Concordance between telephone survey classification and face-to-face structured clinical interview in the diagnosis of generalized anxiety disorder in Hong Kong

Abstract Telephone surveys of estimating mental disorders have been found to generate comparable findings to large-scale community surveys but the concordance between telephone instruments and clinical interviews is rarely examined. In this study, 100 Chinese respondents who had taken part in a tele...

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Bibliographic Details
Published in:Journal of anxiety disorders 2008-12, Vol.22 (8), p.1403-1411
Main Authors: Lee, Sing, Tsang, Adley, Lau, Lisa, Mak, Arthur, Ng, King Lam, Chan, Doris Man-lui
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adult and adolescent clinical studies
Age Factors
Aged
Anxiety Disorders - diagnosis
Anxiety Disorders - epidemiology
Anxiety disorders. Neuroses
Asian Continental Ancestry Group - psychology
Asian Continental Ancestry Group - statistics & numerical data
Biological and medical sciences
Chinese cultural groups
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic interview schedule
Female
Generalized anxiety disorder
Health Surveys
Hong Kong - epidemiology
Humans
Interviews as Topic - methods
Male
Medical sciences
Middle Aged
Miscellaneous
Predictive Value of Tests
Prevalence
Psychiatric Status Rating Scales - statistics & numerical data
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometric properties
Psychometrics
Psychopathology. Psychiatry
Regression Analysis
ROC Curve
Structured clinical interview
Surveys and Questionnaires
Telephone surveys
Young Adult
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Summary:Abstract Telephone surveys of estimating mental disorders have been found to generate comparable findings to large-scale community surveys but the concordance between telephone instruments and clinical interviews is rarely examined. In this study, 100 Chinese respondents who had taken part in a telephone-based population survey of generalized anxiety disorder (GAD) in Hong Kong were administered the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) by clinical interviewers. The discriminability and predictive indicators of the telephone survey instrument were assessed using receiver operating characteristic analysis. Results showed that the telephone survey instrument identified individuals with a positive SCID diagnosis of GAD better than those without. Although its individual questions performed well in identifying the endorsement of the corresponding core SCID criterion of GAD, further studies are needed to find out the optimal combination of questions in the telephone instrument for identifying GAD in community surveys.
ISSN:0887-6185
1873-7897
DOI:10.1016/j.janxdis.2008.02.008