Diagnosis of Nonpsychotic Patients in Community Clinics

Abstract

Most patients met the diagnostic criteria for conditions for which there are proven treatments; however, inaccurate diagnosis proved common. This barrier to optimal treatment could be ameliorated with the use of structured interviews for common diagnoses. Scores on social/interpersonal measures support the premise that DSM symptoms provide only part of the relevant information about patients' conditions.

Distinguishing between adjustment disorder and depressive episode in clinical practice: The role of personality disorder

“…Consistent with Shear et al (2000) and Taggart et al (2006), we used Cohen's kappa to assess concordance between clinical and SCAN diagnoses. Kappa values greater than 0.8 are considered almost perfect agreement; values between 0.4 and 0.7 are considered moderate to good agreement; and values below 0.4 are considered fair to poor (Fayers and MacHin, 2000).…”

Psychosocial Intervention Improves Depression, Quality of Life, and Fluid Adherence in Hemodialysis

“…It has variable but acceptable reliability and validity and is regarded as the "gold standard" for determining psychiatric diagnoses. [39][40][41] To ensure inter-rater reliability, all SCID interviews were audiotaped, and 15% of the interviews were reviewed for diagnostic accuracy.…”

Interdisciplinary Residential Treatment of Posttraumatic Stress Disorder and Traumatic Brain Injury: Effects on Symptom Severity and Occupational Performance and Satisfaction

“…Research on the SCID-I has shown the instrument to be valid and reliable among various samples, including a test-retest reliability of .61 for MDD over a 7-to 10-day interval (e.g., Shear et al, 2000;Zanarini et al, 2000). The SCID-I was used in the current study to assess current MDD for descriptive purposes.…”