Validity of routine clinical DSM-IV diagnoses (Axis I/II) in inpatients with mental disorders.
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Validity of routine clinical DSM-IV diagnoses (Axis I/II) in inpatients with mental disorders. / Andreas, Sylke; Theisen, Pia; Mestel, Robert; Koch, Uwe; Schulz, Holger.
in: PSYCHIAT RES, Jahrgang 170, Nr. 2-3, 2-3, 2009, S. 252-255.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Validity of routine clinical DSM-IV diagnoses (Axis I/II) in inpatients with mental disorders.
AU - Andreas, Sylke
AU - Theisen, Pia
AU - Mestel, Robert
AU - Koch, Uwe
AU - Schulz, Holger
PY - 2009
Y1 - 2009
N2 - The assessment of diagnoses is a central issue in the treatment of patients with mental disorders. The aim of this study was to validate routine clinical diagnoses by means of a semi-standardized and structured interview. Semi-standardized and structured interview diagnoses were based on videos of 55 inpatients. The routine clinical diagnoses were given by therapists during the course of psychotherapy. Validation was carried out through proportional agreement, Cohen's kappa, Yule's Y, as well as the sensitivity and specificity of the diagnosis. Agreement rates between diagnoses given in semi-standardized structured interviews and those given in routine clinical assessment were low for the majority of specific disorders (e.g., major depressive disorder). Higher agreement rates were found for major diagnostic categories (e.g., eating disorders or adjustment disorders). In comparison to diagnoses according to structured interviews for inpatients with mental disorders, the validity of diagnoses given in routine clinical interviews is limited and should be improved.
AB - The assessment of diagnoses is a central issue in the treatment of patients with mental disorders. The aim of this study was to validate routine clinical diagnoses by means of a semi-standardized and structured interview. Semi-standardized and structured interview diagnoses were based on videos of 55 inpatients. The routine clinical diagnoses were given by therapists during the course of psychotherapy. Validation was carried out through proportional agreement, Cohen's kappa, Yule's Y, as well as the sensitivity and specificity of the diagnosis. Agreement rates between diagnoses given in semi-standardized structured interviews and those given in routine clinical assessment were low for the majority of specific disorders (e.g., major depressive disorder). Higher agreement rates were found for major diagnostic categories (e.g., eating disorders or adjustment disorders). In comparison to diagnoses according to structured interviews for inpatients with mental disorders, the validity of diagnoses given in routine clinical interviews is limited and should be improved.
M3 - SCORING: Zeitschriftenaufsatz
VL - 170
SP - 252
EP - 255
JO - PSYCHIAT RES
JF - PSYCHIAT RES
SN - 0165-1781
IS - 2-3
M1 - 2-3
ER -
