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.
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References
American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: APA.
American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: APA.
Arntz, A., van Beijsterveldt, B., Hoekstra, R., Eussen, M., & Sallaerts, S. (1992). The interrater reliability of a Dutch version of the Structured Clinical Interview for DSM-III-R Personality Disorders.Acta Psychiatrica Scandinavica, 85, 394–400.
Fleiss, J. L. (1981).Statistical methods for rates and proportions (2nd ed.). New York: John Wiley & Sons.
Frank, G. (1975).Psychiatric diagnosis. Oxford: Pergamon Press.
Grove, W. M. (1987). The reliability of psychiatric diagnosis. In C. G. Last & M. Hersen (Eds.),Issues in diagnostic research (pp. 99–119). New York: Plenum Press.
Grove, W. M., Andreason, N. C., McDonald-Scott, P., Keller, M. B., & Shapiro, R. W. (1981). Reliability studies of psychiatric diagnosis.Archives of General Psychiatry, 38, 408–413.
Hersen, M., & Bellack, A. S. (1988). DSM-III and behavioral assessment. In A. S. Bellack & M. Hersen (Eds.),Behavioral assessment: A practical handbook (pp. 67–84). New York: Pergamon Press.
Hollingshead, A. B. (1957).Two factor index of social position (available from A. B. Hollingshead, 1965 Yale Station, New Haven, CT 06520).
Riskind, J. H., Beck, A. T., Berchick, R. J., Brown, G., & Steer, R. A. (1987). Reliability of DSM-III-R diagnoses for major depression and generalized anxiety disorder using the Structured Clinical Interview for DSM-III-R.Archives of General Psychiatry, 44, 817–820.
Rubinson, E. P., & Asnis, G. M. (1989). Use of structured interviews for diagnosis. In S. Wetzler (Ed.),Measuring mental illness: Psychometric assessment for clinicians (pp. 43–66). Washington, DC: American Psychiatric Press (in press).
Segal, D. L., Hersen, M., & Van Hasselt, V. B. (in press). Reliability of the Structured Clinical Interview for DSM-III-R (SCID): An evaluative review.Comprehensive Psychiatry.
Skre, I., Onstad, S., Torgerson, S., & Kringlen, E. (1991). High interrater reliability for the Structured Clinical Interview for DSM-III-R Axis I (SCID-I).Acta Psychiatrica Scandinavica, 84, 167–173.
Spitzer, R. L., & Williams, J. B. W. (1983).Instruction manual for the Structured Clinical Interview for DSM-III (SCID). New York: Biometrics Research Department, New York State Psychiatric Institute.
Spitzer, R. L., & Williams, J. B. W. (1984).Structured Clinical Interview for DSM-III Disorders (SCID-P 5/1/84), rev. New York: Biometrics Research Department, New York State Psychiatric Institute.
Spitzer, R. L., & Williams, J. B. W. (1986).Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II-R, 2/1/86). New York: New York State Psychiatric Institute.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1992). The Structured Clinical Interview for DSM-III-R (SCID).Archives of General Psychiatry, 49, 624–629.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1988).Structured Clinical Interview for DSM-III-R — Patient Version (SCID-P 6/1/88). New York: Biometrics Research Department, New York State Psychiatric Institute.
Stukenberg, K. W., Dura, J. R., & Kiecolt-Glaser, J. K. (1990). Depression screening scale validation in an elderly, community dwelling population.Psychological Assessment, 2, 134–138.
Williams, J. B. W., Gibbon, M., First, M. B., Spitzer, R. L., Davies, M., Borus, J., Howes, M. J., Kane, J., Pope, H. G., Rounsaville, B., & Wittchen, H. (1992). The Structured Clinical Interview for DSM-III-R (SCID): Multisite test-retest reliability.Archives of General Psychiatry, 42, 630–636.
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Segal, D.L., Hersen, M., Van Hasselt, V.B. et al. Reliability of diagnosis in older psychiatric patients using the structured clinical interview for DSM-III-R. J Psychopathol Behav Assess 15, 347–356 (1993). https://doi.org/10.1007/BF00965037
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DOI: https://doi.org/10.1007/BF00965037