Reliability and Clinical Utility of DSM-IV Substance-Induced Psychiatric Disorders in Acute Psychiatric Inpatients

The goal of this study was to evaluate in 1,951 acute psychiatric inpatients the reliability, construct, convergent, and predictive validity of substance-induced psychiatric syndrome ratings made by clinical attending psychiatrists. The primary admitting condition for each subject was categorically...

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Bibliographic Details
Published inThe American journal on addictions Vol. 10; no. 4; pp. 308 - 318
Main Authors Ries, Richard K., Demirsoy, Alpay, Russo, Joan E., Arrett, Joseph B, Roy-Byrne, Peter P.
Format Journal Article
LanguageEnglish
Published England Informa UK Ltd 2001
Subjects
Acute Disease
Adult
Female
Hospitals, Psychiatric
Hospitals, Urban
Humans
Inpatients - statistics & numerical data
Male
Mental Disorders - diagnosis
Predictive Value of Tests
Psychiatric Status Rating Scales - statistics & numerical data
Psychopathology
Reproducibility of Results
Substance-Related Disorders - psychology
Washington
Washington
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Summary:The goal of this study was to evaluate in 1,951 acute psychiatric inpatients the reliability, construct, convergent, and predictive validity of substance-induced psychiatric syndrome ratings made by clinical attending psychiatrists. The primary admitting condition for each subject was categorically rated by clinical attendings as not, mildly, moderately, or mostly substance-induced at both admission and discharge. Individual substance categories were associated with characteristic demographic, clinical treatment response, and length of stay, findings indicating good construct, predictive validity, and clinical utility. A linear dimensional approach to rating substance-induced syndromes in acute clinical populations may be preferable to the simple dichotomous approach used in DSM-IV. (Am J Addict 2001;10:308- 318)
ISSN:1055-0496
1521-0391
DOI:10.1080/aja.10.4.308.318