Copeland J, Kelleher M, Duckworth G, Smith A
Int J Aging Hum Dev. 1976;7(4):313-22. doi: 10.2190/3dr2-7h3c-gg9l-aqc3.
A number of the causes of psychiatric diagnostic disagreement are discussed in this paper. The use of the Geriatric Mental Status interview to achieve diagnostic reliability is examined in three studies in which U.S.--U.K. Cross-National Project psychiatrists rated and diagnosed thirty-two British and twenty-one American patients. There were no systematic differences between U.S. and U.K. team members in their diagnoses; and agreement on six principal diagnostic categories was achieved in about three-quarters of the cases. The reliability fo the ratings of psychopathology that formed the basis for the diagnoses was satisfactory and is reported in detail.
本文讨论了导致精神科诊断分歧的一些原因。在三项研究中，对使用老年精神状态访谈来实现诊断可靠性进行了考察，其中美英跨国项目的精神科医生对32名英国患者和21名美国患者进行了评分和诊断。美英团队成员在诊断上没有系统性差异；在大约四分之三的病例中，在六个主要诊断类别上达成了一致。作为诊断基础的精神病理学评分的可靠性令人满意，并进行了详细报告。
