TY - JOUR
PY - 2013//
TI - Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)
JO - International journal of methods in psychiatric research
A1 - Kessler, Ronald C.
A1 - Santiago, Patcho N.
A1 - Colpe, Lisa J.
A1 - Dempsey, Catherine L.
A1 - First, Michael B.
A1 - Heeringa, Steven G.
A1 - Stein, Murray B.
A1 - Fullerton, Carol S.
A1 - Gruber, Michael J.
A1 - Naifeh, James A.
A1 - Nock, Matthew K.
A1 - Sampson, Nancy A.
A1 - Schoenbaum, Michael
A1 - Zaslavsky, Alan M.
A1 - Ursano, Robert J.
SP - 303
EP - 321
VL - 22
IS - 4
N2 - A clinical reappraisal study was carried out in conjunction with the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) All-Army Study (AAS) to evaluate concordance of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnoses based on the Composite International Diagnostic Interview Screening Scales (CIDI-SC) and post-traumatic stress disorder (PTSD) checklist (PCL) with diagnoses based on independent clinical reappraisal interviews (Structured Clinical Interview for DSM-IV [SCID]). Diagnoses included: lifetime mania/hypomania, panic disorder, and intermittent explosive disorder; six-month adult attention-deficit/hyperactivity disorder; and 30-day major depressive episode, generalized anxiety disorder, PTSD, and substance (alcohol or drug) use disorder (abuse or dependence). The sample (n = 460) was weighted for over-sampling CIDI-SC/PCL screened positives. Diagnostic thresholds were set to equalize false positives and false negatives. Good individual-level concordance was found between CIDI-SC/PCL and SCID diagnoses at these thresholds (area under curve [AUC] = 0.69-0.79). AUC was considerably higher for continuous than dichotomous screening scale scores (AUC = 0.80-0.90), arguing for substantive analyses using not only dichotomous case designations but also continuous measures of predicted probabilities of clinical diagnoses.
Copyright © 2013 John Wiley & Sons, Ltd.
Language: en
LA - en SN - 1049-8931 UR - http://dx.doi.org/10.1002/mpr.1398 ID - ref1 ER -