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Am J Psychiatry 1994; 151:1043-1047
Copyright © 1994 by American Psychiatric Association
Test-retest reliability of team consensus best-estimate diagnoses of axis I and II disorders in a family study
DN Klein, PC Ouimette, HS Kelly, T Ferro and LP Riso
Department of Psychiatry, School of Medicine, State University of New York at Stony Brook 11794-2500.
OBJECTIVE: The present study examined the test-retest reliability of team
consensus best-estimate diagnoses of axis I and II disorders. METHOD: As
part of a series of family studies of outpatients with depressive and
personality disorders, best-estimate diagnoses of relatives were derived in
team diagnostic conferences held regularly over 4 years. Diagnoses were
based on all available information, including direct interviews, family
history data, and treatment records, and explicit guidelines were developed
to resolve discrepancies between data sources. To evaluate the reliability
of the team best-estimate diagnoses, 92 relatives were independently
rediagnosed after a 2-year interval. RESULTS: The reliability of both axis
I and II disorders was good to excellent. The results were similar for
cases in which diagnoses were based on direct interviews plus informant
data and cases in which diagnoses were based on informant data alone.
CONCLUSIONS: These data indicate that the team consensus best-estimate
diagnostic method can be applied consistently, even over an interval of
several years.
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