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Reliability of Psychiatric Diagnosis: II. The Test/Retest Reliability of Diagnostic Classification
Abstract
In a study of interrater diagnostic reliability, 101 psychiatric inpatients were independently interviewed by physicians using a structured interview. Newly admitted patients were randomly selected and examined by one of three psychiatrists. A second psychiatrist reexamined the same patient about 24 hours later. Interviews from the two examinations were evaluated independently and diagnoses were made on the basis of objective criteria. The degree of diagnostic agreement for the two examinations were calculated using the kappa statistic. Agreement was found to be high as compared to other studies in the psychiatric literature, despite the fact that in most previous investigations diagnoses were not made independently. The results were also compared to studies of reliability of medical judgments. Possible reasons for the high interrater reliability are discussed and include the use of a structured interview and objective diagnostic criteria.
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Citations
Cited by
Prevalence of Substance Abuse in Schizophrenia: Demographic and Clinical Correlates
Mueser, K. T., Yarnold, P. R., Levinson, D. F., Singh, H., Bellack, A. S., Kee, K., Morisson, R. L., & Yadalam, K. G. (1990) · Schizophrenia Bulletin · doi:10.1093/schbul/16.1.31 · Cited by 587
WELNER, Z., REICH, W., HERJANIC, B., JUNG, K. G., & AMADO, H. (1987) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198709000-00007 · Cited by 513
The Montgomery‐Åsberg Depression Scale: reliability and validity
Davidson, J., Turnbull, C. D., Strickland, R., Miller, R., & Graves, K. (1986) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1986.tb02723.x · Cited by 290
Reliability of Child Diagnosis in a Hispanic Sample
CANINO, G. J., BIRD, H. R., RUBIO-STIPEC, M., WOODBURY, M. A., RIBERA, J. C., HUERTAS, S. E., & SESMAN, M. J. (1987) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198707000-00018 · Cited by 75
New Frontiers in Animal Research of Psychiatric Illness
Kaffman, A., & Krystal, J. J. (2012) · Methods in Molecular Biology · doi:10.1007/978-1-61779-458-2_1 · Cited by 59
Metadata
- Authors
- Helzer, J. E.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1977-02-01
- Volume
- 34
- Issue
- 2
- Pages
- 136
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2136936616
- Cited by
- 163
- References
- 0
- FWCI
- 24.08
- Type
- journal article
- Language
- en
- Open access
- closed
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- Helzer, J. E. (1977). Reliability of Psychiatric Diagnosis: II. The Test/Retest Reliability of Diagnostic Classification. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.1977.01770140026002
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.