Diagnostic Reliability of the DSM-III-R Anxiety Disorders: Mediating Effects of Patient and Diagnostician Characteristics

Factors influencing diagnostic reliability were examined using a sample of 267 patients who underwent two independent administrations of the Anxiety Disorders Interview Schedule-Revised (ADIS-R). Several potential mediators were examined in terms of their association with interrater agreement as mea...

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Bibliographic Details
Published in:Behavior modification 1998-07, Vol.22 (3), p.307-320
Main Authors: Chorpita, Bruce F., Brown, Timothy A., Barlow, David H.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anxiety Disorders - classification
Anxiety Disorders - diagnosis
Anxiety Disorders - psychology
Biological and medical sciences
Comorbidity
Female
Humans
Male
Medical sciences
Middle Aged
Psychiatric Status Rating Scales - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Reproducibility of Results
Techniques and methods
Citations: Items that this one cites
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Summary:Factors influencing diagnostic reliability were examined using a sample of 267 patients who underwent two independent administrations of the Anxiety Disorders Interview Schedule-Revised (ADIS-R). Several potential mediators were examined in terms of their association with interrater agreement as measured by kappa coefficients. These included comorbidity, disorder severity, diagnostician training, patient education, presence of behavioral features, and time separating interviews. Results suggest that several factors appear to have an important effect on diagnostic agreement, most notably, the presence or absence of comorbidity and the presence or absence of overt behavioral symptoms. Details of these influences and the impact of other selected mediators on the diagnosis of anxiety disorders are presented.
ISSN:0145-4455
1552-4167
DOI:10.1177/01454455980223006