Reliability and clinical validity of UM-CIDI DSM-III-R generalized anxiety disorder

Wittchen, Hans‐Ulrich; Kessler, Ronald C.; Zhao, Shanyang; Abelson, Jamie M.

doi:10.1016/0022-3956(94)00044-r

Cited by 158 publications

(104 citation statements)

References 16 publications

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“…In the same study, excessive or unrealistic worry was also a primary source of discrepancy between GAD diagnoses based on the UM-CIDI and the SCID. [59] In their reliability assessment of DSM-IV GAD using the ADIS-IV-L, Brown et al [13] reported that a dimensional measure of excessiveness would be more reliable than the current categorical criterion. In terms of validity, Ruscio [60] reported that excessive and uncontrollable worry may be associated with severe worry rather than with GAD per se.…”

Section: Dsm-iv Criterion A: the Nature Focus And Duration Of Anxiementioning

confidence: 99%

“…and ''who [should] determine if the worry is excessive?'' Wittchen et al [59] used the University of Michigan Composite International Diagnostic Interview (UM-CIDI) structured interview in a clinical reappraisal of a subset of National Comorbidity Survey participants who endorsed all criteria for lifetime DSM-III-R GAD (N 5 24) and those who reported 6 months or more in which they felt worried, tense, or anxious but did not satisfy all the other GAD criteria (N 5 12). They found that 70% of those who endorsed all GAD symptoms did so at follow up and 58% of those who did not endorse all GAD symptoms again received a negative GAD diagnosis, corresponding to a k of .53.…”

Section: Dsm-iv Criterion A: the Nature Focus And Duration Of Anxiementioning

confidence: 99%

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Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Andrews¹,

Hobbs²,

Borkovec³

et al. 2010

Depress. Anxiety

226

187

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Background: Generalized anxiety disorder (GAD) has undergone a series of substantial classificatory changes since its first inclusion in DSM-III. The majority of these revisions have been in response to its poor inter-rater reliability and concerns that it may lack diagnostic validity. This article provides options for the revision of the DSM-IV GAD criteria for DSM-V. Method: First, searches were conducted to identify the evidence that previous DSM Work Groups relied upon when revising the DSM-III-R GAD and the overanxious disorder classifications. Second, the literature pertaining to the DSM-IV criteria for GAD was examined. Conclusions: The review presents a number of options to be considered for DSM-V. One option is for GAD to be re-labeled in DSM-V as generalized worry disorder. This would reflect its hallmark feature. Proposed revisions would result in a disorder that is characterized by excessive anxiety and worry generalized to a number of events or activities for 3 months or more. Worry acts as a cognitive coping strategy that manifests in avoidant behaviors. The reliability and validity of the proposed changes could be investigated in DSM-V validity tests and field trials. Depression and Anxiety 27:134-147, 2010.

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Section: Dsm-iv Criterion A: the Nature Focus And Duration Of Anxiementioning

confidence: 99%

Section: Dsm-iv Criterion A: the Nature Focus And Duration Of Anxiementioning

confidence: 99%

Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Andrews¹,

Hobbs²,

Borkovec³

et al. 2010

Depress. Anxiety

226

187

View full text Add to dashboard Cite

show abstract

“…Diagnostic assessments for the past 12 months were based on the paper-and-pencil version of the M-CIDI [29]. The M-CIDI is an updated version of the World Health Organisation's CIDI version 1.2 [30], which incorporates 19 items to cover DSM-IV diagnostic criteria.…”

Section: Methodsmentioning

confidence: 99%

Psychometric Properties of the Cannabis Abuse Screening Test in Hungarian Samples of Adolescents and Young Adults

et al. 2013

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Aim: The aim of our study was to analyze psychometric properties of the Cannabis Abuse Screening Test (CAST). Methods: Our sample comprised Hungarian high school (n = 476; male 56.3%; mean age 19.0 years, SD = 0.65 years) and college students (n = 439; male 65.1%; mean age 23.9 years, SD = 1.56 years) who reported cannabis use in the past year. The sample covered the five biggest universities of Hungary. Besides the CAST, participants responded to the Munich-Composite International Diagnostic Interview. Factor structure was analyzed by a confirmatory factor analysis. Receiver operating characteristic curve analysis was made to assess cut-off scores. Data collection took place in 2010. Results: CAST proved to be a reliable (Cronbach's α 0.71 and 0.76) one-dimensional measure. Regarding both cannabis dependence and cannabis use disorders, a cut-off of 2 points proved to be ideal in both samples, resulting in optimal specificity, negative predictive values and accuracy, but less than optimal positive predictive values (dependence) and low sensitivity (cannabis use disorder). Discussion and Conclusions: In line with former results, the CAST proved to be an adequate measure for the screening of cannabis-related problems among adolescents and young adults in an Eastern European country where this scale has not been studied before.

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“…WHO field trials [30]and National Comorbidity Survey clinical reappraisal studies [31, 32, 33]documented acceptable reliability and validity of all the diagnoses. Psychiatric disorders (past 12 months) examined here include major depression, generalized anxiety disorder, agoraphobia, simple phobia, social phobia, post-traumatic stress disorder, nonaffective psychosis, bipolar disorder, dysthymia, mania, alcohol use and substance use disorder.…”

Section: Methodsmentioning

confidence: 99%

Cancer and Mental Disorders in a National Community Sample: Findings from the National Comorbidity Survey

Honda

Goodwin

2004

Psychother Psychosom

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Objective: To determine the association between cancer (past 12 months) and mental disorders (past 12 months) among community-dwelling adults. Methods: Data were drawn from the National Comorbidity Survey (n = 5,877), a representative household sample of adults aged 15–54 years in the United States. Multiple logistic regression analyses were used to determine the association between cancer and mental disorders, adjusting for differences in sociodemographic characteristics. Results: Cancer was significantly associated with increased rates of major depression [odds ratio (OR) = 3.6, 95% confidence interval (CI) = 1.4–8.8], drug dependence (OR = 3.6, 95% CI = 1.3–9.8), simple phobia (OR = 2.5, 95% CI = 1.0–6.2) and agoraphobia (OR = 3.3, 95% CI = 1.0–10.4). These associations persisted after adjusting for major sociodemographic factors, and sex plays a significant role in the association between cancer diagnosis and mental disorder, with cancer diagnosis having a stronger influence on major depression and drug dependence in men than in women. Conclusions: Clinicians and community health workers working with cancer survivors need to be not only alert for signs of clinical depression but also of co-occurring drug dependence and certain anxiety disorders so that appropriate referrals to mental health professionals can be made.

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Reliability and clinical validity of UM-CIDI DSM-III-R generalized anxiety disorder

Cited by 158 publications

References 16 publications

Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Psychometric Properties of the Cannabis Abuse Screening Test in Hungarian Samples of Adolescents and Young Adults

Cancer and Mental Disorders in a National Community Sample: Findings from the National Comorbidity Survey

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