Document Detail


Assessing the diagnostic validity of a structured psychiatric interview in a first-admission hospital sample.
MedLine Citation:
PMID:  23024678     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The use of structured psychiatric interviews performed by non-clinicians is frequent for research purposes and is becoming increasingly common in clini-cal practice. The validity of such interviews has rarely been evaluated empirically. In this study of a sample of 100 diagnostically heterogeneous, first-admitted inpatients, the results of an assessment with the Structured Clinical Interview for DSM-IV (SCID), yielding a DSM-IV diagnosis and performed by a trained non-clinician, were compared with a consensus lifetime best diagnostic estimate (DSM-IV) by two experienced research clinicians, based on multiple sources of information, which included videotaped comprehensive semi-structured narrative interviews. The overall kappa agreement was 0.18. The sensitivity and specificity for the diagnosis of schizophrenia by SCID were 19% and 100%, respectively. It is concluded that structured interviews performed by non-clinicians are not recommendable for clinical work and should only be used in research with certain precautions. It is suggested that a revival of systematic theoretical and practical training in psychopathology is an obvious way forward in order to improve the validity and therapeutic utility of psychiatric diagnosis.
Authors:
Julie Nordgaard; Rasmus Revsbech; Ditte Sæbye; Josef Parnas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World psychiatry : official journal of the World Psychiatric Association (WPA)     Volume:  11     ISSN:  1723-8617     ISO Abbreviation:  World Psychiatry     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-01     Completed Date:  2012-10-05     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101189643     Medline TA:  World Psychiatry     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  181-5     Citation Subset:  -    
Affiliation:
Psychiatric Center Hvidovre, University of Copenhagen, Broendbyoestervej 160, 2605 Broendby.
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