Attainment and maintenance of reliability of axis I and II disorders over the course of a longitudinal study
Abstract
The baseline interrater reliability, test-retest reliability, follow-up interrater reliability, and follow-up longitudinal reliability of axis I and axis II diagnoses were assessed using the Structured Clinical Interview for DSM-III-R Axis I Disorders (SCID-I) and the Diagnostic Interview for DSM-III-R Personality Disorders (DIPD-R). Excellent kappas (>.75) were found in each of these reliability substudies for the majority of axis II disorders diagnosed five times or more. Dimensional reliability figures for axis II diagnoses were generally somewhat higher than those for their categorical counterparts; most intraclass correlation coefficients (ICCs) were in the excellent range. Excellent kappas were also found in each of these four reliability substudies for over half of the axis I disorders diagnosed five times or more. Taken together, the results of this study suggest that the reliability of axis II disorders is both good to excellent and practically equivalent to that found for most axis I disorders. The results of this study also suggest that high levels of reliability, once achieved, can be maintained over time for both axis I and II disorders.
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The Background Information Schedule and the three diagnostic interviews have shown good-to-excellent inter-rater and test-retest reliability.
“The inter-rater and test-retest reliability of the Background Information Schedule (12) and of the three diagnostic measures (13,14) have all been found to be good-excellent.”
Reliability for axis I and II disorder diagnoses remained good-to-excellent across follow-up and between rater generations.
“Good-excellent follow-up and longitudinal inter-rater reliability was also maintained for both axis I and II disorders (13,14).”
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- Authors
- Zanarini, M. C., & Frankenburg, F. R.
- Affiliations
- Harvard University (US)
- ORCID
- Zanarini, Mary C.
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2001-09
- Volume
- 42
- Issue
- 5
- Pages
- 369-374
- ISSN
- 0010-440X (ISSN-L)
- OpenAlex
- W2016329211
- Cited by
- 384
- References
- 17
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 13 · 2023: 7 · 2022: 4 · 2021: 14 · 2020: 8 · 2019: 18 · 2018: 20 · 2017: 24 · 2016: 24 · 2015: 21 · 2014: 34 · 2013: 30 · 2012: 34
- FWCI
- 4.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Comprehensive Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institute of Mental Health (R29MH047588, MH-47588)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- inter-rater reliability, test-retest reliability, Axis I disorders, Axis II personality disorders, DSM-III-R, SCID-I, diagnostic stability, psychiatric diagnosis
- MeSH terms
- Adult, Mental Disorders, Female, Follow-Up Studies, Humans, Male, Personality Disorders, Psychiatric Status Rating Scales, Reproducibility of Results, Observer Variation, Comorbidity
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