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Clinical assessment of psychiatric consultations in a medical long‐term care facility: Interrater reliability for DSM‐III diagnostic groups
Author(s) -
Foster Jeffrey R.,
Rubenstein Karen S.,
Welkowitz Joan,
Boksay Istvan,
Seeland Irene
Publication year - 1989
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.930040507
Subject(s) - inter rater reliability , psychopathology , psychiatry , medical diagnosis , population , schizophrenia (object oriented programming) , psychology , organic mental disorders , cohen's kappa , medicine , clinical psychology , rating scale , developmental psychology , delirium , environmental health , pathology , machine learning , computer science
The reliability of the DSM‐III diagnostic system was assessed in a medical long‐term care facility population that was recently seen in psychiatric consultation. Six standard rating scales were used to determine interrater agreement for perceiving psychopathology prior to selecting diagnoses. The findings were that six major diagnostic groups could be accurately distinguished from one another: no disorder; organic mental disorders; affective disorders; paranoid disorders; schizophrenia and psychotic disorders not elsewhere classified; and a mixed group of other diagnoses that occurred in low frequency in this study population. The interrater reliability (kappa = 0.64–0.70) was comparable to that found in the general psychiatric population.