A comparison of the Composite International Diagnostic Interview (CIDI-Auto) with clinical assessment in diagnosing mood and anxiety disorders.
Objective: Increasingly, epidemiological studies are employing computerized and highly standardized interviews, such as the Composite International Diagnostic Interview (CIDI-Auto), to assess the prevalence of psychiatric illness. Recent studies conducted in specialist units have reported poor agree...
| Publicado en: | Australian & New Zealand Journal of Psychiatry Vol. 35; no. 2; pp. 224 - 231 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
Apr2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106093343&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106093343 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00048674 7ZU jtl: Australian & New Zealand Journal of Psychiatry issn: 00048674 maglogo: Y pubinfo: dt: Apr2001 vid: 35 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106093343 106093343 2009435238 10.1046/j.1440-1614.2001.00868.x NLM11284905 106093343 ppf: 224 ppct: 7 formats: fmt: @attributes: type: P tig: atl: A comparison of the Composite International Diagnostic Interview (CIDI-Auto) with clinical assessment in diagnosing mood and anxiety disorders. aug: au: Komiti AA Jackson HJ Judd FK Cockram AM Kyrios M Yeatman R Murray G Hordern C Wainwright K Allen N Singh B sug: subj: Affective Disorders Diagnosis Anxiety Disorders Diagnosis Diagnosis, Psychosocial Psychological Tests Adult Decision Making Female Interview Guides Male Sensitivity and Specificity Human Adult: 19-44 years Female Male ab: Objective: Increasingly, epidemiological studies are employing computerized and highly standardized interviews, such as the Composite International Diagnostic Interview (CIDI-Auto), to assess the prevalence of psychiatric illness. Recent studies conducted in specialist units have reported poor agreement between experienced clinicians' and CIDI-Auto diagnoses. In this study we investigated the concordance rate between clinicians and the CIDI-Auto for the diagnosis of six anxiety disorders and two mood disorders, whereby the CIDI-Auto was treated as the 'gold standard'. Method: Subjects were 262 patients who were assessed by a clinical psychologist or psychiatrist and completed the CIDI-Auto at a tertiary referral unit for anxiety and mood disorders. Agreement between the clinicians' diagnoses and the diagnoses generated by the CIDI-Auto according to both DSM-IV and ICD-10 codes, were examined by kappa statistics. Sensitivity and specificity values were also calculated. Results: Agreement between clinicians and the CIDI-Auto (DSM-IV) ranged from poor for social phobia and posttraumatic stress disorder ([kappa] < 0.30) to moderate for obsessive- compulsive disorder (OCD; [kappa] = 0.52). Agreement between clinicians and the CIDI-Auto (ICD-10) ranged from poor for major depressive episode ([kappa] = 0.25) to moderate for OCD ([kappa] = 0.57). With the CIDI diagnosis treated as the gold standard, clinicians' diagnoses showed low sensitivity ([kappa] < 0.70) for all the disorders except for OCD (for ICD-10), but high specificity ([kappa] > 0.70) for all the disorders. Conclusion: Poor agreements between experienced clinicians and the CIDI-Auto were reported for anxiety and mood disorders in the current study. A major implication is that if diagnosis alone directed treatment, then patients could receive different treatments, depending on whether the computer, or a clinician, made the diagnosis. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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