Interrater reliability of the DSM‐III diagnoses in two Norwegian studies on psychiatric and super obese patients

Larsen, Frode; Vaglum, Sonja

doi:10.1111/j.1600-0447.1986.tb10519.x

Cited by 16 publications

(10 citation statements)

References 10 publications

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“…This confirms our earlier find ings [2] showing that the DSM-III-R system is also useful in a non American sample.…”

Section: Discussionsupporting

confidence: 91%

“…An experi enced psychiatrist (S.V. ), who had not been involved in the treatment program went through all case mate rial for every patient and revised the final diagnosis using, first, the criteria of DSM-III and then those of DSM-III-R. She was well acquainted with the DSM-III system of classification from a previous interratcr reliability study [2]. The revised diagnoses were used in this study.…”

Section: Diagnostic Proceduresmentioning

confidence: 99%

“…Its reliability was also found to be satisfactory in Norway [2,3]. In the revised version, DSM-III-R, several changes have been made to increase the va lidity.…”

mentioning

confidence: 99%

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Comparison between Personality Disorder Diagnoses in DSM-III and DSM-III-R: Reliability, Diagnostic Overlap, Predictive Validity

Vaglum

Friis²,

Vaglum³

et al. 1989

Psychopathology

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97 nonpsychotic consecutive day patients were diagnosed by the axis 1 and 2 in the DSM-III and DSM-III-R system, and their treatment response during their stay was measured by the Health Sickness Rating Scale. The interrater reliability was equally good for both diagnostic systems. On axis 1, there were only minor differences between DSM-III and DSM-III-R. On axis 2, the frequency of schizotypal disorder was reduced by 40% and the frequency of histrionic disorder by two-thirds. The number of schizoid disorders increased from zero to five. Of the DSM-III schizotypals who lost this diagnosis in DSM-III-R (n = 8), 4 got a new diagnosis of schizoid personality and 4 maintained their borderline diagnoses. In DSM-III-R there was a sharper demarcation between patients with severe and nonsevere personality disorder with regard to treatment outcome, indicating an increased validity of these categories. There was also a sharper demarcation between borderline versus histrionic and schizotypal, and between schizotypal and schizoid diagnoses.

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“…This confirms our earlier find ings [2] showing that the DSM-III-R system is also useful in a non American sample.…”

Section: Discussionsupporting

confidence: 91%

Section: Diagnostic Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Comparison between Personality Disorder Diagnoses in DSM-III and DSM-III-R: Reliability, Diagnostic Overlap, Predictive Validity

Vaglum

Friis²,

Vaglum³

et al. 1989

Psychopathology

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“…For alcohol diag noses, kappa was 0.79, for other axis-I diagnoses 0.78 and for axis-11 diagnoses 0.73. which is satisfactory [Larsen and Vaglum, 1985].…”

Section: Methodsmentioning

confidence: 87%

Borderline and Other Mental Disorders in Alcoholic Female Psychiatric Patients: A Case Control Study

Vaglum

1985

Psychopathology

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A random sample of female, nonalcoholic psychiatric outpatients, day and inpatients from one catchment area (n = 65; C group), was compared with female psychiatric patients with a DSM-III alcohol disorder (n = 64; A group). On DSM-III, axis, I, the frequency of additional symptom diagnoses, including depressions, was nearly equal. On axis II, the A group had an additional personality disorder significantly more often (81 vs. 46 %), borderline personality disorder being the most frequent (66 vs. 11 %). Among patients with depressive disorders, the differences between the A and the C group on axis II were the same. But alcoholic patients suffering from a major depressive disorder more frequently had a borderline personality disorder than other subgroups. The alcohol problems seem to be more related to ongoing personality problems than to episodic, symptomatic disorders. Female psychiatric patients with alcohol problems are diagnostically a heterogenous group and should not be offered a uniform therapy.

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“…Even using what is nominally the same instrument and using the same inclusion criteria for the samples, sites may differ in subject and rater characteristics, or even in the case of multinational studies, culture and language. Larsen and Vaglum (1986) give an example of one such study, aimed at establishing the international usefulness of psychiatric rating scales. They note that even if instruments are perfectly translated, and even if a relatively 'objective' outcome is studied such as psychopathology, there may be inter-site differences in populations and the samples drawn from them.…”

Section: Introductionmentioning

confidence: 99%

Reliability in multi‐site psychiatric studies

Leese

White

Schene

et al. 2001

Int J Methods Psych Res

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Interrater reliability of the DSM‐III diagnoses in two Norwegian studies on psychiatric and super obese patients

Cited by 16 publications

References 10 publications

Comparison between Personality Disorder Diagnoses in DSM-III and DSM-III-R: Reliability, Diagnostic Overlap, Predictive Validity

Comparison between Personality Disorder Diagnoses in DSM-III and DSM-III-R: Reliability, Diagnostic Overlap, Predictive Validity

Borderline and Other Mental Disorders in Alcoholic Female Psychiatric Patients: A Case Control Study

Reliability in multi‐site psychiatric studies

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