0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
RELIABILITY OF PSYCHIATRIC DIAGNOSES: 2. A STUDY OF CONSISTENCY OF CLINICAL JUDGMENTS AND RATINGS
A. T. BECK; C. H. WARD; M. MENDELSON; J. E. MOCK; J. K. ERBAUGH
Am J Psychiatry 1962;119:351-357.
View Author and Article Information

The Depts. of Psychiatry, University of Pennsylvania School of Medicine and Philadelphia General Hospital.

text A A A
PDF of the full text article.
Abstract

1. An investigation of the reliability of psychiatric diagnoses was designed to minimize factors that would artificially lower or inflate the rate of concordance. A series of 153 patients were examined independently by paired psychiatrists and diagnoses were made independently according to the standard nomenclature. The degree of agreement (54%) on specific diagnoses was statistically significant (p<.001) and was higher than that obtained in other comparable studies.2. In cases where both diagnosticians indicated they were certain of the diagnosis, the agreement rate (81%) was found to be significantly higher than in the remaining cases.3. When the diagnosticians gave both a preferred diagnosis and an alternative diagnosis, it was found that the rate of agreement between either diagnosis offered by one diagnostician and either diagnosis of the other was 82%. This suggested that the diagnosticians may have been closer in their appraisals than indicated by the scoring of only the preferred diagnoses.4. An additional method of classification consisted of rating the patients on a 4-point scale along a single dimension, viz., the depth of depression. It was found that, when they used this method, the diagnosticians agreed within one scale unit in 99% of the cases.5. It was suggested that the present system of diagnosis could be improved by focusing greater attention on appropriate training in diagnostic skills, the identification of the defects in current interviewing techniques, and the development of more uniform clinical procedures.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 180

Related Content
Articles
Books
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 5.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 9.  >
DSM-5™ Clinical Cases > Chapter 5.  >
DSM-5™ Clinical Cases > Chapter 4.  >
DSM-5™ Clinical Cases > Chapter 16.  >
Topic Collections
Psychiatric News
PubMed Articles