Concordance of DSM-IV Axis I and II diagnoses by personal and informant's interview
Publikation: Beitrag in Fachzeitschrift › Forschungsartikel › Beigetragen › Begutachtung
Beitragende
Abstract
The validity and reliability of using psychological autopsies to diagnose a psychiatric disorder is a critical issue. Therefore, interrater and test-retest reliability of the Structured Clinical Interview for DSM-IV Axis I and Personality Disorders and the usefulness of these instruments for the psychological autopsy method were investigated. Diagnoses by informant's interview were compared with diagnoses generated by a personal interview of 35 persons. Interrater reliability and test-retest reliability were assessed in 33 and 29 persons, respectively. Chi-square analysis, kappa and intraclass correlation coefficients, and Kendall's tau were used to determine agreement of diagnoses. Kappa coefficients were above 0.84 for substance-related disorders, mood disorders, and anxiety and adjustment disorders, and above 0.65 for Axis II disorders for interrater and test-retest reliability. Agreement by personal and relative's interview generated kappa coefficients above 0.79 for most Axis I and above 0.65 for most personality disorder diagnoses; Kendall's tau for dimensional individual personality disorder scores ranged from 0.22 to 0.72. Despite of a small number of psychiatric disorders in the selected population, the present results provide support for the validity of most diagnoses obtained through the best-estimate method using the Structured Clinical Interview for DSM-IV Axis I and Personality Disorders. This instrument can be recommended as a tool for the psychological autopsy procedure in post-mortem research.
Details
Originalsprache | Englisch |
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Seiten (von - bis) | 121-136 |
Seitenumfang | 16 |
Fachzeitschrift | Psychiatry research |
Jahrgang | 127 |
Ausgabenummer | 1-2 |
Publikationsstatus | Veröffentlicht - 30 Juni 2004 |
Peer-Review-Status | Ja |
Extern publiziert | Ja |
Externe IDs
PubMed | 15261711 |
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Schlagworte
Ziele für nachhaltige Entwicklung
ASJC Scopus Sachgebiete
Schlagwörter
- Diagnosis, Interrater reliability, Structured Clinical Interview for DSM-IV, Suicide research, Test-retest reliability, Adjustment Disorder, Adult, Aged, Anxiety Disorders, Case Control Study, Chi Square Distribution, Controlled Study, Correlation Coefficient, Depressive Disorder, Diagnostic Accuracy, Female, Human, Interviews, Male, Mental Disease, Mood Disorders, Personality Disorder, Personality Disorders, Substance-Related Disorders, Suicide, Validation Process