Document Detail


The Validity of Psychiatric Diagnosis Revisited: The Clinician's Guide to Improve the Validity of Psychiatric Diagnosis.
MedLine Citation:
PMID:  21120108     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The authors reviewed the types and phases of validity of psychiatric diagnosis. In 1970, Robins and Guze proposed five phases to achieve valid classification of mental disorders: clinical description, laboratory study, exclusion of other disorders, follow-up study, and family study.
OBJECTIVES: The objectives of this paper are to review what has been learned since Robins and Guze's influential article as well as examine the impact of the new discoveries in neurosciences and neuroimaging on the practicing clinician.
METHOD: The authors reviewed the literature on the concept of validity in psychiatry with emphasis on the role of clinical training, the use of structured interviews and rating scales, and the importance of the new discoveries in neurosciences.
RESULTS: Robins and Guze's phases have been the cornerstone of construct validity in psychiatry at the level of researchers. In the absence of the gold standard of psychiatric diagnosis, Spitzer proposed the "LEAD," which is an acronym for longitudinal evaluation, and is done by expert clinicians utilizing all the data available. The LEAD standard is construct validity at the level of experts; however, guidelines are lacking to improve the validity skills of the practicing clinicians.
CONCLUSIONS: The authors propose the acronym DR.SEE, which stands for data, reference definitions, rating scales, clinical experience, and external validators. The authors recommend that clinicians use the DR.SEE paradigm to improve the validity of psychiatric diagnoses.
Authors:
Ahmed Aboraya; Cheryl France; John Young; Kristina Curci; James Lepage
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychiatry (Edgmont (Pa. : Township))     Volume:  2     ISSN:  1550-5952     ISO Abbreviation:  Psychiatry (Edgmont)     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2010-12-01     Completed Date:  2011-07-14     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  101484252     Medline TA:  Psychiatry (Edgmont)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  48-55     Citation Subset:  -    
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