Reliability and procedural validity of UM-CIDI DSM-III-R phobic disorders
Autor: | Hans-Ulrich Wittchen, J. L. Abelson, Jamie M. Abelson, Shanyang Zhao, Ronald C. Kessler |
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Předmět: |
Adult
Male medicine.medical_specialty Adolescent Psychometrics Test validity Sensitivity and Specificity Sampling Studies Phobic disorder Interviews as Topic Post-hoc analysis medicine Humans Medical diagnosis Psychiatry Agoraphobia Applied Psychology Reproducibility of Results Middle Aged CIDI medicine.disease United States Psychiatry and Mental health Phobic Disorders Case-Control Studies Female Psychology Anxiety disorder Clinical psychology |
Zdroj: | Europe PubMed Central |
Popis: | SynopsisWe evaluate the long-term test–retest reliability and procedural validity of phobia diagnoses in the UM-CIDI, the version of the Composite International Diagnostic Interview, used in the US National Co-morbidity Survey (NCS) and a number of other ongoing large-scale epidemiological surveys. Test–retest reliabilities of lifetime diagnoses of simple phobia, social phobia, and agoraphobia over a period between 16 and 34 months were K = 0·46, 0·47, and 0·63, respectively. Concordances with the Structured Clinical Interview for DSM-III-R (SCID) were K = 0·45, 0·62, and 0·63, respectively. Diagnostic discrepancies with the SCID were due to the UM-CIDI under-diagnosing. Post hoc analysis demonstrated that modification of UM-CIDI coding rules could dramatically improve cross-sectional procedural validity for both simple phobia (K = 0·57) and social phobia (K = 0·95). Based on these results, it seems likely that future modification of CIDI questions and coding rules could lead to substantial improvements in diagnostic validity. |
Databáze: | OpenAIRE |
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