Three hundred sixty-two adult patients were administered the Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders (DIAMOND). Of these, 121 provided interrater reliability data, and 115 provided test-retest reliability data. Participants also completed a battery of self-report measures that assess symptoms of anxiety, mood, and obsessive-compulsive and related disorders. Interrater reliability of DIAMOND anxiety, mood, and obsessive-compulsive and related diagnoses ranged from very good to excellent. Test-retest reliability of DIAMOND diagnoses ranged from good to excellent. Convergent validity was established by significant between-group comparisons on applicable self-report measures for nearly all diagnoses. The results of the present study indicate that the DIAMOND is a promising semistructured diagnostic interview for DSM-5 disorders.
One out of six individuals will experience depression during their lifetimes, yet the majority of these individuals will not seek treatment, and this problem is even larger for african americans, for whom multiple barriers to mental health treatment seeking exist. One widely recognized factor that negatively impacts treatment seeking is stigma. efforts to develop and disseminate depression anti-stigma programs have been dominated by a biomedical model that presents depression as a medical disease. alternately, a contextual model emphasizes the role of environmental influences. This study compared a biomedical model and a contextual model within depression anti-stigma programs with 115 community members (mostly african american) with elevated depressive symptoms. The main hypothesis was that the contextual model would be more effective at decreasing stigma. results indicated that the biomedical model had negative effects immediately following the programs, but that neither depression anti-stigma program had a long-term impact on stigmatizing attitudes. limitations are highlighted and future research directions based on Community-Based Participatory research are discussed.
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