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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
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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 

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