A comparison of the Diagnostic Interview Schedule and clinical diagnosis

The Diagnostic Interview Schedule (DIS) was administered to 220 psychiatric patients by lay interviewers. Kappas for agreement between DIS and chart diagnoses ranged from .39 to -.03 and averaged .14 for 13 diagnostic categories. Agreement was best for affective, obsessive-compulsive, and schizophre...

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Bibliographic Details
Published in:	The American journal of psychiatry Vol. 144; no. 11; p. 1477
Main Authors:	Erdman, H P, Klein, M H, Greist, J H, Bass, S M, Bires, J K, Machtinger, P E
Format:	Journal Article
Language:	English
Published:	United States 01-11-1987
Subjects:	Adolescent Adult Affective Disorders, Psychotic - diagnosis Aged Aged, 80 and over Bipolar Disorder - diagnosis Female Hospitalization Humans Male Mental Disorders - diagnosis Middle Aged Obsessive-Compulsive Disorder - diagnosis Phobic Disorders - diagnosis Psychiatric Status Rating Scales Psychometrics Schizophrenia - diagnosis Substance-Related Disorders - diagnosis
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Summary:	The Diagnostic Interview Schedule (DIS) was administered to 220 psychiatric patients by lay interviewers. Kappas for agreement between DIS and chart diagnoses ranged from .39 to -.03 and averaged .14 for 13 diagnostic categories. Agreement was best for affective, obsessive-compulsive, and schizophrenic disorders and was poorest for phobias where patients overemphasized fears. The authors suggest that clinician evaluation of information collected by the DIS is important, especially in diagnosing individual cases.
ISSN:	0002-953X
DOI:	10.1176/ajp.144.11.1477