Research Report

Research report Assessing the diagnostic validity of a structured psychiatric interview in a first-admission hospital sample

Research reportAssessing the diagnostic validity of a structuredpsychiatric interview in a first-admission hospital sampleJulie Nordgaard, Rasmus Revsbech, Ditte Sbye, Josef ParnasWorld Psychiatry 2012;11:181-185Abstract Abstract based on multiple sources of informationThe overall kappa agreement was 0.18The sensitivity and specificity for the diagnosis of schizophrenia by SCID were 19% and 100%, respectivelyAbstract Sample

Sample The study was carried out at the Psychiatric Center Hvidovre, a department of the University of Copenhagen

The cross-tabulation of SCID and CLBE diagnoses

InterviewsStatisticsRESULTS

RESULTDISCUSSIONA limitation of this study is that the patient selection tendedto eliminate flamboyant psychotic cases, making the samplediagnostically more difficultDISCUSSIONDISCUSSIONThe overall agreement between the SCID-derived and CLBE DSM-IV diagnoses was very low (kappa 0.18).DISCUSSIONtended to diagnose more patients with major depressionand fewer with schizophrenia and schizotypal disorder.SCIDMonosyllabic response to a question of the structured interviewwas often short of crucial psychopathological informationDISCUSSIONDISCUSSIONSCIDAspires to :achieving a quasi experimentalstimulus-response purity of the behavioristic paradigmIin order to :Circumvent the complexities of human sebjectivity, discourse and communication

17SCIDyes is confirmatoryof the diagnostic criterion being asked about. Thatconfidence reflects another implicit belief, namely that thesymptoms have their mode of existence as ready-made, well definedand well-articulated mental objects in the patientsconsciousness,DISCUSSIONCLINICIANGranted the liberty for contextually appropriate in-depth conversation with the patientDISCUSSIONDISCUSSIONa poor diagnostic performance of a structured psychiatric interview conductedby a for-the-purpose trained non-clinicianCONCLUSION