Development of Korean Version of Structured Clinical Interview Schedule for DSM-IV Axis I Disorder: Interrater Reliability.
- Author:
Oh Su HAHN
1
;
Jun Ho AHN
;
Sun Hee SONG
;
Maeng Je CHO
;
Jang Kyu KIM
;
Jae Nam BAE
;
Seong Jin CHO
;
Beom Soo JEONG
;
Dong Woo SUH
;
Bong Jin HAHM
;
Dong Woo LEE
;
Jong Ik PARK
;
Jin Pyo HONG
Author Information
1. Asan Medical Center, Department of Psychiatry, College of Medicine, Ulsan University, Korea.
- Publication Type:Original Article
- Keywords:
Diagnostic instrument;
Reliability;
Psychiatric interview;
Diagnostic criteria
- MeSH:
Agoraphobia;
Alcoholism;
Anxiety Disorders;
Appointments and Schedules*;
Axis, Cervical Vertebra*;
Bipolar Disorder;
Depressive Disorder, Major;
Diagnosis;
Diagnostic and Statistical Manual of Mental Disorders*;
Feeding and Eating Disorders;
Hospitals, Psychiatric;
Humans;
Hypochondriasis;
Inpatients;
Korea;
Outpatients;
Schizophrenia;
Schizophrenia, Paranoid;
Somatoform Disorders
- From:Journal of Korean Neuropsychiatric Association
2000;39(2):362-372
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: Accurate diagnosis and assessment for psychiatric disorders is crucial for research, as well as for clinical practice. Structured Clinical Interview for DSM-IV(SCID-RV) is a less time-consumimg and more accurate structured diagnostic interview form. It can be used by clinical professions and is known for a reliable diagnostic tool. Present study was conducted to develop Korean version of SCID-RV and to test the inter-rater reliability. METHOD: The authors have translated original SCID-RV into Korean, and revised in parallel with sociocultural background of Korea. Ninety patients from two psychiatric hospitals, both outpatient and inpatient, were interviewed and rated independently by three raters. RESULT: The kappa coefficients for most of illnesses, such as major depressive disorder, dysthymia, schizophrenia, alcohol abuse and dependency, anxiety disorder and eating disorder were excellent (>0.70) in the evaluation of current disorders. And the kappa coefficients for bipolar disorder, delusional disorder, agoraphobia, undifferentiated somatoform disorder, and hypochondriasis were acceptable (>0.40) in the evaluation of current disorders. In the evaluation of lifetime disorders, the concordant rates of all the diagnoses except bipolar disorder and undifferentiated somatoform disorder were excellent. Lack of hierarchy in DSM-IV allows for multiple Axis I diagnoses. Mean numbers of Axis I diagnoses per subject assigned by the three raters were 1.5-1.7. CONCLUSION: Our findings confirm that SCID-RV yields highly reliable diagnoses. SCID-RV is recommended for accurate diagnosis in clinical practice and research on psychiatric disorders.
