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Reliability and procedural validity of UM-CIDI DSM-III-R phobic disorders

Published online by Cambridge University Press:  09 July 2009

H.-U. Wittchen ,
S. Zhao ,
J. M. Abelson ,
J. L. Abelson  and
R. C. Kessler
H.-U. Wittchen*
Affiliation:
Max-Planck-Institut für Psychiatrie Klinisches Institut, Munich, Germany; Institute for Social Research, Department of Sociology and Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
S. Zhao
Affiliation:
Max-Planck-Institut für Psychiatrie Klinisches Institut, Munich, Germany; Institute for Social Research, Department of Sociology and Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
J. M. Abelson
Affiliation:
Max-Planck-Institut für Psychiatrie Klinisches Institut, Munich, Germany; Institute for Social Research, Department of Sociology and Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
J. L. Abelson
Affiliation:
Max-Planck-Institut für Psychiatrie Klinisches Institut, Munich, Germany; Institute for Social Research, Department of Sociology and Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
R. C. Kessler
Affiliation:
Max-Planck-Institut für Psychiatrie Klinisches Institut, Munich, Germany; Institute for Social Research, Department of Sociology and Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
*
1Address for correspondence: Professor Hans-Ulrich Wittchen, Max-Planck-Institut für Psychiatrie, Klinisches Institut, Kraeplinstrasse 10, D 80804 München, Germany.
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Synopsis

We evaluate the long-term test–retest reliability and procedural validity of phobia diagnoses in the UM-CIDI, the version of the Composite International Diagnostic Interview, used in the US National Co-morbidity Survey (NCS) and a number of other ongoing large-scale epidemiological surveys. Test–retest reliabilities of lifetime diagnoses of simple phobia, social phobia, and agoraphobia over a period between 16 and 34 months were K = 0·46, 0·47, and 0·63, respectively. Concordances with the Structured Clinical Interview for DSM-III-R (SCID) were K = 0·45, 0·62, and 0·63, respectively. Diagnostic discrepancies with the SCID were due to the UM-CIDI under-diagnosing. Post hoc analysis demonstrated that modification of UM-CIDI coding rules could dramatically improve cross-sectional procedural validity for both simple phobia (K = 0·57) and social phobia (K = 0·95). Based on these results, it seems likely that future modification of CIDI questions and coding rules could lead to substantial improvements in diagnostic validity.

Type
Original Articles
Information
Psychological Medicine , Volume 26 , Issue 6 , November 1996 , pp. 1169 - 1177
Copyright
Copyright © Cambridge University Press 1996

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References

Burke, K. C., Burke, J. D., Rae, D. S. & Regier, D. A. (1991). Comparing age at onset of major depression and other psychiatric disorders by birth cohorts in five US community populations. Archives of General Psychiatry 48, 789–795.CrossRefGoogle ScholarPubMed
Cohen, J. (1960). A coefficient of agreement for nominal data. Educational and Psychological Measurement 20, 37–46.CrossRefGoogle Scholar
DiNardo, P. A., Moras, K., Barlow, D. H., Rapee, R. M. & Brown, T. A. (1993). Reliability of DSM-III-R anxiety disorder categories. Using the anxiety disorders interview schedule-revised (ADIS-R). Archives of General Psychiatry 50, 251–256.CrossRefGoogle Scholar
Eaton, W. W., Dryman, A. & Weissman, M. M. (1991). Panic and phobia: the diagnosis of panic disorder and phobic disorder. In Psychiatric Disorders in America: The Epidemiologic Catchment Area Study (ed. Robins, L. N. and Regier, D. A.), pp. 155–179. The Free Press: New York.Google Scholar
Erdman, H. P., Klein, M. H., Greist, J. H., Bass, S. M., Bires, J. K. & Machtinger, P. E. (1987). A comparison of the diagnostic interview schedule and clinical diagnosis. American Journal of Psychiatry 144, 1477–1480.Google ScholarPubMed
Fleiss, J. L. (1981). Statistical Methods for Rates and Proportions, 2nd edn.John Wiley and Sons: New York.Google Scholar
Foa, E. B. & Kozak, M. J. (1985). Treatment of anxiety disorders: implications for psychopathology. In Anxiety and the Anxiety Disorders (ed. Tuma, A. H. and Maser, J. D.), pp. 421–452. Erlbaum: Hillsdale.Google Scholar
Fyer, A. J., Endicott, J., Mannuzza, S. & Klein, D. F. (1985). Schedule for Affective Disorders and Schizophrenia – Lifetime Versions (SADS-LA). New York State Psychiatric Institute: New York.Google Scholar
Helzer, J. E., Clayton, P. J., Pambakian, R., Reich, T., Woodruff, R. A. Jr. & Reveley, M. A. (1977). Reliability of psychiatric diagnosis. II. The test – retest reliability of diagnostic classification. Archives of General Psychiatry 34, 136–141.CrossRefGoogle ScholarPubMed
Helzer, J. E., Robins, L. N., McEvoy, L. T. & Spitznagel, E. (1985). A comparison of clinical and diagnostic interview schedule diagnoses. Archives of General Psychiatry 42, 657–666.CrossRefGoogle ScholarPubMed
Hwu, H.-G., Yeh, E.-K. & Chang, L.-Y. (1986). Chinese diagnostic interview schedule. I. Agreement with psychiatrist's diagnosis. Acta Psychiatrica Scandinavica 73, 225–233.CrossRefGoogle ScholarPubMed
Kendler, K. S., Neale, M. C., Kessler, R. C., Heath, A. C. & Eaves, L. J. (1992 a). The genetic epidemiology of phobias in women: the inter-relationship of agoraphobia, social phobia, situational phobia and simple phobia. Archives of General Psychiatry 49, 273–281.CrossRefGoogle Scholar
Kendler, K. S., Neale, M. C., Kessler, R. C., Heath, A. C. & Eaves, L. J. (1992 b). A population-based twin study of major depression in women. The impact of varying definitions of illness. Archives of General Psychiatry 49, 257–266.CrossRefGoogle ScholarPubMed
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H.-U. & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Archives of General Psychiatry 51, 8–19.CrossRefGoogle ScholarPubMed
Kessler, R. C., Mroczek, D. K. & Belli, R. F. (1996). Retrospective adult assessment of childhood psychopathology. In Assessment in Child Psychopathology (ed. Shaffer, D. and Richters, J.). Guilford Press: New York. (In the press.)Google Scholar
McLeod, J. D., Turnball, J. E., Kessler, R. C. & Abelson, J. M. (1990). Sources of discrepancy in the comparison of a lay-administered diagnostic instrument with clinical diagnosis. Psychiatry Research 31, 145–159.CrossRefGoogle ScholarPubMed
Magee, W. J., Eaton, W. W., Wittchen, H.-U., McGonagle, K. A. & Kessler, R. C. (1996). Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey. Archives of General Psychiatry 53, 159–168.CrossRefGoogle ScholarPubMed
Mannuzza, S., Fyer, A. J., Martin, L. Y., Gallops, M. S., Endicott, J., Gorman, J., Liebowitz, M. R. & Klein, D. F. (1989). Reliability of anxiety assessment. I. Diagnostic agreement. Archives of General Psychiatry 46, 1093–1101.CrossRefGoogle ScholarPubMed
Rachman, S. (1985). The treatment of anxiety disorders: a critique of the implications for psychopathology. In Anxiety and the Anxiety Disorders (ed. Tuma, A. H. and Maser, J. D.), pp. 453–462. Erlbaum: Hillsdale.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. S. (1981). National Institute of Mental Health-Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry 38, 381–389.CrossRefGoogle ScholarPubMed
Robins, L. N., Wing, J., Wittchen, H.-U., Helzer, J. E., Babor, T. F., Burke, J., Farmer, A., Jablenski, A., Pickens, R., Regier, D. A., Sartorius, N. & Towle, L. H. (1988). The Composite International Diagnostic Interview: an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Archives of General Psychiatry 45, 1069–1077.CrossRefGoogle ScholarPubMed
Semler, G., Wittchen, H.-U. & Zaudig, M. (1988). The test-retest reliability of the german version of the Composite International Diagnostic Interview on RDC diagnoses and symptom level. In International Classification in Psychiatry: Unity and Diversity (ed. Mezzich, J. and Cranach von, M.), pp. 221–234. Cambridge University Press: Cambridge.Google Scholar
Sobin, C., Weissman, M. M., Goldstein, R. B., Adams, P., Wickramaratne, P., Warner, V. & Lish, J. D. (1993). Diagnostic interviewing for family studies: Comparing telephone and face-to-face methods for the diagnosis of lifetime psychiatric disorders. Psychiatric Genetics 3, 227–233.CrossRefGoogle Scholar
Spitzer, R. L., Williams, J. B. W., Gibbons, M. & First, M. B. (1990). The Structured Clinical Interview for DSM-III-R, Patient Edition (SCID-P, Version 1.0). American Psychiatric Press: Washington, DC.Google Scholar
Spitzer, R. L., Williams, J. B. W., Gibbon, M. & First, M. B. (1992). The Structured Clinical Interview for DSM-III-R, I: history, rationale and description. Archives of General Psychiatry 49, 624–629.CrossRefGoogle ScholarPubMed
Wacker, H. R. (1991). Angst und Depression: Deskriptoren, Prädiktoren: Eine Querschnitts und Verlaufsuntersuchung. Schweizer Nationalfonds. Schlußbericht. Gesuch-Nr. 32–9373 (3.995–0.87): Bern.Google Scholar
Williams, J. B. W., Gibbon, M., First, M. B., Spitzer, R. L., Davies, M., Borus, J., Howes, M. J., Kane, J., Pope, H. G., Rounsaville, B. & Wittchen, H.-U. (1992). The structured clinical interview for DSM-III-R (SCID) II: Multi-site test–retest reliability. Archives of General Psychiatry 49, 630–636.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO Program. Cambridge University Press: Cambridge.Google Scholar
Wittchen, H.-U. (1994). Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI). A critical review. Journal of Psychiatric Research 28, 57–84.CrossRefGoogle ScholarPubMed
Wittchen, H.-U., Schramm, E., Zaudig, M., Spengler, P., Rummler, R. & Mombour, W. (1990). SKID: Strukturiertes Klinisches Interview für DSM-III-R: Manual; Version 2.0. Beltz Verlag: Weinheim.Google Scholar
Wittchen, H.-U., Essau, C. A., Rief, W. & Fichter, M. M. (1993). Assessment of somatoform disorders and comorbidity pattern with the CIDI-findings in psychosomatic inpatients. International Journal of Methods in Psychiatric Research 3, 87–100.Google Scholar
Wittchen, H.-U., Zhao, S., Kessler, R. & Eaton, W. W. (1994). DSM-III-R generalized anxiety disorder in the National Comorbidity Survey. Archives of General Psychiatry 51, 355–364.CrossRefGoogle ScholarPubMed
Wittchen, H.-U., Kessler, R., Zhao, S., Abelson, J. & Huntimer, C. (1995). Reliability and clinical validity of UM-CIDI DSM-III-R Generalized Anxiety Disorder. Journal of Psychiatric Research 29, 95–110.CrossRefGoogle ScholarPubMed
World Health Organization (1990). Composite International Diagnostic Interview (CIDI): (a) CIDI-interview (version 1.0); (b) CIDI-user manual; (c) CIDI-training manual; (d) CIDI-computer programs. World Health Organization: Geneva.Google Scholar