Journal of Psychopathology and Behavioral Assessment

, Volume 15, Issue 4, pp 347–356

Reliability of diagnosis in older psychiatric patients using the structured clinical interview for DSM-III-R

  • Daniel L. Segal
  • Michel Hersen
  • Vincent B. Van Hasselt
  • Robert I. Kabacoff
  • Leonard Roth
Article

Abstract

We conducted one of the few studies that has examined the reliability of the Structured Clinical Interview for DSM-III-R Axis I (SCID-I) with a mixed inpatient and outpatient population of adults 55 years old and over (range, 56–84 years; mean, 67.33 years). All SCID interviews were videotaped or audiotaped and were administered by Master's-level clinicians working toward their doctorate degrees in clinical psychology. Interrater reliability estimates (kappa and percentage agreement) were calculated for current major depressive episode (47% base rate) and the broad diagnostic categories of anxiety disorders (15% base rate) and somatoform disorders (12% base rate). Kappa values were .70, .77, and 1.0. Respective percentage agreement was 85% for major depression, 94% for anxiety disorders, and 100% for somatoform disorders. Overall percentage agreement was 91%. We conclude that the SCID-I can be effectively administered by relatively inexperienced clinicians to diagnose older psychiatric patients reliably. Directions that future research might take are offered.

Key words

Structured Clinical Interview for DSM-III-R DSM-III-R reliability diagnosis older adults 

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Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Daniel L. Segal
    • 1
  • Michel Hersen
    • 1
  • Vincent B. Van Hasselt
    • 1
  • Robert I. Kabacoff
    • 1
  • Leonard Roth
    • 1
  1. 1.Center for Psychological StudiesNova UniversityFort Lauderdale

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