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Reliability of the Psychosocial Axes of DSM-III in an Adolescent Population

Published online by Cambridge University Press:  02 January 2018

J. M. Rey ,
J. M. Plapp ,
G. Stewart ,
I. Richards  and
M. Bashir
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Abstract

Three psychosocial variables were rated independently by two clinicians for 140 adolescent referrals to a psychiatric unit. Overall, intraclass correlations for DSM-III Axis IV, Axis V and a psychosocial adversity index (PSAI) were respectively 0.44, 0.58 and 0.68. The main source of unreliability is probably the operational definitions, rather than their application by clinicians; indices similar to the PSAI may be preferable.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 150 , Issue 2 , February 1987 , pp. 228 - 234
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Achenbach, T. M. & Edelbrock, C. S. (1979) The Child Behaviour profile: II. Boys aged 12–16 and girls aged 6–11 and 12–16. Journal of Consulting and Clinical Psychology, 47, 223–233.Google Scholar
Achenbach, T. M. & Edelbrock, C. S. (1983) Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Vermont: T. M. Achenbach.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd ed. Washington, DC: APA.Google Scholar
Bartko, J. J. & Carpenter, W. T. (1976) On the methods and theory of reliability. Journal of Nervous and Mental Disease, 163, 307–317.Google Scholar
Cleary, P. J. (1981) Problems of internal consistency and scaling in life event schedules. Journal of Psychosomatic Research, 27, 341–352.Google Scholar
Fleiss, J. L. & Cohen, J. (1973) The equivalence of weighted kappa and the intraclass correlation coefficient as measures of reliability. Educational and Psychological Measurement, 33, 613–619.CrossRefGoogle Scholar
Joint WHO/ADMHA Project (1983) Diagnosis and classification of mental disorders and alcohol- and drug-related problems: a research agenda for the 1980's. Psychological Medicine, 13, 907–921.CrossRefGoogle Scholar
Kendell, R. E. (1983) DSM-III: A major advance in psychiatric nosology. In International Perspectives on DSM-III (eds R. L. Spitzer, J. B. W. Williams & A. E. Skodol). Washington, DC: American Psychiatric Press.Google Scholar
Lahey, M. A., Downey, R. G. & Saal, F. E. (1983) Intraclass correlations: There's more there than meets the eye. Psychological Bulletin, 93, 586–595.Google Scholar
Mezzich, J. E., Coffman, G. A. & Goodpastor, S. M. (1982) A format for DSM-III diagnostic formulation: Experience with 1,111 consecutive patients. American Journal of Psychiatry, 139, 591–602.Google Scholar
Mitchell, S. K. (1979) Interobserver agreement, reliability and generalizability of data collected in observational studies. Psychological Bulletin, 86, 376–390.Google Scholar
Mosteller, F. & Tukey, J. W. (1977) Data Analysis and Regression: A Second Course in Statistics. Reading, Mass.: Addison-Wesley.Google Scholar
Parker, G., Tupling, H. & Brown, L. B. (1979) A parental bonding instrument. British Journal of Medical Psychology, 52, 1–10.Google Scholar
Paykel, E. S. (1983) Methodological aspects of life event research. Journal of Psychosomatic Research, 27, 341–352.CrossRefGoogle Scholar
Russell, A. T., Cantwell, D. P., Mattoon, R. & Will, L. (1979) A comparison of DSM-II and DSM-III in the diagnosis of childhood psychiatric disorders. III: Multiaxial features. Archives of General Psychiatry, 36, 1223–1226.Google Scholar
Rutter, M. & Shaffer, D. (1980) DSM-III: A step forward or back in terms of the classification of child psychiatric disorders? Journal of the American Academy of Child Psychiatry, 19, 371–394.CrossRefGoogle ScholarPubMed
Rutter, M. & Shaffer, D. & Shepherd, M. (1975) A Multi-axial Classification of Child Psychiatric Disorders: an Evaluation of a Proposal. Geneva: World Health Organization.Google Scholar
Shaffer, D., Chadwick, O. & Rutter, M. (1975) Psychiatric outcome of localized head injury in children. In Outcome of Severe Damage to the Central Nervous System (ed. R. Porter & D. W. Fitzsimons). Ciba Foundation Symposium 34 (new series). Amsterdam: Excerpta Medica.Google Scholar
Shrout, P. E. & Fleiss, J. L. (1979) Intraclass correlations: uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.CrossRefGoogle ScholarPubMed
Spitzer, R. L. (1984) A debate on DSM-III: first rebuttal. American Journal of Psychiatry, 141, 546–547.Google Scholar
Spitzer, R. L. & Forman, J. B. W. (1979) DSM-III field trials: II. Initial Experience with the multiaxial system. American Journal of Psychiatry, 136, 818–820.Google Scholar
Spitzer, R. L. & Forman, J. B. W. & Nee, J. (1979) DSM-III field trials: I. Initial interrater diagnostic reliability. American Journal of Psychiatry, 136, 815–817.Google Scholar
Strober, M., Green, J. & Carlson, G. (1981) Reliability of psychiatric diagnosis in hospitalized adolescents. Archives of General Psychiatry, 38, 141–145.Google Scholar
Tukey, J. W. (1977) Exploratory Data Analysis. Reading, Mass.: Addison-Wesley.Google Scholar
Williams, J. B. W. & Spitzer, R. L. (1980) DSM-III field trials: Interrater reliability and list of project staff and participants. In Diagnostic and Statistical Manual of Mental Disorders 3rd ed. Washington, DC: American Psychiatric Press.Google Scholar
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