SCID-PANSS: Two tier diagnostic system for psychotic disorders
Abstract
The SCID-PANSS was developed as a two-tier diagnostic system for psychotic disorders to supplement categorical diagnosis with functional-dimensional assessment. The procedure combines the DSM-III-R Structured Clinical Interview and Rating Criteria (SCID) with those from the Positive and Negative Syndrome Scale (PANSS). The comprehensive 50- to 60-minute interview yields diagnostic classification, plus a profile of 30 symptoms and 10 dimensional scales, including positive and negative syndromes, depression, thought disturbance, and severity of illness. A study of 34 psychotic inpatients assessed by five psychiatrists showed strong interrater correlations (0.85 to 0.97 for summary scales, P less than .0001), supporting the reliability of the SCID-PANSS for clinical and research applications.
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The two raters achieved highly reliable ratings on PANSS assessments.
“According to PANSS accuracy criteria (Kay, 1991; Lambert, 1996), the two raters achieved highly reliable ratings on PANSS assessments.”
From Acceptance and Commitment Therapy for depression following psychosis: An examination of clinically significant change (2015) · cites this paper as Kay, 1991
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- Authors
- Kay, S. R., Opler, L. A., Spitzer, R. L., Williams, J. B. W., Fiszbein, A., & Gorelick, A.
- Affiliations
- Albert Einstein College of Medicine (US)
- Corresponding author
- Opler, Lewis A.
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 1991-07
- Volume
- 32
- Issue
- 4
- Pages
- 355-361
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2145467714
- Cited by
- 81
- References
- 19
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 8 · 2020: 4 · 2019: 4 · 2018: 1 · 2017: 6 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 4
- FWCI
- 0.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- psychosis, structured clinical interview, PANSS, dimensional assessment, positive and negative symptoms, thought disorder, depression, disease severity, inter-rater reliability, psychiatric diagnosis
- MeSH terms
- Adult, Bipolar Disorder, Chronic Disease, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Reproducibility of Results, Cohort Studies
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