Reliability and procedural validity of University of Michigan-CIDI DSM-III-R phobic disorders

Autor: Wittchen, Hans-Ulrich, Zhao, Shanyang, Abelson, Jamie M., Abelson, James L., Kessler, Ronald C.
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Psychological Medicine. 26(6):1169-1177
Druh dokumentu: Článek
ISSN: 0033-2917
DOI: 10.1017/S0033291700035893
Popis: We 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.
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