Hostname: page-component-6bf8c574d5-8gtf8 Total loading time: 0 Render date: 2025-02-16T20:23:55.506Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of Research Diagnostic Systems in an Edinburgh Community Sample

Published online by Cambridge University Press:  29 January 2018

C. Dean ,
P. G. Surtees  and
S. P. Sashidharan
C. Dean
Affiliation:
M.R.C. Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh, EH10 5HF
P. G. Surtees
Affiliation:
M.R.C. Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh, EH10 5HF
S. P. Sashidharan
Affiliation:
M.R.C. Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh, EH10 5HF
Get access Rights & Permissions [Opens in a new window]

Summary

Four research diagnostic schemes are compared in one community sample. The prevalence of psychiatric disorder ranged from 8.7 per cent (ID-Catego, threshold and definite) through 13.7 per cent (RDC, probable and definite) to 20.3 per cent (Bedford, borderline and definite). The main comparison made is between the PSE/ID/Catego and SADS/RDC systems. Sixty-one per cent of cases are identified as such by both these schemes. There is poor agreement about labelling; only 56 per cent of cases of depression and 16.7 per cent of cases of anxiety are so diagnosed by both systems. A post hoc check list was used to identify Bedford cases; all bar one were found to fulfil RDC and PSE case criteria. The results are compared with those from other centres which have used the same diagnostic criteria in community studies.

Type
Papers
Information
The British Journal of Psychiatry , Volume 142 , Issue 3 , March 1983 , pp. 247 - 256
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981) Epidemiology of mental disorders in Camberwell. Psychological Medicine, 11, 561–79.CrossRefGoogle ScholarPubMed
Brown, G. W. & Harris, T. (1978) Social Origins of Depression. London: Cambridge University Press.Google Scholar
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.Google Scholar
Cooper, J. E., Copeland, J. R. M., Brown, G. W., Harris, T. & Gourlay, A. J. (1977) Further studies on interviewer training and interrater reliability of the Present State Examination (PSE). Psychological Medicine, 7, 517–23.Google Scholar
Endicott, J. & Spitzer, R. L. (1978) A diagnostic interview; the schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35, 837–44.CrossRefGoogle ScholarPubMed
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, E. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.Google Scholar
Finlay-Jones, R., Brown, G. W., Duncan-Jones, P., Harris, T., Murphy, E. & Prudo, R. (1980) Depression and anxiety in the community: replicating the diagnosis of a case. Psychological Medicine, 10, 445–54.Google Scholar
General Register Office (1968) A Glossary of Mental Disorders. London: HMSO.Google Scholar
Henderson, S., Duncan-Jones, P., Byrne, D. G., Scott, R. & Adcock, S. (1979) Psychiatric disorder in Canberra. Acta Psychiatrica Scandinavica, 60, 355–74.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria: rationale and reliability. Archives of General Psychiatry, 35, 773–82.Google Scholar
Surtees, P. G., Dean, C., Ingham, J. G., Kreitman, N. B., Miller, P. McC. & Sashidharan, S. P. (1983) Psychiatric disorder in women from an Edinburgh community: associations with demographic factors. British Journal of Psychiatry, (in press).Google Scholar
Weissman, M. M. & Myers, J. K. (1980) Psychiatric disorders in a U.S. community. Acta Psychiatrica Scandinavica, 62, 99–111.Google Scholar
Wing, J. K., Nixon, J. N., Mann, S. A. & Leff, J. P. (1977) Reliability of the PSE (9th edition) used in a population survey. Psychological Medicine, 7, 505–16.Google Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978) The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine, 8, 203–17.Google Scholar
Wing, J. K. & Sturt, E. (1978) The PSE-ID-CATEGO system. Supplementary Manual. London: MRC Social Psychiatry Unit.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.