Hasin D S, Grant B F
J Psychiatr Res. 1987;21(1):7-22. doi: 10.1016/0022-3956(87)90005-7.
We compared DSM-III and RDC diagnoses from the DIS to RDC diagnoses from the SADS-L for alcohol and drug use disorders, anxiety disorders and Antisocial Personality Disorder in a group of patients with substance abuse problems. Kappa values for substance use disorders were fairly good. The instruments did not agree well on anxiety disorders, or on Antisocial Personality Disorder. Criterion differences gave rise to some of the disagreement between the instruments on Antisocial Personality Disorder, but the causes of disagreement for the anxiety disorders were not so clear. The implications of these findings are discussed.
我们比较了物质使用障碍、焦虑症和反社会人格障碍患者中，从综合国际诊断访谈（DIS）得出的《精神疾病诊断与统计手册》第三版（DSM-III）诊断及研究诊断标准（RDC）诊断，与从情感障碍和精神分裂症日程表（SADS-L）得出的RDC诊断。物质使用障碍的kappa值相当不错。这些工具在焦虑症或反社会人格障碍方面的诊断结果不太一致。标准差异导致了这些工具在反社会人格障碍诊断上的一些分歧，但焦虑症诊断分歧的原因尚不清楚。本文讨论了这些发现的意义。
