Reliability of Psychiatric Diagnosis in Referred Adolescents
- 1 November 1989
- journal article
- research article
- Published by Wiley in Journal of Child Psychology and Psychiatry
- Vol. 30 (6) , 879-888
- https://doi.org/10.1111/j.1469-7610.1989.tb00289.x
Abstract
The authors report a reliability study of the DSM-III diagnostic system in a series of 393 adolescent referrals diagnosed by two clinicians over a period of 3 years. Overall reliability (kappa) was 0.59. However, most of the frequently used diagnoses had reliabilities of 0.7 or higher. Dysthymic, Adjustment, Overanxious and Avoidant Disorders showed poor diagnostic agreement (kappa below 0.4). The patterns of agreement across this and other studies suggest that diagnostir criteria for Affective, Anxiety and Adjustment Disorders arc in need of further improvement.Keywords
This publication has 28 references indexed in Scilit:
- DSM-III-R: Too Much Too Soon?Australian & New Zealand Journal of Psychiatry, 1988
- A Partial Solution to the Base Rate Problem of the k StatisticArchives of General Psychiatry, 1988
- Validity of Axis V of DSM‐III and other measures of adaptive functioningActa Psychiatrica Scandinavica, 1988
- Reliability of the Psychosocial Axes of DSM-III in an Adolescent PopulationThe British Journal of Psychiatry, 1987
- The reliability of DSM-III: a critical reviewSocial Work Research and Abstracts, 1986
- Towards ICD 10: The Attitudes of Australian and New Zealand PsychiatristsAustralian & New Zealand Journal of Psychiatry, 1985
- Assessment of agreement among several raters formulating multiple diagnosesJournal of Psychiatric Research, 1981
- The Epidemiology of Suicide in Children and Young AdolescentsJournal of the American Academy of Child Psychiatry, 1981
- DSM-IIIJournal of the American Academy of Child Psychiatry, 1980
- A Parental Bonding InstrumentPsychology and Psychotherapy: Theory, Research and Practice, 1979