A Self-Report Scale to Help Make Psychiatric Diagnoses: The Psychiatric Diagnostic Screening Questionnaire
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BACKGROUND: The Psychiatric Diagnostic Screening Questionnaire (PDSQ) is a brief, psychometrically strong, self-report scale designed to screen for the most common DSM-IV Axis I disorders encountered in outpatient mental health settings. In the present report, we describe the diagnostic performance (sensitivity, specificity, and positive and negative predictive values) of the PDSQ in an outpatient setting. METHODS: Six hundred thirty psychiatric outpatients presenting for treatment were evaluated with the Structured Clinical Interview for DSM-IV after completing the PDSQ. Patients arrived approximately 20 minutes before the scheduled time of the appointment to complete the scale. Diagnostic raters were blind to responses on the scale. RESULTS: The PDSQ's subscales' diagnostic performance varied in a predictable manner according to the cutoff score-as the threshold for case identification increased, subscale sensitivity decreased and specificity increased. Mean subscale sensitivities of 80%, 85%, and 90% resulted in mean subscale specificities of 78%, 73%, and 66%, respectively, and negative predictive values of 95%, 96%, and 97%. Receiver operating curves were determined for each subscale and all areas under the curve were significant. CONCLUSIONS: The PDSQ is a diagnostic aid designed to be used in clinical practice to facilitate the efficiency of conducting initial diagnostic evaluations. From a clinical perspective, it is most important that a diagnostic aid have good sensitivity, so that most cases are detected, and high negative predictive value, so that most noncases on the measure are indeed noncases. Our results indicate that most of the PDSQ subscales were able to achieve this goal.
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The transdiagnostic accuracy of ADA could be considered lower than sensitivities of self-report screenings for mental disorders, which range between 0.72 and 0.90.
“The transdiagnostic accuracy of ADA could be considered lower when compared with sensitivities of self-report screenings for mental disorders that range between 0.72 and 0.90 according to previous studies [59-62].”
From Diagnostic Performance of an App-Based Symptom Checker in Mental Disorders: Comparative Study in Psychotherapy Outpatients (2022) · cites this paper as [61]
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The Masculine Depression Scale: Development and psychometric evaluation.
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“Hunger Hurts but Starving Works”
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Ethnicity/Race and Outcome in the Treatment of Depression
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Major Depressive Disorder, Obsessive-Compulsive Disorder, and Generalized Anxiety Disorder
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Do atypical features affect outcome in depressed outpatients treated with citalopram?
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The relationship between childhood trauma history and the psychotic subtype of major depression
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Depression screening instruments made good severity measures in a cross-sectional analysis
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Clinician recognition of anxiety disorders in depressed outpatients
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Self-citationPatient Health Questionnaire: Greek language validation and subscale factor structure
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Availability of Behavioral Health Treatment for Women in Prison
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Income and attrition in the treatment of depression: a STAR*D report
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WHAT SHOULD THE STANDARD OF CARE FOR PSYCHIATRIC DIAGNOSTIC EVALUATIONS BE?
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Self-citation
- Authors
- Zimmerman, M., & Mattia, J. I.
- Affiliations
- Brown University (US)
- ORCID
- Zimmerman, Mark
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2001-08-01
- Volume
- 58
- Issue
- 8
- Pages
- 787
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2082866684
- Cited by
- 375
- References
- 104
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 13 · 2023: 11 · 2022: 17 · 2021: 18 · 2020: 11 · 2019: 14 · 2018: 12 · 2017: 20 · 2016: 22 · 2015: 14 · 2014: 19 · 2013: 17 · 2012: 18
- FWCI
- 12.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-56404)
- Topics
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- psychiatric diagnosis, sensitivity and specificity, negative predictive value, cut-off values, receiver operating characteristic, outpatient mental health
- MeSH terms
- Adult, Ambulatory Care, Mental Disorders, Female, Humans, Male, Personality Inventory, Predictive Value of Tests, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, ROC Curve, Sensitivity and Specificity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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