Cited by 500Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesReliability and Agreement in MeasurementChild and Adolescent Psychosocial and Emotional Development

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Reliability of DSM-III-R Anxiety Disorder Categories: Using the Anxiety Disorders Interview Schedule—Revised (ADIS-R)

Di Nardo, Peter A.·1993·Archives of General Psychiatry

DOI 10.1001/archpsyc.1993.01820160009001

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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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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)
DOI: 10.1001/archpsyc.1993.01820160009001
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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Reliability of DSM-III-R Anxiety Disorder Categories: Using the Anxiety Disorders Interview Schedule—Revised (ADIS-R)

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