J Korean Neuropsychiatr Assoc.
2000 Mar;39(2):362-372.
Development of Korean Version of Structured Clinical Interview Schedule for DSM-IV Axis I Disorder: Interrater Reliability
- Affiliations
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- 1Asan Medical Center, Department of Psychiatry, College of Medicine, Ulsan University, Korea.
- 2Ulsan University Hospital, Department of Psychiatry, College of Medicine, Ulsan University, Ulsan, Korea.
- 3Department of Psychiatry, College of Medicine, Seoul National University, Seoul, Korea.
- 4Department of Psychiatry, College of Medicine, Inha University, Incheon, Korea.
- 5Gachon Medical School, Gil Medical Center, Incheon, Korea.
- 6Korean Institute for Health and Social Affair, Seoul, Korea.
Abstract
OBJECTIVE
Accurate diagnosis and assessment for psychiatric disorders is crucial for research, as well as for clinical practice. Structured Clinical Interview for DSM-IV(SCID-RV) is a less time-consumimg and more accurate structured diagnostic interview form. It can be used by clinical professions and is known for a reliable diagnostic tool. Present study was conducted to develop Korean version of SCID-RV and to test the inter-rater reliability. METHOD: The authors have translated original SCID-RV into Korean, and revised in parallel with sociocultural background of Korea. Ninety patients from two psychiatric hospitals, both outpatient and inpatient, were interviewed and rated independently by three raters. RESULT: The kappa coefficients for most of illnesses, such as major depressive disorder, dysthymia, schizophrenia, alcohol abuse and dependency, anxiety disorder and eating disorder were excellent (>0.70) in the evaluation of current disorders. And the kappa coefficients for bipolar disorder, delusional disorder, agoraphobia, undifferentiated somatoform disorder, and hypochondriasis were acceptable (>0.40) in the evaluation of current disorders. In the evaluation of lifetime disorders, the concordant rates of all the diagnoses except bipolar disorder and undifferentiated somatoform disorder were excellent. Lack of hierarchy in DSM-IV allows for multiple Axis I diagnoses. Mean numbers of Axis I diagnoses per subject assigned by the three raters were 1.5-1.7.
CONCLUSION
Our findings confirm that SCID-RV yields highly reliable diagnoses. SCID-RV is recommended for accurate diagnosis in clinical practice and research on psychiatric disorders.
MeSH Terms
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Agoraphobia
Alcoholism
Anxiety Disorders
Appointments and Schedules*
Axis, Cervical Vertebra*
Bipolar Disorder
Depressive Disorder, Major
Diagnosis
Diagnostic and Statistical Manual of Mental Disorders*
Feeding and Eating Disorders
Hospitals, Psychiatric
Humans
Hypochondriasis
Inpatients
Korea
Outpatients
Schizophrenia
Schizophrenia, Paranoid
Somatoform Disorders
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