Influence of Psychoactive Substance Use on the Reliability of Psychiatric Diagnosis

Eric Walter Corty, Anthony F. Lehman, C. Patrick Myers

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

The interrater reliability of diagnoses made on the basis of a structured interview for psychiatric patients with and without psychoactive substance use disorders (PSUDs) was examined. Forty-seven pairs of ratings by 9 different clinical interviewers were used. Results supported 3 major findings: (a) The interrater reliability for non-PSUD psychiatric diagnoses is quite high when a subject has no diagnosable PSUD; it is lower, though still substantial, when a PSUD is present. (b) Interviewers are not aware of this and are just as certain of the accuracy of their diagnoses when a PSUD is present as when one is not. (c) Interrater reliability is moderate to substantial as to the judgment of whether, when a non-PSUD diagnosis is present, it is caused by the use of psychoactive substances. The implications of these findings for the appropriate selection of treatments for dually diagnosed patients are discussed.

Original languageEnglish (US)
Pages (from-to)165-170
Number of pages6
JournalJournal of consulting and clinical psychology
Volume61
Issue number1
DOIs
StatePublished - Jan 1 1993

Fingerprint

Mental Disorders
Substance-Related Disorders
Interviews
Psychiatry

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

@article{f4a578beec9a4d09819ebb8c3443b1a1,
title = "Influence of Psychoactive Substance Use on the Reliability of Psychiatric Diagnosis",
abstract = "The interrater reliability of diagnoses made on the basis of a structured interview for psychiatric patients with and without psychoactive substance use disorders (PSUDs) was examined. Forty-seven pairs of ratings by 9 different clinical interviewers were used. Results supported 3 major findings: (a) The interrater reliability for non-PSUD psychiatric diagnoses is quite high when a subject has no diagnosable PSUD; it is lower, though still substantial, when a PSUD is present. (b) Interviewers are not aware of this and are just as certain of the accuracy of their diagnoses when a PSUD is present as when one is not. (c) Interrater reliability is moderate to substantial as to the judgment of whether, when a non-PSUD diagnosis is present, it is caused by the use of psychoactive substances. The implications of these findings for the appropriate selection of treatments for dually diagnosed patients are discussed.",
author = "Corty, {Eric Walter} and Lehman, {Anthony F.} and Myers, {C. Patrick}",
year = "1993",
month = "1",
day = "1",
doi = "10.1037/0022-006X.61.1.165",
language = "English (US)",
volume = "61",
pages = "165--170",
journal = "Journal of Consulting and Clinical Psychology",
issn = "0022-006X",
publisher = "American Psychological Association Inc.",
number = "1",

}

Influence of Psychoactive Substance Use on the Reliability of Psychiatric Diagnosis. / Corty, Eric Walter; Lehman, Anthony F.; Myers, C. Patrick.

In: Journal of consulting and clinical psychology, Vol. 61, No. 1, 01.01.1993, p. 165-170.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Influence of Psychoactive Substance Use on the Reliability of Psychiatric Diagnosis

AU - Corty, Eric Walter

AU - Lehman, Anthony F.

AU - Myers, C. Patrick

PY - 1993/1/1

Y1 - 1993/1/1

N2 - The interrater reliability of diagnoses made on the basis of a structured interview for psychiatric patients with and without psychoactive substance use disorders (PSUDs) was examined. Forty-seven pairs of ratings by 9 different clinical interviewers were used. Results supported 3 major findings: (a) The interrater reliability for non-PSUD psychiatric diagnoses is quite high when a subject has no diagnosable PSUD; it is lower, though still substantial, when a PSUD is present. (b) Interviewers are not aware of this and are just as certain of the accuracy of their diagnoses when a PSUD is present as when one is not. (c) Interrater reliability is moderate to substantial as to the judgment of whether, when a non-PSUD diagnosis is present, it is caused by the use of psychoactive substances. The implications of these findings for the appropriate selection of treatments for dually diagnosed patients are discussed.

AB - The interrater reliability of diagnoses made on the basis of a structured interview for psychiatric patients with and without psychoactive substance use disorders (PSUDs) was examined. Forty-seven pairs of ratings by 9 different clinical interviewers were used. Results supported 3 major findings: (a) The interrater reliability for non-PSUD psychiatric diagnoses is quite high when a subject has no diagnosable PSUD; it is lower, though still substantial, when a PSUD is present. (b) Interviewers are not aware of this and are just as certain of the accuracy of their diagnoses when a PSUD is present as when one is not. (c) Interrater reliability is moderate to substantial as to the judgment of whether, when a non-PSUD diagnosis is present, it is caused by the use of psychoactive substances. The implications of these findings for the appropriate selection of treatments for dually diagnosed patients are discussed.

UR - http://www.scopus.com/inward/record.url?scp=85046519924&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85046519924&partnerID=8YFLogxK

U2 - 10.1037/0022-006X.61.1.165

DO - 10.1037/0022-006X.61.1.165

M3 - Article

C2 - 8450103

AN - SCOPUS:85046519924

VL - 61

SP - 165

EP - 170

JO - Journal of Consulting and Clinical Psychology

JF - Journal of Consulting and Clinical Psychology

SN - 0022-006X

IS - 1

ER -