Reliability of bimanual pelvic examinations performed in emergency departments

Close, Reb J.H.; Sachs, Carolyn J.; Dyne, Pamela L.

doi:10.1136/ewjm.175.4.240-a

Cited by 42 publications

(20 citation statements)

References 7 publications

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“…Although reliability and validity of PTSD and the majority other psychiatric disorders was in the fair to good range (kappa > 0.40) some values were lower. Some researchers (Regier, 2012) have proposed that the standard of evaluation of the psychometric properties of psychiatric disorders be consistent with those observed for other medical conditions that have produced very similar or lower kappa values than observed in this study (Close et al, 2001; Marin et al, 2010; Wallace et al, 2000). …”

Section: Discussionsupporting

confidence: 87%

The association between post-traumatic stress disorder and lifetime DSM-5 psychiatric disorders among veterans: Data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III)

Smith

Goldstein

Grant

2016

Journal of Psychiatric Research

150

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This study examined the prevalence, correlates and psychiatric comorbidity of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) posttraumatic stress disorder (PTSD) in a nationally representative sample of U.S. veterans using data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (n=3119 veteran respondents). The overall prevalence of lifetime PTSD was 6.9%. Lifetime PTSD prevalence was higher among veterans who were female (13.2%), aged 18–29 years (15.3%), Native American (24.1%) or Black (11.0%), previously or never married (9.6% and 11.2, respectively), had incomes less than $70,000 (7.2%–10.1%) and had >2 traumatic events (5.2%–14.7%). After adjusting for sociodemographic characteristics, comorbidity between lifetime PTSD and other psychiatric disorders was highest for any personality disorder (adjusted odds ratio [AOR] =11.1, 95% confidence interval [CI], 5.7, 21.5), any mood disorder (AOR=9.7, 95% CI, 4.6, 20.4) and any anxiety disorder (AOR=9.6, 95% CI, 5.1, 17.7), followed by nicotine, drug, and alcohol use disorders (AOR= 3.4, 95% CI,1.8, 6.5; AOR= 3.1, 95% CI, 2.0, 5.9; 2.1, 95% CI, 1.5, 3.1, respectively). Associations remained with any mood, anxiety, and personality disorders after controlling for other psychiatric disorders (AOR= 3.7, 95% CI, 1.2, 10.9; AOR= 3.5, 95% CI, 1.6, 7.4; AOR=4.5, 95% CI, 2.3, 8.7, respectively). Veterans who sought treatment for PTSD had more comorbid conditions, although treatment was only associated with comorbid drug use disorder (AOR=2.4, 95% CI, 1.0, 5.7). In U.S. veterans, PTSD is highly comorbid with other psychiatric disorders. Although many veterans remain untreated, comorbidity may influence treatment seeking.

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Section: Discussionsupporting

confidence: 87%

The association between post-traumatic stress disorder and lifetime DSM-5 psychiatric disorders among veterans: Data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III)

Smith

Goldstein

Grant

2016

Journal of Psychiatric Research

150

View full text Add to dashboard Cite

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“…Although examples in the medical literature of test-retest reliability studies are as rare as those reported for psychiatric disorders, the reliability of substance use disorder and other psychiatric disorders reported here were generally consistent to those reported for other medical conditions. For example, Kappa values between 0.36 and 0.60 have been associated with diagnoses of anemia based on conjunctival inspection (Wallace et al, 2000) and diagnoses of skin and soft-tissue infection (Martin et al, 2010) and the reliability of pelvic examinations was associated with Kappa values ranging from 0.07 to 0.26 (Close et al, 2001). …”

Section: Discussionmentioning

confidence: 99%

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5): Reliability of substance use and psychiatric disorder modules in a general population sample

Grant

Goldstein

Smith

et al. 2015

Drug and Alcohol Dependence

291

263

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Background The purpose of this study was to assess the test-retest reliability of substance disorder and psychiatric modules in the Alcohol Use Disorder and Associated Disabilities Interview Schedule, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Version (AUDADIS-5). Methods Kappa and intraclass correlation coeffients were calculated for DSM-5 substance use and psychiatric disorder diagnoses and dimensional criteria scales using a test-retest design among 1006 respondents drawn from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). Results Reliabilities of substance use disorder diagnoses and associated criteria scales were generally good to excellent, while reliabilities for mood, anxiety and trauma and stress-related disorders and associated scales were generally in the fair to good range. Conclusions The observed reliability of the DSM-5 diagnoses and dimensional scales for the substance use and psychiatric disorders found in this study indicates that the AUDADIS-5 can be a useful tool in various research settings, particularly in studies of the general population, the target population for which it was designed.

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“…While better than the NESARC-III statistic, these authors found that kappas between 0.40–0.59 were common among the DSM-5 psychiatric diagnoses [60]. In addition, test-retest reliability for other non-psychiatric conditions have produced similar or lower kappa values than observed in NESARC-III [61–63], suggesting that the test-retest reliability for past-year PTSD diagnosis in the NESARC-III was not unusually low. Finally, the NESSRC-III definition of PTSD is more restrictive than the DSM-5 definition, requiring that individuals meet three Criterion D and E symptoms each instead of two.…”

Section: Discussionmentioning

confidence: 99%

Do trauma type, stressful life events, and social support explain women veterans’ high prevalence of PTSD?

Lehavot

Goldberg

Chen

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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Reliability of bimanual pelvic examinations performed in emergency departments

Abstract: The findings of bimanual pelvic examinations performed by emergency physicians in an emergency department have poor interexaminer reliability.

Cited by 42 publications

References 7 publications

The association between post-traumatic stress disorder and lifetime DSM-5 psychiatric disorders among veterans: Data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III)

The association between post-traumatic stress disorder and lifetime DSM-5 psychiatric disorders among veterans: Data from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III)

The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5): Reliability of substance use and psychiatric disorder modules in a general population sample

Do trauma type, stressful life events, and social support explain women veterans’ high prevalence of PTSD?

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