Reliability of DSM-III-R Anxiety Disorder Categories: Using the Anxiety Disorders Interview Schedule—Revised (ADIS-R)
Abstract
A large reliability study of DSM-III-R anxiety disorders is reported in which outpatients (n = 267) received two independent structured interviews (Anxiety Disorders Interview Schedule-Revised). It is the only reliability study to date in which the final DSM-III-R criteria are used throughout the study. Reliability was assessed for each diagnosis when it was assigned as a principal diagnosis and when it was assigned as either a principal or an additional diagnosis. Excellent reliability was obtained for current principal diagnoses of simple phobia, social phobia, and obsessive-compulsive disorder. Agreement was good for panic disorder when all severity levels of agoraphobic avoidance were combined. Reliability was fair for generalized anxiety disorder. Remaining diagnostic difficulties, particularly in identifying levels of agoraphobic avoidance and in reliably diagnosing generalized anxiety disorder, are discussed in the context of changes in diagnostic criteria that are under consideration for DSM-IV.
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The Anxiety Diagnostic Interview Schedule IV has adequate psychometric properties, with inter-rater reliability ranging from satisfactory to excellent when used by expert clinicians familiar with DSM diagnostic criteria.
“The ADIS-IV has shown adequate psychometric properties according to Antony, Orsillo, and Roemer [62], with an inter-rater reliability ranging from satisfactory to excellent when used by expert clinicians familiar with the DSM diagnostic criteria [63].”
From In Vivo versus augmented reality exposure in the treatment of small animal phobia: A randomized controlled trial (2016) · cites this paper as [63]
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- Authors
- Di Nardo, P. A.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1993-04-01
- Volume
- 50
- Issue
- 4
- Pages
- 251
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W1497985020
- Cited by
- 498
- References
- 17
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 6 · 2022: 9 · 2021: 5 · 2020: 8 · 2019: 11 · 2018: 9 · 2017: 9 · 2016: 12 · 2015: 14 · 2014: 16 · 2013: 11 · 2012: 19
- FWCI
- 36.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (R01M-39096)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- DSM-III-R, anxiety disorders, diagnostic reliability, interobserver agreement, specific phobia, social anxiety disorder, obsessive-compulsive disorder, panic disorder, agoraphobic avoidance, generalized anxiety disorder, diagnostic criteria, DSM-IV
- MeSH terms
- Adult, Agoraphobia, Ambulatory Care, Anxiety Disorders, Female, Humans, Male, Middle Aged, Terminology as Topic, Obsessive-Compulsive Disorder, Phobic Disorders, Psychiatric Status Rating Scales, Psychometrics, Severity of Illness Index, Reproducibility of Results, Panic Disorder
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