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Evaluation of a computerized version of the Diagnostic Interview Schedule
K S Mathisen1, F J Evans, K Meyers
1Carrier Foundation, Belle Mead, New Jersey 08502.
Hospital & Community Psychiatry
|December 1, 1987
Summary
A computerized Diagnostic Interview Schedule (DIS) was well-received by psychiatric patients and clinicians, showing potential for improved diagnostic accuracy when combined with expert clinical judgment.
Area of Science:
- Psychiatry
- Medical Informatics
- Clinical Psychology
Background:
- Accurate psychiatric diagnosis is crucial for effective treatment.
- Traditional diagnostic interviews can be time-consuming and subject to variability.
- Computerized methods offer potential for standardization and efficiency.
Purpose of the Study:
- To evaluate an interactive, computerized version of the Diagnostic Interview Schedule (DIS).
- To assess patient and psychiatrist interaction with the computerized DIS.
- To determine the diagnostic agreement between the computerized DIS and psychiatrists.
Main Methods:
- 135 psychiatric inpatients completed a computerized DIS.
- Patients and their treating psychiatrists evaluated the computerized interview and its reports.
- Diagnostic agreement was analyzed between computer-generated and psychiatrist diagnoses.
Main Results:
- Most patients interacted favorably with the computer interface.
- Psychiatrists found the computer-generated reports generally accurate and helpful.
- Diagnostic agreement varied based on the analysis method used.
Conclusions:
- The computerized DIS is a viable tool for psychiatric assessment.
- Combining computerized thoroughness with clinician expertise may enhance diagnostic outcomes.
- Further research is needed to optimize the integration of computerized and clinical diagnostic approaches.