Validity of routine clinical DSM-IV diagnoses (Axis I/II) in inpatients with mental disorders

Andreas, Sylke; Mestel, Robert; Koch, Uwe; Schulz, Holger

doi:10.1016/j.psychres.2008.09.009

Cited by 30 publications

(22 citation statements)

References 18 publications

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“…The range of short-term test-retest reliabilities identified in Study 1 for anorexia nervosa, bulimia nervosa, and feeding and eating conditions not elsewhere classified (κ’s of 0.46 to 0.97) are similar to studies examining concordance (test-retest or inter-rater reliability) between eating disorder diagnoses with two face-to-face diagnostic interviews (structured or clinical; κ’s of 0.58 to 1.0, Zanarini and Frankenburg, 2001; Andreas et al, 2009; Thomas et al, 2010). While patients with binge eating disorder may have been included in previous research among groups with a DSM-IV eating disorder not otherwise specified (e.g., Thomas et al, 2010; Zanarini & Frankenberg, 2001), specific kappas for the test-retest reliability of this provisional DSM-IV diagnosis are not available.…”

Section: Discussionsupporting

confidence: 66%

“…For studies of the diagnostic reliability of clinical or structured interviews, Rettew and colleagues (2009) reported a range of kappas from −0.01 to 1.00 for bulimia nervosa. In addition, studies examining test-retest or inter-rater reliabilities of other psychiatric conditions such as major depression using two structured interviews, or one structured and one clinical interview, also report significant variability (κ’s ranging from 0.27 to 0.90; Zanarini et al, 2000; Zanarini and Frankenburg, 2001; Andreas et al, 2009; Lobbestael et al, 2011). …”

Section: Discussionmentioning

confidence: 99%

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Test–retest reliability of the proposed DSM-5 eating disorder diagnostic criteria

Sysko

Roberto

Barnes

et al. 2012

Psychiatry Research

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The proposed DSM-5 classification scheme for eating disorders includes both major and minor changes to the existing DSM-IV diagnostic criteria. It is not known what effect these modifications will have on the ability to make reliable diagnoses. Two studies were conducted to evaluate the short-term test-retest reliability of the proposed DSM-5 eating disorder diagnoses: anorexia nervosa, bulimia nervosa, binge eating disorder, and feeding and eating conditions not elsewhere classified. Participants completed two independent telephone interviews with research assessors (n=70 Study 1; n=55 Study 2). Fair to substantial agreements (κ= 0.80 and 0.54) were observed across eating disorder diagnoses in Study 1 and Study 2, respectively. Acceptable rates of agreement were identified for the individual eating disorder diagnoses, including DSM-5 anorexia nervosa (κ’s of 0.81 to 0.97), bulimia nervosa (κ=0.84), binge eating disorder (κ’s of 0.75 and 0.61), and feeding and eating disorders not elsewhere classified (κ’s of 0.70 and 0.46). Further, improved short-term test-retest reliability was noted when using the DSM-5, in comparison to DSM-IV, criteria for binge eating disorder. Thus, these studies found that trained interviewers can reliably diagnose eating disorders using the proposed DSM-5 criteria; however, additional data from general practice settings and community samples are needed.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Test–retest reliability of the proposed DSM-5 eating disorder diagnostic criteria

Sysko

Roberto

Barnes

et al. 2012

Psychiatry Research

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“…Moreover, personal (e.g., gender) and environmental (e.g., family, work) variables belonging to the ICF contextual factors might moderate the mediating effects of mentalization and/or self-efficacy as might aspects of the disorder such as duration of illness [47] or the specific mental diagnosis. As the diagnoses were made by the therapeutic staffs in the present study and the validity of such "routine clinical diagnoses" is still a matter of debate [48], we abstained from analyzing this research question. Attachment style might be another important moderator of the mediating effects of mentalization in the symptom-disability link as it has been described that individuals with secure attachment "retain high levels of mentalizing, even when in stressful situations" [49, p. 48].…”

Section: Discussionmentioning

confidence: 99%

Mentalization and Self-Efficacy as Mediators between Psychological Symptom Severity and Disabilities in Activities and Participation in Psychotherapy Patients

Probst

Dehoust²,

Brütt

et al. 2018

Psychopathology

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Background: Psychotherapy patients can be more or less disabled by their psychological symptoms. The present study investigated whether mentalization and self-efficacy contribute to the association between psychological symptom severity and disabilities in activities and participation. Methods: The data of 216 psychotherapy inpatients were examined in a cross-sectional design. Bootstrapping-enhanced mediation analyses were performed to investigate whether self-efficacy and mentalization are mediators between psychological symptom severity and disabilities in activities and participation. The Hamburg Modules for the Assessment of Psychosocial Health-49 were used to measure psychological symptom severity and self-efficacy, mentalization was assessed with the Mentalization Questionnaire, and disabilities in activities and participation were operationalized with the ICF-Mental-A & P questionnaire. Results: Mentalization as well as self-efficacy functioned as mediators between psychological symptom severity and disabilities in activities and participation (p < 0.05). They were equally strong mediators, and both remained significant mediators when statistically controlling for the other mediator (p < 0.05). Conclusions: Mentalization as well as self-efficacy explain a significant proportion of the relationship between psychological symptom severity and disabilities in activities and participation. Working on mentalizing and self-efficacy might be important mechanisms to reduce disability due to symptoms. The cross-sectional design is a limitation of the study.

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“…Standardisierte, strukturierte Interviewverfahren sind in der Diagnostik psychischer Erkrankungen sicherlich der "Goldstandard" [29]. Daneben sind aber auch Selbsteinschätzungsinstrumente zur dimensionalen Erfassung von depressiven oder ängstlichen Symptomen und der Erfassung des Schweregrades psychischer Erkrankungen bei älteren Menschen von besonderer Bedeutung.…”

Section: Diagnostik Psychischer Störungen Im Höheren Lebensalterunclassified

Psychische Komorbidität bei Menschen mit chronischen Erkrankungen im höheren Lebensalter unter besonderer Berücksichtigung von Krebserkrankungen

Mehnert

Volkert

Wlodarczyk

et al. 2010

Bundesgesundheitsbl.

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Human life expectancy has increased, nationally and internationally, during recent years and will continue to increase in the future. Old age is commonly associated with health-related impairments, chronic diseases, increasing multimorbidity, as well as with psychosocial burdens, such as social deprivation, reduced social participation, and impairment in activities of daily living. Against this background, studies on mental health addressing psychological distress and mental disorders of older people have gained increasing attention. The aim of the present overview is to provide insight into psychological comorbidity in elderly with chronic illnesses. The following questions are addressed: (1) what are the prevalence rates of mental disorders in the elderly in general and, specifically, in patients with cancer? (2) How are mental disorders and cancer, respectively, diagnosed in elderly patients? (3) What are common risk factors associated with the development of mental disorders? (4) Which treatment options are available, and which aspects of health care for elderly patients with chronic diseases need to be considered?

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Validity of routine clinical DSM-IV diagnoses (Axis I/II) in inpatients with mental disorders

Cited by 30 publications

References 18 publications

Test–retest reliability of the proposed DSM-5 eating disorder diagnostic criteria

Test–retest reliability of the proposed DSM-5 eating disorder diagnostic criteria

Mentalization and Self-Efficacy as Mediators between Psychological Symptom Severity and Disabilities in Activities and Participation in Psychotherapy Patients

Psychische Komorbidität bei Menschen mit chronischen Erkrankungen im höheren Lebensalter unter besonderer Berücksichtigung von Krebserkrankungen

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