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DSM-III field trials: I. Initial interrater diagnostic reliability
Abstract
The interrater agreement for major diagnostic categories in studies using DSM-I and DSM-II was usually only fair or poor. In phase one of the DSM-III field trials the overall kappa coefficient of agreement for axis I diagnoses of 281 adult patients was .78 for joint interviews and .66 for diagnoses made after separate interviews; for axis II--personality disorders and specific developmental disorders--the coefficients of agreement were .61 and .54. The interrater reliability of DSM--III is, in general, higher than that previously achieved and may be due to changes in the classification itself, the separation of axis I from axis II conditions, the systematic description of the various disorders, and the inclusion of diagnostic criteria.
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“The published results of DSM-III field trial provided kappa values for disorder groupings rather than for specific disorders 32 , which would tend to maximize reliability results because disagreements within a grouping are substantially more likely than disagreements concerning disorders from different groupings.”
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Metadata
- Authors
- Spitzer, R. L., Forman, J. B., & Nee, J.
- ORCID
- Robert L. Spitzer
- Venue
- American Journal of Psychiatry
- Published
- 1979-06-01
- Volume
- 136
- Issue
- 6
- Pages
- 815-817
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2228575385
- Cited by
- 394
- References
- 3
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 6 · 2018: 3 · 2017: 7 · 2016: 5 · 2015: 9 · 2014: 5 · 2013: 9 · 2012: 10
- FWCI
- 74.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- DSM-III, inter-rater reliability, diagnostic agreement, Axis I diagnoses, personality disorders, developmental disorders, diagnostic criteria, psychiatric classification, field trials
- MeSH terms
- Adolescent, Adult, Mental Disorders, Evaluation Studies as Topic, Humans, Manuals as Topic, United States
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