High interrater reliability for the Structured Clinical Interview for DSM‐III‐R Axis I (SCID‐I)

Abstract

The interrater reliability of the Structured Clinical Interview for DSM-III-R (SCID) was studied. Fifty-four audiotaped SCID interviews were rated independently by 3 raters. The highest interrater agreements were observed for schizophrenia (0.94), major depressive disorder (0.93), dysthymia (0.88), generalized anxiety disorder (0.95), panic disorder (0.88), alcohol use disorder (0.96) and other psychoactive substance use disorder (0.85). The remaining diagnoses of mood and anxiety disorders obtained acceptable interrater agreement (0.70-0.80), with an exception for obsessive-compulsive disorder (0.40). The poorest agreement was obtained for somatoform disorders ( -0.03). Lack of hierarchy in DSM-III-R allows for multiple Axis I diagnoses. Interrater reliability for multiple diagnoses was tested. Agreement was generally good for combinations of 2 diagnoses, and poorer when 3 diagnoses were combined. Our findings confirm that SCID yields highly reliable diagnoses. SCID is recommended for research on mental disorders.

Does substance use disorder affect clinical expression in first-hospitalization patients with schizophrenia? Analysis of a prospective cohort

“…Although SCID-I is considered a valid and consistent assessment tool for diagnose DSM-IV-TR Axis I disorders (Skre et al, 1991;Carey et al, 2001), urine drug test could be used to confirm the patientreported abuse of illicit drugs and thus to increase the accuracy of group selection.…”

The use of the Autism-spectrum Quotient in differentiating high-functioning adults with autism, adults with schizophrenia and a neurotypical adult control group

“…While the course of schizophrenia differs over time (Rabinowitz, Levine, Haim, & Hä fner, 2007) the Structured Clinical Interview Schedule for DSM-IV has been administered (SCID-I; First, Spitzer, Gibbon, & Williams, 1997) to verify and confirm the diagnoses of the schizophrenia group at the present time. The reliability of the SCID-I in diagnosing specifically schizophrenia is high (Skre, Onstad, Torgersen, & Kringlen, 1991). Based on SCID-I criteria, all participants met the criteria for schizophrenia, paranoid type.…”

A Preliminary trial of twelve-step facilitation and acceptance and commitment therapy with polysubstance-abusing methadone-maintained opiate addicts

“…The SCID is a semistructured interview for making major Axis I DSM-III-R diagnoses, including mood disorders, anxiety disorders, psychoactive substance use disorders, somatoform disorders, eating disorders, and psychotic symptoms. The SCID has been extensively demonstrated to be a reliable and valid instrument both in the assessment of substance-abusing (Kosten, Bryant, & Rounsaville, 1991) and non-substance-abusing individuals (Skre, Onstad, Torgersen, & Kringlen, 1991).…”