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Validity of psychiatric diagnoses in patients with substance use disorders: is the interview more important than the interviewer?
Compr Psychiatry. 1995 Jul-Aug; 36(4):278-88.CP

Abstract

Although structured diagnostic interviews are increasingly being used in substance abuse treatment settings, there has been limited systematic evaluation of their ability to enhance reliability and validity of psychiatric diagnoses. The present report provides data on the concurrent, discriminant, and predictive validity of current substance use disorders and common comorbid diagnoses in a sample of 100 substance abuse patients. Diagnoses formulated primarily by master's-level clinicians in the usual course of their duties were compared with diagnoses formulated by research technicians using a semistructured interview. Results indicated that the validity of clinician diagnoses was good for substance use disorders, moderate for personality disorders, and poor for anxiety disorders and major depression. Greater validity was observed for substance abuse diagnoses formulated by research technicians using the semistructured interview. Based on these findings, we conclude that psychiatric diagnosis in substance abuse patients may be improved by adding elements of structured interviews to the clinician's usual assessment.

Authors+Show Affiliations

Department of Psychiatry, University of Connecticut School of Medicine, Farmington, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

7554872

Citation

Kranzler, H R., et al. "Validity of Psychiatric Diagnoses in Patients With Substance Use Disorders: Is the Interview More Important Than the Interviewer?" Comprehensive Psychiatry, vol. 36, no. 4, 1995, pp. 278-88.
Kranzler HR, Kadden RM, Burleson JA, et al. Validity of psychiatric diagnoses in patients with substance use disorders: is the interview more important than the interviewer? Compr Psychiatry. 1995;36(4):278-88.
Kranzler, H. R., Kadden, R. M., Burleson, J. A., Babor, T. F., Apter, A., & Rounsaville, B. J. (1995). Validity of psychiatric diagnoses in patients with substance use disorders: is the interview more important than the interviewer? Comprehensive Psychiatry, 36(4), 278-88.
Kranzler HR, et al. Validity of Psychiatric Diagnoses in Patients With Substance Use Disorders: Is the Interview More Important Than the Interviewer. Compr Psychiatry. 1995 Jul-Aug;36(4):278-88. PubMed PMID: 7554872.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validity of psychiatric diagnoses in patients with substance use disorders: is the interview more important than the interviewer? AU - Kranzler,H R, AU - Kadden,R M, AU - Burleson,J A, AU - Babor,T F, AU - Apter,A, AU - Rounsaville,B J, PY - 1995/7/1/pubmed PY - 1995/7/1/medline PY - 1995/7/1/entrez SP - 278 EP - 88 JF - Comprehensive psychiatry JO - Compr Psychiatry VL - 36 IS - 4 N2 - Although structured diagnostic interviews are increasingly being used in substance abuse treatment settings, there has been limited systematic evaluation of their ability to enhance reliability and validity of psychiatric diagnoses. The present report provides data on the concurrent, discriminant, and predictive validity of current substance use disorders and common comorbid diagnoses in a sample of 100 substance abuse patients. Diagnoses formulated primarily by master's-level clinicians in the usual course of their duties were compared with diagnoses formulated by research technicians using a semistructured interview. Results indicated that the validity of clinician diagnoses was good for substance use disorders, moderate for personality disorders, and poor for anxiety disorders and major depression. Greater validity was observed for substance abuse diagnoses formulated by research technicians using the semistructured interview. Based on these findings, we conclude that psychiatric diagnosis in substance abuse patients may be improved by adding elements of structured interviews to the clinician's usual assessment. SN - 0010-440X UR - https://www.unboundmedicine.com/medline/citation/7554872/Validity_of_psychiatric_diagnoses_in_patients_with_substance_use_disorders:_is_the_interview_more_important_than_the_interviewer L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-440X(95)90073-X DB - PRIME DP - Unbound Medicine ER -