Journal article
Reliability of lifetime diagnoses and symptoms in patients with a current psychiatric disorder
Journal of psychiatric research, Vol.16(4), pp.229-240
1981
DOI: 10.1016/0022-3956(81)90017-0
PMID: 7348278
Abstract
In this study we assess the reliability of rating past psychiatric symptoms and lifetime diagnoses in a currently ill population using the SADS and RDC. Five raters from different centers interviewed 25 subjects in a short-interval test-retest design. Subjects had a wide diversity of affective and non-affective diagnoses amd high levels of manifest psychopathology. Our results demonstrate that it is possible for raters from different research centers to reliably rate lifetime diagnoses and previous symptoms. Two important exceptions to the high reliability are the lifetime diagnoses and the recurrent unipolar subtype of major depressive disorder, and we alert clinicians and researchers to be cautious when diagnosing these conditions. We conclude that the next step in measuring reliability should be a long-interval test-retest design with separate interviews conducted at the later assessment, one by the original rater and the other by a blind rater.
Details
- Title: Subtitle
- Reliability of lifetime diagnoses and symptoms in patients with a current psychiatric disorder
- Creators
- Martin B Keller - Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, U.S.APhilip W Lavori - Department of Electrical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, U.S.APatricia McDonald-Scott - New York State Psychiatric Institute, New York, NY 10032, U.S.AWilliam A Scheftner - Rush-Presbyterian Medical Center, Chicago, IL 60612, U.S.ANancy C Andreasen - Department of Psychiatry, University of Iowa, Iowa City, IA 52242, U.S.ARobert W Shapiro - Department of Psychiatry, Massachusetts General Hospital and Massachusetts Mental Health Center, Harvard Medical School, Boston, MA 02115, U.S.AJack Croughan - Department of Psychiatry, Jewish Hospital of St. Louis, St. Louis, MO 63110, U.S.A
- Resource Type
- Journal article
- Publication Details
- Journal of psychiatric research, Vol.16(4), pp.229-240
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/0022-3956(81)90017-0
- PMID
- 7348278
- ISSN
- 0022-3956
- eISSN
- 1879-1379
- Language
- English
- Date published
- 1981
- Academic Unit
- Psychiatry; Iowa Neuroscience Institute
- Record Identifier
- 9984003434302771
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