问卷的高度相关性(即,与这些特定疾病有关的那些),并显示与非一致问卷的相关性较低(即,与其他疾病有关的),因此,证明结构的有效性。对于饮食失调和精神病领域,证明了分歧的有效性。对于焦虑症领域,尽管分析大多表明结构效度,这应该得到进一步证实。
■总的来说,结果在很大程度上证实了Klenico评估的结构效度,演示其作为一个易于使用的用途,有效,标准化,和诊断精神障碍的综合工具。
UNASSIGNED: Mental disorders are often underdiagnosed in routine diagnostic procedures due to the use of unstandardized assessments; this can result in people either not receiving necessary treatment or receiving ineffective treatment for their condition. Klenico is an online diagnostic software system that facilitates diagnosis of mental disorders in adults through the use of standardized procedures. The procedure encompasses two modules, self-report and clinical validation. The current study aimed to confirm the validity of the Klenico assessment in a large clinical sample.
UNASSIGNED: Fully anonymized data from 495 adult inpatients were used. ICD-10 diagnoses were made during an initial interview by the clinical staff. Afterwards, patients filled out self-report questionnaires (BDI-II, BSI, EDE-Q, OCI-R, PHQ-D, and Y-BOCS) and completed the Klenico self-report module, which involves selecting and rating the severity of applicable symptoms. Finally, in the clinical validation module, mental health professionals validated the symptoms endorsed in the self-report module. Six Klenico domains were tested against patient self-reports and routine ICD-10 diagnoses by following the multitrait-multimethod approach. Internal consistency was assessed by calculating Cronbach\'s alpha.
UNASSIGNED: The Klenico depressive disorders, OCD, and somatoform disorders domains revealed high correlations with the congruent questionnaires (i.e., those pertaining to these specific disorders) and revealed low correlations with the noncongruent questionnaires (i.e., those pertaining to other disorders), therefore evidencing construct validity. For the eating disorders and psychotic disorders domains, divergent validity was demonstrated. For the anxiety disorders domain, although analysis mostly indicated construct validity, this should be further confirmed.
UNASSIGNED: Overall, the results largely confirmed the construct validity of the Klenico assessment, demonstrating its use as an easy-to-use, valid, standardized, and comprehensive instrument for diagnosing mental disorders.