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The “appropriate” conditions for establishing interrater reliability of interview-based rating scales. A controversial issue

Published online by Cambridge University Press:  16 April 2020

A Hafkenscheid*
Affiliation:
Sinai-Centre, Jewish Mental Health Services, PO Box 66, NL-3800 AB Amersfoort, The Netherlands
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Extract

For many of the conditions with which psychiatry is concerned, there is still no anatomical or physiological abnormality that is reliably found in those affected with the conditions and not in other people. Some evidence exists that, for instance, severe and chronical psychopathological symptoms such as persistent auditory hallucinations, may be linked to structural brain abnormalities in certain subgroups of schizophrenic patients. However, such associations are not well-established as yet and the research in this field does not have practical implications for psychiatric assessment so far.

Because objective (physical) indices for measuring (the severity of) psychopathological states have hardly been available up to now, the rating scale is an essential instrument in clinical (psychopharmacological) research.

Type
Research Article
Copyright
Copyright © Elsevier, Paris 1994

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References

Bech, PMalt, UFDencker, SJet al. Scales for assessment of diagnosis and severity of mental disorders. Acta Psychiatr Scand 1993;87:Suppl 372Google Scholar
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Williams, JBWA structured interview guide for the Hamilton Depression Rating Scale. Arch Gen Psychiatry 1988;45:742–7CrossRefGoogle ScholarPubMed
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