The Chinese Bilingual SCID-I/P Project: Stage 3 — Multi-site Inter-rater Reliability

Eddie So · Irene Kam · LINDA C. W. LAM

25 citations0/0 files storedHong Kong journal of psychiatry

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Reliability and Agreement in Measurement Psychological Testing and Assessment Mental Health and Psychiatry

Abstract

Objective: The Chinese Bilingual Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-IV is a recently introduced semi-structured psychiatric diagnostic instrument for use for Chinese patients. The aim of this study was to ascertain the multisite inter-rater reliability. Patients and Methods: Newly registered outpatients from 4 centres were consecutively recruited. Multi-site inter-rater reliability is expressed in percentage agreement. Results: Forty one outpatients from 14 diagnostic categories were recruited. When principal diagnosis, comorbidity, and life-time diagnosis were considered together, the overall percentage agreement was 74% — 75% for the Li Ka Shing Psychiatric Centre, 74% for the Alice Ho Nethersole Hospital Psychiatric Clinic, 60% for the North District Hospital Psychiatric Clinic, and the 85% for the Alice Ho Nethersole Hospital Pain Clinic. When principal diagnosis alone was considered, the percentage agreement was 82% for the Li Ka Shing Psychiatric Centre, 83% for the Alice Ho Nethersole Hospital Psychiatric Clinic, 63% for the North District Hospital Psychiatric Clinic, and 90% for the Alice Ho Nethersole Hospital Pain Clinic. The overall percentage agreement for principal diagnoses was 80%, which improved to 87% when only the psychiatric patients were considered. Conclusions: The Chinese Bilingual Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-IV is a reliable diagnostic instrument with a satisfactory degree of agreement among different raters and across different sites for use in the outpatient setting. Specifically, the inter-rater reliability is superior for psychiatric than for non-psychiatric settings. At this stage, use for comorbid diagnosis is not recommended.

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1994DSM-IV: Diagnostic and Statistical Manual of Mental Disorders 1992The Structured Clinical Interview for DSM-III-R (SCID)1998Training and quality assurance with the structured clinical interview for DSM-IV (SCID-I/P)1982Validity of the Diagnostic Interview Schedule, Version II: DSM-III diagnoses 1985Epidemiology: Reflections on Testing the Validity of Psychiatric Interviews 2003The Chinese-bilingual SCID-I/P Project: Stage 1 — Reliability for Mood Disorders and Schizophrenia

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