Comparison of Computer- and Interviewer-Administered Versions of the Diagnostic Interview Schedule
- 1 December 1987
- journal article
- research article
- Published by American Psychiatric Association Publishing in Psychiatric Services
- Vol. 38 (12) , 1304-1311
- https://doi.org/10.1176/ps.38.12.1304
Abstract
A group of 150 psychiatric patients were administered the Diagnostic Interview Schedule (DIS) on two occasions, once by a trained layperson and once using a computerized interview format in which the patient interacted directly with the computer. Agreement between the two methods on 15 diagnoses was relatively modest, as indicated by a mean kappa score of .51, but was similar to agreement rates reported in other studies of the DIS. The discrepancies may have been due to the high number of acutely ill inpatients studied, patients' reporting more symptoms in one of the interviews, and difficulty translating some of the DIS questions to the computer. Patients had positive feelings about both methods, but a significant majority liked the computer interview better and found it less embarrassing. The authors conclude that computerized administration of the DIS is as reliable as other methods but that exclusive reliance on the DIS for clinical diagnosis is inappropriate.Keywords
This publication has 19 references indexed in Scilit:
- Comparison of the Lay Diagnostic Interview Schedule and a Standardized Psychiatric DiagnosisArchives of General Psychiatry, 1985
- A Comparison of Clinical and Diagnostic Interview Schedule DiagnosesArchives of General Psychiatry, 1985
- The NIMH Epidemiologic Catchment Area ProgramArchives of General Psychiatry, 1984
- The Spanish Diagnostic Interview ScheduleArchives of General Psychiatry, 1983
- Clinical computer applications in mental healthJournal of Medical Systems, 1983
- Renard Diagnostic InterviewArchives of General Psychiatry, 1981
- Converse: A means to write, edit, administer, and summarize computer-based dialogueComputers and Biomedical Research, 1978
- Reliability of Psychiatric DiagnosisArchives of General Psychiatry, 1977
- Computers and PsychiatryArchives of General Psychiatry, 1975
- Diagnostic Criteria for Use in Psychiatric ResearchArchives of General Psychiatry, 1972