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Diagnostic concordance between DSM-III, Feighner, and RDC

B Singerman, R K Stoltzman, L N Robins

    The Journal of Clinical Psychiatry
    |November 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

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    Comparing diagnostic systems for eight psychiatric disorders revealed that mania and alcoholism showed the highest concordance. Schizophrenia and antisocial personality disorder had the lowest agreement between diagnostic criteria.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Mental Health Research

    Background:

    • Accurate psychiatric diagnosis is crucial for effective treatment and research.
    • Multiple diagnostic systems exist, including DSM-III, Feighner criteria, and Research Diagnostic Criteria (RDC).
    • Understanding concordance and discrepancies between these systems is essential for clinical practice and diagnostic refinement.

    Purpose of the Study:

    • To compare diagnostic concordance rates for eight psychiatric disorders using the NIMH Diagnostic Interview Schedule.
    • To identify causes of diagnostic discrepancies among DSM-III, Feighner, and RDC criteria.
    • To discuss implications for clinical assessment and future research directions.

    Main Methods:

    • The NIMH Diagnostic Interview Schedule was administered by psychiatrists to 216 individuals.

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  • Diagnoses were derived from computerized interview results using DSM-III, Feighner, and RDC criteria.
  • Diagnostic concordance rates were calculated and causes of discrepancies analyzed.

    • Main Results:

    • Diagnostic concordance varied significantly across the eight psychiatric disorders studied.
    • Highest concordance was observed for mania and alcoholism.
    • Lowest concordance rates were found for schizophrenia and antisocial personality disorder.

    Conclusions:

    • The choice of diagnostic system can influence patient classification, particularly for disorders like schizophrenia and antisocial personality disorder.
    • Findings highlight the need for continued research into diagnostic reliability and validity.
    • Standardization and refinement of diagnostic criteria may improve consistency in psychiatric assessment.