Singerman B, Stoltzman R K, Robins L N, Helzer J E, Croughan J L
J Clin Psychiatry. 1981 Nov;42(11):422-6.
The NIMH Diagnostic Interview Schedule was administered by psychiatrists to 216 individuals. The DSM-III, Feighner, and RDC diagnoses derived from the computerized interview results were then compared for eight psychiatric disorders. Rates of diagnostic concordance among the systems are given, and the causes of diagnostic discrepancies are discussed. Diagnostic concordance was highest for mania and alcoholism and lowest for schizophrenia and antisocial personality disorder. Implications of these findings and future research directions are discussed.
美国国立精神卫生研究所诊断访谈表由精神科医生对216名个体进行施测。然后将从计算机化访谈结果得出的《精神疾病诊断与统计手册》第三版(DSM-III)、费格纳标准及研究诊断标准(RDC)诊断结果,针对八种精神障碍进行比较。给出了各系统间的诊断一致性率,并讨论了诊断差异的原因。躁狂症和酒精中毒的诊断一致性最高,精神分裂症和反社会人格障碍的诊断一致性最低。讨论了这些发现的意义及未来的研究方向。