Interrater reliability of the structured clinical interview for DSM-III-R, Axis II: Schizophrenia spectrum and affective spectrum disorders

• Published in: Psychiatry research Vol. 39; no. 1; pp. 55 - 63
• Main Authors: Fogelson, David L., Nuechterlein, Keith H., Asarnow, Robert F., Subotnik, Kenneth L., Talovic, Sharon A.
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.10.1991; Elsevier
• Subjects: Affective Disorders, Psychotic - diagnosis; Affective Disorders, Psychotic - genetics; Affective Disorders, Psychotic - psychology; Biological and medical sciences; Bipolar Disorder - diagnosis; Bipolar Disorder - genetics; Bipolar Disorder - psychology; Diagnosis; Humans; Medical sciences; Observer Variation; personality disorders; Personality Disorders - diagnosis; Personality Disorders - genetics; Personality Disorders - psychology; Psychiatric Status Rating Scales - statistics & numerical data; Psychology. Psychoanalysis. Psychiatry; Psychometrics; Psychometrics. Diagnostic aid systems; Psychopathology. Psychiatry; Psychotic Disorders - diagnosis; Psychotic Disorders - genetics; Psychotic Disorders - psychology; reliability; Risk Factors; Schizophrenia - diagnosis; Schizophrenia - genetics; schizophrenia spectrum disorders; Schizophrenic Psychology; SCID-II; Techniques and methods; Diagnosis; SCID-II; personality disorders; schizophrenia spectrum disorders; reliability; Human; Mood disorder; Evaluation scale; Structured Clinical Interview for DSM-III-R, Axis II Spitzer Williams; Schizophrenia; Psychometrics; Personality disorder; Psychosis; Bipolar; Family story; Interrater agreement; Comparative study
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/0165-1781(91)90008-D

Three interviewers (second raters) blindly rated 15 audiotapes each of the Structured Clinical Interview for DSM-III-R, Axis II (SCID-II) administered to the first degree relatives of probands with either DSM-III-R schizophrenia, schizoaffective disorder, or bipolar disorder, for a total of 45 second ratings. Interrater reliability was determined using the intraclass correlation coefficient and ranged from 0.60 to 0.84. The previous studies of the reliability of structured interviews for diagnosing personality disorders are summarized and compared to the present findings. We conclude that the SCID-II can be reliably used to diagnose schizophrenia-spectrum and affective spectrum disorders in the first degree family members of probands with schizophrenic or bipolar affective disorders.