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The reliability of child psychiatric diagnosis. A comparison among Danish child psychiatrists of traditional diagnoses and a multiaxial diagnostic system

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  1. Trajectory of cognitive functions in bipolar disorder: for better or worse?

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  2. Incidence of suicidal behaviour and violent crime following antidepressant medication: a Danish cohort study

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  3. Response to comment on Osler et al: misinterpretation of pre- and post differences invalidate the authors' conclusion

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  4. Societal costs of Borderline Personality Disorders: a matched-controlled nationwide study of patients and spouses

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  5. Meta-analysis of antidepressant effects of anti-inflammatory drugs-reply

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  1. Are theory of mind and bullying separately associated with later academic performance among preadolescents?

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  2. Concordance of child self-reported psychotic experiences with interview- and observer-based psychotic experiences

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  3. Psychotic experiences are associated with health anxiety and functional somatic symptoms in preadolescence

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  4. Evidence that self-reported psychotic experiences in children are clinically relevant

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  5. Introducing the White Noise task in childhood: associations between speech illusions and psychosis vulnerability

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The study was conducted to compare an experimental multiaxial diagnostic system (MAS) with traditional multicategorical diagnoses in child psychiatric work. Sixteen written case histories were circulated to 21 child psychiatrists, who made diagnoses independently of one another, using two different diagnostic systems. Diagnostic reliability was measured as percentage of interrater agreement. The highest diagnostic reliability was obtained in psychotic disorders, the lowest in personality disorders. The MAS implied improved diagnostic reliability of mental retardation, somatic disorders and developmental disorders. Adjustment reaction (reactio maladaptiva) was the diagnosis most commonly used, but with varying reliability in both systems. The reliability of the socio-economic and psychosocial axes were generally high.
Original languageEnglish
JournalActa Psychiatrica Scandinavica
Volume77
Issue number4
Pages (from-to)469-76
Number of pages8
ISSN0001-690X
Publication statusPublished - 1 Apr 1988

ID: 32284885