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Reliability of DSM-III Diagnoses for Major Depression and Generalized Anxiety Disorder Using the Structured Clinical Interview for DSM-III

Reliability of DSM-III Diagnoses for Major Depression and Generalized Anxiety Disorder Using the... Abstract • This study examined the interrater reliability of generalized anxiety disorder (GAD) and major depressive disorder (MDD) diagnoses derived from the Structured Clinical interview for DSM-III (SCID). Using videotaped interviews, paired raters made independent diagnoses of 75 psychiatric outpatients. The percent agreement of the raters was 82% for MDD and 86% for GAD; the respective k values were.72 and.79. The results indicated that the SCID can be employed reliably to differentiate MDD from GAD. The SCID is recommended for further research with these disorders. References 1. Spitzer RL, Fleiss JL: A re-analysis of the reliability of psychiatric diagnosis . Br J Psychiatry 1974;125:341-347.Crossref 2. American Psychiatric Association, Committee on Nomenclature and Statistics: Diagnostic and Statistical Manual of Mental Disorders , ed 3. Washington, DC, American Psychiatric Association, 1980. 3. McNair DM, Fisher S: Separating anxiety from depression , in Lipton MA, DiMascio AD, Killiam KF (eds): Pharmacology: A Generation of Progress . New York, Raven Press, 1978. 4. Cohen J: A coefficient of agreement for nominal scales . Educ Psych Meas 1960;20:37-46.Crossref 5. Kendall RE: The stability of psychiatric diagnoses . Br J Psychiatry 1974;124:352-356.Crossref 6. Klein DF: Delineation of two drug-responsive anxiety syndromes . Psychopharmacology 1964;5:397-408.Crossref 7. Rickels K, Feighner JP, Smith WT: Alprazolam, amitriptyline, doxepin, and placebo in the treatment of depression . Arch Gen Psychiatry 1985;42:134-141.Crossref 8. Kahn RJ, McNair DM, Lipman RS, Covi L, Rickels K, Downing R, Fisher S: Imipramine and chlordiazepoxide in depressive and anxiety disorders: II. Efficacy in anxious outpatients . Arch Gen Psychiatry 1986;43:79-85.Crossref 9. Breier A, Charney DS, Heninger GR: The diagnostic validity of anxiety disorders and their relationship to depressive illness . Am J Psychiatry 1985;142:787-797. 10. Mountjoy CQ, Roth M: Studies in the relationship between depressive disorders and anxiety states . J Affective Disord 1982;4:127-147.Crossref 11. Prusoff B, Klerman G: Differentiating depressed from anxious neurotic outpatients . Arch Gen Psychiatry 1974;30:302-308.Crossref 12. Lipman RS: Differentiating anxiety and depression in anxiety disorders: Use of rating scales . Psychopharmacol Bull 1982;18:69-77. 13. Zung WWK: The differentiation of anxiety and depressive disorders: A biometric approach . Psychosomatics 1971;12:380-384.Crossref 14. Lader MH, Wing L: Physiological measures in agitated and retarded depressed patients . J Psychiatr Res 1969;7:89-100.Crossref 15. Shagass C: Differentiation between anxiety and depression by the photically activated electroencephalogram . Am J Psychiatry 1955;112:41-46. 16. Spitzer RL, Forman JBW, Nee J: DSM-III field trials: I. Initial interrater diagnostic reliability . Am J Psychiatry 1979;136:815-817. 17. Spitzer RL, Williams JBW: Instruction Manual for the Structured Clinical Interview for DSM-III (SCID) . New York, Biometrics Research Department, New York State Psychiatric Institute, 1983. 18. Endicott J, Spitzer RL: A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia . Arch Gen Psychiatry 1978;35:837-844.Crossref 19. Fleiss JL: Measuring nominal scale agreement among many raters . Psychol Bull 1971;76:378-387.Crossref 20. DiNardo PA, O'Brien GT, Barlow DH, Waddell MT, Blanchard EB: Reliability of DSM-III anxiety disorder categories using a new structured interview . Arch Gen Psychiatry 1983;40:1070-1074.Crossref 21. Barlow DH: Dimensions of anxiety disorders , in Tuma AH, Maser JD (eds): Psychotherapy Research: Where Are We and Where Should We Go? New York, Guilford Press, 1985. 22. Mullaney JA: The relationship between anxiety and depression: A review of some principal components analysis studies . J Affective Disord 1984;7:138-148.Crossref 23. Leff JP: Psychiatrists versus patients' concepts of unpleasant emotions . Br J Psychiatry 1978;133:306-313.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Reliability of DSM-III Diagnoses for Major Depression and Generalized Anxiety Disorder Using the Structured Clinical Interview for DSM-III

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Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1987.01800210065010
Publisher site
See Article on Publisher Site

Abstract

Abstract • This study examined the interrater reliability of generalized anxiety disorder (GAD) and major depressive disorder (MDD) diagnoses derived from the Structured Clinical interview for DSM-III (SCID). Using videotaped interviews, paired raters made independent diagnoses of 75 psychiatric outpatients. The percent agreement of the raters was 82% for MDD and 86% for GAD; the respective k values were.72 and.79. The results indicated that the SCID can be employed reliably to differentiate MDD from GAD. The SCID is recommended for further research with these disorders. References 1. Spitzer RL, Fleiss JL: A re-analysis of the reliability of psychiatric diagnosis . Br J Psychiatry 1974;125:341-347.Crossref 2. American Psychiatric Association, Committee on Nomenclature and Statistics: Diagnostic and Statistical Manual of Mental Disorders , ed 3. Washington, DC, American Psychiatric Association, 1980. 3. McNair DM, Fisher S: Separating anxiety from depression , in Lipton MA, DiMascio AD, Killiam KF (eds): Pharmacology: A Generation of Progress . New York, Raven Press, 1978. 4. Cohen J: A coefficient of agreement for nominal scales . Educ Psych Meas 1960;20:37-46.Crossref 5. Kendall RE: The stability of psychiatric diagnoses . Br J Psychiatry 1974;124:352-356.Crossref 6. Klein DF: Delineation of two drug-responsive anxiety syndromes . Psychopharmacology 1964;5:397-408.Crossref 7. Rickels K, Feighner JP, Smith WT: Alprazolam, amitriptyline, doxepin, and placebo in the treatment of depression . Arch Gen Psychiatry 1985;42:134-141.Crossref 8. Kahn RJ, McNair DM, Lipman RS, Covi L, Rickels K, Downing R, Fisher S: Imipramine and chlordiazepoxide in depressive and anxiety disorders: II. Efficacy in anxious outpatients . Arch Gen Psychiatry 1986;43:79-85.Crossref 9. Breier A, Charney DS, Heninger GR: The diagnostic validity of anxiety disorders and their relationship to depressive illness . Am J Psychiatry 1985;142:787-797. 10. Mountjoy CQ, Roth M: Studies in the relationship between depressive disorders and anxiety states . J Affective Disord 1982;4:127-147.Crossref 11. Prusoff B, Klerman G: Differentiating depressed from anxious neurotic outpatients . Arch Gen Psychiatry 1974;30:302-308.Crossref 12. Lipman RS: Differentiating anxiety and depression in anxiety disorders: Use of rating scales . Psychopharmacol Bull 1982;18:69-77. 13. Zung WWK: The differentiation of anxiety and depressive disorders: A biometric approach . Psychosomatics 1971;12:380-384.Crossref 14. Lader MH, Wing L: Physiological measures in agitated and retarded depressed patients . J Psychiatr Res 1969;7:89-100.Crossref 15. Shagass C: Differentiation between anxiety and depression by the photically activated electroencephalogram . Am J Psychiatry 1955;112:41-46. 16. Spitzer RL, Forman JBW, Nee J: DSM-III field trials: I. Initial interrater diagnostic reliability . Am J Psychiatry 1979;136:815-817. 17. Spitzer RL, Williams JBW: Instruction Manual for the Structured Clinical Interview for DSM-III (SCID) . New York, Biometrics Research Department, New York State Psychiatric Institute, 1983. 18. Endicott J, Spitzer RL: A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia . Arch Gen Psychiatry 1978;35:837-844.Crossref 19. Fleiss JL: Measuring nominal scale agreement among many raters . Psychol Bull 1971;76:378-387.Crossref 20. DiNardo PA, O'Brien GT, Barlow DH, Waddell MT, Blanchard EB: Reliability of DSM-III anxiety disorder categories using a new structured interview . Arch Gen Psychiatry 1983;40:1070-1074.Crossref 21. Barlow DH: Dimensions of anxiety disorders , in Tuma AH, Maser JD (eds): Psychotherapy Research: Where Are We and Where Should We Go? New York, Guilford Press, 1985. 22. Mullaney JA: The relationship between anxiety and depression: A review of some principal components analysis studies . J Affective Disord 1984;7:138-148.Crossref 23. Leff JP: Psychiatrists versus patients' concepts of unpleasant emotions . Br J Psychiatry 1978;133:306-313.Crossref

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Sep 1, 1987

References