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Diagnostic Agreement in Psychiatry

A Comparative Study Between ICD-9, ICD-10 and DSM-III-R

Published online by Cambridge University Press:  02 January 2018

A. Okasha*
Affiliation:
Ain Shams University, Cairo, Egypt
A. Sadek
Affiliation:
Ain Shams University, Cairo, Egypt
M. K. Al-Haddad
Affiliation:
Psychiatric Hospital, PO Box 12, Bahrain
M. Abdel-Mawgoud
Affiliation:
Psychiatric Hospital, PO Box 12, Bahrain, Severalls Hospital, Colchester, Essex
*
3 Shawarby Street, Cairo, Egypt

Abstract

A random sample of 100 new patients referred consecutively to the psychiatric hospital was assessed using the Arabic translation of the PSE. An abstract form was designed to include all PSE scores as well as the necessary extra data to make ICD-9, ICD-10, and DSM-III-R diagnoses. Kappa correlation was calculated for inter-rater and intra-rater reliability. Overall reliability and reliability of each major psychiatric diagnosis were compared between the three systems. The use of the PSE helped in achieving good agreement between Arab psychiatrists for all the three systems, but ICD-10 was found to have the highest reliability figures both for three-digit and four-digit psychiatric diagnoses.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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Footnotes

Paper presented at the WPA regional symposium, 13–16 October, 1988. Washington DC, USA.

References

Abdel-Mawgoud, M. (1986) The English-Arabic Version of PSE: An Arabic Translation of the Full Version of the 9th Revision of Present State Examination (PSE). Bahrain: Psychiatric Hospital.Google Scholar
Abdel-Mawgoud, M. (1988) Diagnostic Problems in Psychiatry: A Comparative Study Between International and American Classification Systems using PSE Interview Technique. MD Thesis, Ain Shams University, Faculty of Medicine, Cairo, Egypt.Google Scholar
Al-Khani, M. A. F., Bebbington, P., Watson, J. P., et al (1986) Life events and schizophrenia: a Saudi Arabian study. British Journal of Psychiatry, 148, 1222.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Ash, P. (1949) The reliability of psychiatric diagnoses. Journal of Abnormal and Social Psychology, 44, 272276.Google Scholar
Beck, A. T. (1962) Reliability of psychiatric diagnoses: a critique of systematic studies. American Journal of Psychiatry, 119, 210216.Google Scholar
Beck, A. T., Ward, W., Mendelson, M., et al (1962) The reliability of psychiatric diagnoses: 2. A study of consistency of clinical judgments and ratings. American Journal of Psychiatry, 119, 351357.Google Scholar
Boisen, A. T. (1938) Types of dementia praecox: a study in psychiatric classification. Psychiatry, 1, 233236.Google Scholar
Brockington, I., Helzer, J., Hillier, V., et al (1982) Definitions of depression: concordance and prediction of outcome. American Journal of Psychiatry, 139, 10221027.Google Scholar
Bromet, E., Dunn, L., Connell, M., et al. (1986) Long term reliability of diagnosing lifetime major depression in community sample. Archives of General Psychiatry, 43, 435440.Google Scholar
Burke, J. D. (1988) Field trials of the 1987 Draft of chapter V (F) of ICD-10. British Journal of Psychiatry, 152 (suppl. 1), 3337.Google Scholar
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 3746.Google Scholar
El-Assra, A. & Hafez-Amin, H. (1988) Hospital admissions in a psychiatric division in Saudi Arabia. Saudi Medical Journal, 9, 2533.Google Scholar
El-Rufaie, O. (1988) A psychiatric clinic in primary care setting: evaluating the experience. Saudi Medical Journal, 9, 2024.Google Scholar
Endicott, J. & Spitzer, R. L. (1978) A diagnostic interview. The Schedule for Affective Disorders and Schizophrenia (SADS). Archives of General Psychiatry, 35, 837844.Google Scholar
Fleiss, J. L. (1975) Measuring agreement between two judges on the presence or absence of a trait. Biometrics, 31, 651659.Google Scholar
Fleiss, J. L., (ed.) (1981) The measurement of inter-rater agreement. In Statistical Methods for Rates and Proportions, pp. 212236. New York: John Wiley.Google Scholar
Fuhrer, R., Rouillon, F. & Lellouch, J. (1986) Diagnostic reliability among French psychiatrists using DSM-III criteria. Acta Psychiatrica Scandinavica, 73, 1216.Google Scholar
Gillis, L. S., Elk, R., Ben-Arie, O., et al (1982) The Present State Examination: experience with Xhosa-speaking psychiatric patients. British Journal of Psychiatry, 141, 143147.Google Scholar
Goldfarb, A. (1959) Reliability of diagnostic judgements by psychologists. Journal of Clinical Psychology, 15, 392396.Google Scholar
Grove, W. M., Anderson, N. C., McDonald-Scott, P., et al (1981) Reliability studies of psychiatric diagnosis: theory and practice. Archives of General Psychiatry, 38, 408413.Google Scholar
Helzer, J. E., Clayton, P. J. & Pambakian, R. E. (1977) Reliability of psychiatric diagnosis: II. The test-retest reliability of diagnostic classification. Archives of Genera! Psychiatry, 34, 136141.Google Scholar
Kendell, R. E. (1975) The Role of Diagnosis in Psychiatry. Oxford: Blackwell Scientific Publications.Google Scholar
Kendell, R. E., Everitt, B., Cooper, J. E., et al (1968) The reliability of the Present State Examination. Social Psychiatry, 3, 123129.Google Scholar
Kreitman, N. (1961) The reliability of psychiatric diagnosis. Journal of Mental Science, 107, 876886.Google Scholar
Kreitman, N., Sainsbury, P., Morrissey, J., et al (1961) The reliability of psychiatric assessment: an analysis. Journal of Mental Science, 107, 887908.Google Scholar
Krippendorff, K. (1970) Bivariate agreement coefficient for reliability of data. In Sociological Methodology (ed. Borgatta, E. F.), pp. 139150. San Francisco: Jossey-Bass.Google Scholar
Laing, R. D. (1967) The Politics of Experience. London: Penguin.Google Scholar
Laing, R. D. & Esterson, A. (1964) Sanity, Madness and the Family. London: Tavistock.Google Scholar
Landis, J. R. & Koch, G. G. (1977) The measurement of observer agreement for categorical data. Biometrics, 33, 159174.Google Scholar
Masserman, J. H. & Carmichael, H. T. (1938) Diagnosis and prognosis in psychiatry. Journal of Mental Science, 84, 893946.CrossRefGoogle Scholar
Mazure, C. & Gershron, E. S. (1979) Blindness and reliability in lifetime psychiatric diagnosis. Archives of General Psychiatry, 36, 521525.Google Scholar
Okasha, A. & Ashour, A. (1981) Psychodemographic study of anxiety in Egypt: the PSE in its Arabic version. British Journal of Psychiatry, 139, 7074.Google Scholar
Orley, J. & Wing, J. K. (1979) Psychiatric disorders in two African villages. Archives of General Psychiatry, 36, 513520.Google Scholar
Robins, L. N., Helzer, J. E., Crouchan, J. L., et al (1981) The NIMH Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry, 38, 381388.Google Scholar
Saghir, M. T. (1971) A comparison of some aspects of structured and unstructured psychiatric interviews. American Journal of Psychiatry, 128, 180184.Google Scholar
Spitzer, R. L., Endicott, J., Fleiss, J. L., et al (1970) The Psychiatric Status Schedule: a technique for evaluating psychopathology and impairment in role functioning. Archives of General Psychiatry, 23, 4155.Google Scholar
Spitzer, R. L., Endicott, J., Fleiss, J. L., & Robin, E. (1978) Research Diagnostic Criteria: rationale and reliability. Archives of General Psychiatry, 35, 778782.Google Scholar
Spitzer, R. L., Endicott, J., Fleiss, J. L., & Robin, E., Forman, J. B. W. & Nee, J. (1979) DSM-III field trials: I. Initial inter-rater diagnostic reliability. American Journal of Psychiatry, 136, 815817.Google Scholar
Spitznagel, E. L. & Helzer, J. E. (1985) A proposed solution to the base rate problem in the kappa statistics. Archives of General Psychiatry, 42, 725728.Google Scholar
Szasz, T. S. (1962) The Myth of Mental Illness. London: Martin Seeker & Warburg.Google Scholar
Wing, J. (1983) Use and misuse of the PSE. British Journal of Psychiatry, 143, 111117.Google Scholar
Wing, J., Birley, J. L. T., Cooper, J. E., et al (1967) Reliability of a procedure for measuring and classifying Present Psychiatric State. British Journal of Psychiatry, 113, 499515.Google Scholar
Winokur, G. (1985) The validity of neurotic-reactive depression. Archives of General Psychiatry, 42, 11161125.Google Scholar
World Health Organization (1978) Mental Disorders,: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (1CD-9). Geneva: WHO.Google Scholar
World Health Organization (1987) ICD-10. Draft of Chapter V Categories P00-F99. Mental, Behavioural and Developmental Disorders Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO.Google Scholar
Zheng, Y., Yang, W., Phillips, M. R., et al (1988) Reliability and validity of a Chinese computerized diagnostic instrument. Acta Psychiatrica Scandinavka. 77, 3237.Google Scholar
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