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Assessing Acute Stress Disorder: Psychometric Properties of a Structured Clinical Interview

This study presents the development of a structured clinical interview to diagnose acute stress disorder (ASD). The Acute Stress Disorder Interview (ASDI) is a 19-item, dichotomously scored interview schedule that is based on criteria from the Diagnostic and Statistical Manual of Mental Disorders (4...

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Bibliographic Details
Published in:Psychological assessment 1998-09, Vol.10 (3), p.215-220
Main Authors: Bryant, Richard A, Harvey, Allison G, Dang, Suzanne T, Sackville, Tanya
Format: Article
Language:English
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Summary:This study presents the development of a structured clinical interview to diagnose acute stress disorder (ASD). The Acute Stress Disorder Interview (ASDI) is a 19-item, dichotomously scored interview schedule that is based on criteria from the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994 ). It was validated against clinician-based diagnoses of ASD on 65 trauma survivors assessed between 1 and 3 weeks posttrauma. It possessed good internal consistency ( r = .90), sensitivity (91%), and specificity (93%). Test-retest reliability was evaluated on 60 trauma survivors between 1 and 3 weeks posttrauma, with a readministration interval of 2 to 7 days. Test-retest reliability of ASDI severity scores was strong ( r = .88), and diagnostic agreement for presence (88%) and absence (94%) of ASD diagnosis was high. The ASDI appears to be a useful tool to identify those individuals who suffer ASD and are at risk of long-term posttraumatic stress disorder.
ISSN:1040-3590
1939-134X
DOI:10.1037/1040-3590.10.3.215