Article1983

Comparison of Research Diagnostic Systems in an Edinburgh Community Sample

C. Dean · P. G. Surtees · Sashi P. Sashidharan

227 citations0/0 files storedThe British Journal of Psychiatry

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Mental Health Treatment and Access Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Mental Health and Psychiatry

Abstract

Four research diagnostic schemes are compared in one community sample. The prevalence of psychiatric disorder ranged from 8.7 per cent (ID-Catego, threshold and definite) through 13.7 per cent (RDC, probable and definite) to 20.3 per cent (Bedford, borderline and definite). The main comparison made is between the PSE/ID/Catego and SADS/RDC systems. Sixty-one per cent of cases are identified as such by both these schemes. There is poor agreement about labelling; only 56 per cent of cases of depression and 16.7 per cent of cases of anxiety are so diagnosed by both systems. A post hoc check list was used to identify Bedford cases; all bar one were found to fulfil RDC and PSE case criteria. The results are compared with those from other centres which have used the same diagnostic criteria in community studies.

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References

1960A Coefficient of Agreement for Nominal Scales 1978Research Diagnostic Criteria 1972Diagnostic Criteria for Use in Psychiatric Research 1978A Diagnostic Interview 1979The social origins of depression 1981Epidemiology of mental disorders in Camberwell 1978The concept of a ‘case’ in psychiatric population surveys 1977Reliability of the PSE (ninth edition) used in a population study

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