Assessing the diagnostic validity of a structured psychiatric interview in a first-admission hospital sample

Julie Elisabeth Nordgaard Frederiksen, Rasmus Revsbech, Ditte Sæbye, Josef Stefan Stanislaw Parnas

    89 Citationer (Scopus)

    Abstract

    The use of structured psychiatric interviews performed by non-clinicians is frequent for research purposes and is becoming increasingly common in clini-cal practice. The validity of such interviews has rarely been evaluated empirically. In this study of a sample of 100 diagnostically heterogeneous, first-admitted inpatients, the results of an assessment with the Structured Clinical Interview for DSM-IV (SCID), yielding a DSM-IV diagnosis and performed by a trained non-clinician, were compared with a consensus lifetime best diagnostic estimate (DSM-IV) by two experienced research clinicians, based on multiple sources of information, which included videotaped comprehensive semi-structured narrative interviews. The overall kappa agreement was 0.18. The sensitivity and specificity for the diagnosis of schizophrenia by SCID were 19% and 100%, respectively. It is concluded that structured interviews performed by non-clinicians are not recommendable for clinical work and should only be used in research with certain precautions. It is suggested that a revival of systematic theoretical and practical training in psychopathology is an obvious way forward in order to improve the validity and therapeutic utility of psychiatric diagnosis.
    OriginalsprogEngelsk
    TidsskriftWorld Psychiatry
    Vol/bind11
    Udgave nummer3
    Sider (fra-til)181-5
    Antal sider5
    ISSN1723-8617
    StatusUdgivet - 2012

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