Clinical validity and intrarater and test–retest reliability of the Structured Clinical Interview for DSM‐5 – Clinician Version (SCID‐5‐CV)

Aim The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID‐5‐CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity an...

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Vydané v:	Psychiatry and clinical neurosciences Ročník 73; číslo 12; s. 754 - 760
Hlavní autori:	Osório, Flávia L., Loureiro, Sonia Regina, Hallak, Jaime Eduardo C., Machado‐de‐Sousa, João Paulo, Ushirohira, Juliana M., Baes, Cristiane V. W., Apolinario, Thiago D., Donadon, Mariana F., Bolsoni, Livia M., Guimarães, Thiago, Fracon, Victor S., Silva‐Rodrigues, Ana Paula Casagrande, Pizeta, Fernanda Aguiar, Souza, Roberto Mascarenhas, Sanches, Rafael Faria, dos Santos, Rafael G., Martin‐Santos, Rocio, Crippa, José Alexandre S.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Melbourne John Wiley & Sons Australia, Ltd 01.12.2019 Wiley Subscription Services, Inc
Predmet:	Agreements Clinical medicine clinical validity Interviews joint interview reliability Structured Clinical Interview for the DSM‐5 – Clinician Version test–retest Validity joint interview Structured Clinical Interview for the DSM-5 - Clinician Version reliability test-retest clinical validity
ISSN:	1323-1316, 1440-1819, 1440-1819
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Abstract	Aim The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID‐5‐CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test–retest, joint interview, face‐to‐face vs telephone application) of the SCID‐5‐CV in a large sample of 180 non‐prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience. Methods The SCID‐5‐CV was administered face‐to‐face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM‐5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses. Results The percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test–retest interviews. Conclusion The SCID‐5‐CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice.
AbstractList	The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID-5-CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test-retest, joint interview, face-to-face vs telephone application) of the SCID-5-CV in a large sample of 180 non-prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience. The SCID-5-CV was administered face-to-face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM-5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses. The percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test-retest interviews. The SCID-5-CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice. AimThe Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID‐5‐CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test–retest, joint interview, face‐to‐face vs telephone application) of the SCID‐5‐CV in a large sample of 180 non‐prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience.MethodsThe SCID‐5‐CV was administered face‐to‐face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM‐5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses.ResultsThe percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test–retest interviews.ConclusionThe SCID‐5‐CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice. The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID-5-CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test-retest, joint interview, face-to-face vs telephone application) of the SCID-5-CV in a large sample of 180 non-prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience.AIMThe Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID-5-CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test-retest, joint interview, face-to-face vs telephone application) of the SCID-5-CV in a large sample of 180 non-prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience.The SCID-5-CV was administered face-to-face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM-5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses.METHODSThe SCID-5-CV was administered face-to-face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM-5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses.The percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test-retest interviews.RESULTSThe percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test-retest interviews.The SCID-5-CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice.CONCLUSIONThe SCID-5-CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice. Aim The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID‐5‐CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test–retest, joint interview, face‐to‐face vs telephone application) of the SCID‐5‐CV in a large sample of 180 non‐prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience. Methods The SCID‐5‐CV was administered face‐to‐face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM‐5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses. Results The percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test–retest interviews. Conclusion The SCID‐5‐CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice.
Author	Ushirohira, Juliana M. Guimarães, Thiago Sanches, Rafael Faria Loureiro, Sonia Regina Fracon, Victor S. Pizeta, Fernanda Aguiar Apolinario, Thiago D. Hallak, Jaime Eduardo C. Silva‐Rodrigues, Ana Paula Casagrande Martin‐Santos, Rocio Osório, Flávia L. Bolsoni, Livia M. Crippa, José Alexandre S. Donadon, Mariana F. Baes, Cristiane V. W. dos Santos, Rafael G. Machado‐de‐Sousa, João Paulo Souza, Roberto Mascarenhas
Author_xml	– sequence: 1 givenname: Flávia L. orcidid: 0000-0003-1396-555X surname: Osório fullname: Osório, Flávia L. email: flaliosorio@gmail.com organization: National Institute For Science and Technology (INCT‐TM, CNPq) – sequence: 2 givenname: Sonia Regina surname: Loureiro fullname: Loureiro, Sonia Regina organization: National Institute For Science and Technology (INCT‐TM, CNPq) – sequence: 3 givenname: Jaime Eduardo C. surname: Hallak fullname: Hallak, Jaime Eduardo C. organization: National Institute For Science and Technology (INCT‐TM, CNPq) – sequence: 4 givenname: João Paulo surname: Machado‐de‐Sousa fullname: Machado‐de‐Sousa, João Paulo organization: National Institute For Science and Technology (INCT‐TM, CNPq) – sequence: 5 givenname: Juliana M. surname: Ushirohira fullname: Ushirohira, Juliana M. organization: São Paulo University – sequence: 6 givenname: Cristiane V. W. surname: Baes fullname: Baes, Cristiane V. W. organization: São Paulo University – sequence: 7 givenname: Thiago D. surname: Apolinario fullname: Apolinario, Thiago D. organization: São Paulo University – sequence: 8 givenname: Mariana F. surname: Donadon fullname: Donadon, Mariana F. organization: São Paulo University – sequence: 9 givenname: Livia M. surname: Bolsoni fullname: Bolsoni, Livia M. organization: São Paulo University – sequence: 10 givenname: Thiago surname: Guimarães fullname: Guimarães, Thiago organization: São Paulo University – sequence: 11 givenname: Victor S. surname: Fracon fullname: Fracon, Victor S. organization: São Paulo University – sequence: 12 givenname: Ana Paula Casagrande surname: Silva‐Rodrigues fullname: Silva‐Rodrigues, Ana Paula Casagrande organization: São Paulo University – sequence: 13 givenname: Fernanda Aguiar surname: Pizeta fullname: Pizeta, Fernanda Aguiar organization: São Paulo University – sequence: 14 givenname: Roberto Mascarenhas surname: Souza fullname: Souza, Roberto Mascarenhas organization: São Paulo University – sequence: 15 givenname: Rafael Faria surname: Sanches fullname: Sanches, Rafael Faria organization: São Paulo University – sequence: 16 givenname: Rafael G. surname: dos Santos fullname: dos Santos, Rafael G. organization: National Institute For Science and Technology (INCT‐TM, CNPq) – sequence: 17 givenname: Rocio surname: Martin‐Santos fullname: Martin‐Santos, Rocio organization: University of Barcelona – sequence: 18 givenname: José Alexandre S. surname: Crippa fullname: Crippa, José Alexandre S. organization: National Institute For Science and Technology (INCT‐TM, CNPq)
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/31490607$$D View this record in MEDLINE/PubMed
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Copyright	2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology 2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology. 2019 The Author. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology
Copyright_xml	– notice: 2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology – notice: 2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology. – notice: 2019 The Author. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology
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Snippet	Aim The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version... The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of... AimThe Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version...
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SubjectTerms	Agreements Clinical medicine clinical validity Interviews joint interview reliability Structured Clinical Interview for the DSM‐5 – Clinician Version test–retest Validity
Title	Clinical validity and intrarater and test–retest reliability of the Structured Clinical Interview for DSM‐5 – Clinician Version (SCID‐5‐CV)
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