Concurrent Diagnostic Validity of a Structured Psychiatric Interview

John E. Helzer

55 citations0/0 files storedArchives of General Psychiatry

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

Abstract

In order to estimate the concurrent validity of a structured psychiatric interview, we compared interview diagnoses obtained for 101 psychiatric inpatients to those recorded in the same patients' hospital charts. For most diagnoses considered, concordance was found to be high. For those in which concordance was low, we examined the reasons for the diagnostic discrepancy. Diagnostic errors that were judged to have occurred on the basis of the structural interview often seemed to have resulted from a lack of longitudinal clinical observation. However, more errors were judged to have occurred in the hospital charts, apparently because of physician oversight. We conclude that the concurrent validity of this structured interview is high and that such examinations might be useful not only for research but also for the routine initial evaluation of psychiatric patients.

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References

1960A Coefficient of Agreement for Nominal Scales 1971Measuring nominal scale agreement among many raters.1972Diagnostic Criteria for Use in Psychiatric Research 1968Personality and Assessment 1977Reliability of Psychiatric Diagnosis 1977Reliability of Psychiatric Diagnosis 1973Toward a More Efficient Mental Status Examination

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1981Test-retest reliability of assessing psychiatrically ill patients in a multi-center design 1987Evaluation of a Computerized Version of the Diagnostic Interview Schedule 1986The DSM‐III classification of the functional psychoses and the Norwegian tradition 1983Assessing the psychometric properties of psychodiagnostic systems: How do the Research Diagnostic Criteria measure up?1992Structured and Semistructured Inventories

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