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Comparison of CATEGO-Derived ICD–8 and DSM–III Classifications using the Composite International Diagnostic Interview in Severely Ill Subjects

Published online by Cambridge University Press:  02 January 2018

Anne E. Farmer*
Affiliation:
Department of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff CF4 4XN
Peter L. Jenkins
Affiliation:
Department of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff CF4 4XN
Randy Katz
Affiliation:
Department of Psychology, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario, Canada M5G 2C4
Linda Ryder
Affiliation:
Department of Psychological Medicine, University of Wales College of Medicine
*
Correspondence

Abstract

Two classifications, DSM–III and catego4–derived ICD–8, included in the CIDI, are compared in 63 in-patients and out-patients with a broad range of psychiatric illness. Agreement for main diagnosis between these classifications was statistically significant for two time frames, the present state and lifetime. However, while diagnostic assignment by catego4 remained fairly constant between time frames, there was a marked shift in DSM–III-assigned diagnosis, with cases changing from anxiety state diagnosis (present state) to affective disorder (lifetime). Thirty-nine subjects were assigned a DSM–III diagnosis of affective disorder for lifetime illness compared with 21 assigned to this diagnostic group by catego4.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Brink, W. Koeter, W. J. Ormel, J. et al (1989) Psychiatric diagnosis in an outpatient population. Archives of General Psychiatry, 46, 369372.Google Scholar
Cicchetti, D. V. (1978) Assessing observer and method variability in medicine. Connecticut Medicine, 42, 253256.Google Scholar
Cohen, J. A. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 3746.CrossRefGoogle Scholar
Cooper, J. E. Kendell, R. E. Gurland, B. J. et al (1972) Psychiatric Diagnosis in New York and London. Maudsley Monograph. London: Oxford University Press.Google Scholar
Farmer, A. E. Katz, R. McGuffin, P. et al (1987 a) A comparison between the Present State Examination and the Composite International Diagnostic Interview. Archives of General Psychiatry, 44, 10641068.CrossRefGoogle ScholarPubMed
Farmer, A. E. McGuffin, P. & Gottesman, I. I. (1987 b) Twin concordance for DSM III schizophrenia scrutinizing the validity of the definition. Archives of General Psychiatry, 44, 634644.Google Scholar
Farmer, A. E. Jackson, R. McGuffin, P., et al (1987 c) Cerebral ventricular enlargement in schizophrenia: consistencies and contradictions. British Journal of Psychiatry, 150, 324330.Google Scholar
Feighner, J. P. Robins, E. Guze, S. B. et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5767.CrossRefGoogle ScholarPubMed
Frude, N. (1987) A Guide to SPSS/PC +. London: Macmillan Education.Google Scholar
McGuffin, P. Farmer, A. E. Gottesman, I. I. et al (1984) Twin concordances for operational definitions of schizophrenia. Archives of General Psychiatry, 41, 541545.Google Scholar
Robins, L. N. Helzer, J. E. Croughan, J. et al (1981) NIMH Diagnostic Interview Schedule: Version III. Bethesda: Department of Health and Human Services, Public Health Service, Alcohol Drug Abuse and Mental Health Administration, National Institute of Mental Health.Google Scholar
Robins, L. N. Helzer, J. E. Ratcliff, K. S. et al (1982) Validity of the Diagnostic Interview Schedule, Version II: DSM–III diagnoses. Psychological Medicine, 12, 855870.CrossRefGoogle ScholarPubMed
Robins, L. N. Wing, J. K. Wittchen, H. V. et al (1988) The Composite International Diagnostic Interview. Archives of General Psychiatry, 45, 10691078.Google Scholar
Schneider, K. (1959) Clinical Psychopathology (trans. Hamilton, M.). New York: Grune and Stratton.Google Scholar
Spitzer, R. L. Endicott, J. & Robins, E. (1975) Research Diagnostic Criteria. Instrument No. 58. New York: New York State Psychiatric Institute.Google Scholar
Spitzer, R. L. & Williams, J. B. W. (1988) Having a dream: a research strategy for DSM–IV. Archives of General Psychiatry, 45, 871874.Google Scholar
Wing, J. K. Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Wing, J. K. Mann, S. A. Leff, J. P. et al (1978) The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine, 8, 203219.Google Scholar
Wing, J. K. & Sturt, E. (1978) The PSE–ID–CATEGO System. Supplementary Manual. Mimeograph, MRC Social Psychiatry Unit, Institute of Psychiatry, London.Google Scholar
World Health Organization (1973) The International Pilot Study of Schizophrenia. Vol. 1, Geneva: WHO.Google Scholar
World Health Organization (1974) Mental Disorders, Glossary and Guide to their Classification in Accordance with the Eighth Revision of the International Classification of Diseases (ICD–8). Geneva: WHO.Google Scholar
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