+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Are Psychiatric Diagnoses an Obstacle for Research and Practice? Reliability, Validity and the Problem of Psychiatric Diagnoses. The Case of GAD

Are Psychiatric Diagnoses an Obstacle for Research and Practice? Reliability, Validity and the Problem of Psychiatric Diagnoses. The Case of GAD

Clinical Practice and Epidemiology in Mental Health 8: 12-15

The present article focused on the problem of validity, reliability and specificity of psychiatric diagnoses.The authors moved by the concept of syndrome, defined by Sydenham in the 18th century as a constellation of several interrelated symptoms, showing a stable, characteristic structure and a peculiar prognosis, in order to analyse the peculiarity of the current psychiatric nosology. In our opinion, the current nosographic system based on DSM-IV criteria, prevents psychiatry from benefiting of the significant technological progress that has led the rest of medical sciences to important clinical achievements in the last 20 years. The case of Generalized Anxiety Disorder was taken as an example of a disease characterized by unstable diagnostic criteria, high rate of comorbidity and uncertain boundaries. An analysis of the data from the Sesto Fiorentino study was performed to investigate the presence of common mood and anxiety symptoms across the most represented DSM IV diagnoses, in order to evaluate the specificity of these symptoms.The results supported the hypothesis of a low specificity of these symptoms, suggesting the need for psychiatry to find new and more specific markers and instruments.

(PDF emailed within 1 workday: $29.90)

Accession: 051625548

Download citation: RISBibTeXText

PMID: 22408646

Related references

A brief, clinically useful, clinician-rated dimensional rating system for psychiatric diagnoses: reliability and validity in psychiatric outpatients. Annals of Clinical Psychiatry 26(4): 261-269, 2015

Concepts of psychiatric diagnoses: a further investigation of the reliability of psychiatric diagnoses. Archiv für Psychiatrie und Nervenkrankheiten 223(1): 45-58, 1976

The Reliability of Psychiatric Diagnoses: Point-Our psychiatric Diagnoses are Still Unreliable. Psychiatry: 22-25, 2007

The reliability of psychiatric, and the validity of psychological, diagnoses. Journal of Mental Science 101(425): 851-862, 1955

Psychosocial impairment is significant in young referred children with and without psychiatric diagnoses and cognitive delays--applicability and reliability of diagnoses in face of co-morbidity. European Child and Adolescent Psychiatry 12(5): 239-248, 2003

Psychiatric diagnoses as predictors of suicide. A comparison of diagnoses at conscription and in psychiatric care in a cohort of 50,465 young men. British Journal of Psychiatry 157: 339-344, 1990

Validity of diagnoses in the Danish Psychiatric Central Research Register. Ugeskrift for Laeger 175(20): 1399, 2013

The reliability of psychiatric diagnoses based on alternative research criteria. Journal of Psychiatric Treatment & Evaluation 4(3): 209-220, 1982

The validity of psychiatric diagnoses: the case of 'specific' developmental disorders. Research in Developmental Disabilities 32(6): 2704-2713, 2012

The use of case vignettes in studies of interrater reliability of psychiatric target syndromes and diagnoses. A comparison of ICD-8, ICD-10 and DSM-III. Acta Psychiatrica Scandinavica 80(6): 632-638, 1989

Validity of reaction to severe stress and adjustment disorder diagnoses in the Danish Psychiatric Central Research Registry. Clinical Epidemiology 7: 235-242, 2015

A test-retest reliability study of child-reported psychiatric symptoms and diagnoses using the Child and Adolescent Psychiatric Assessment (CAPA-C). Psychological Medicine 25(4): 755-762, 1995

Psychiatric and medical diagnoses as risk factors for mortality in psychiatric patients: a case-control study. American Journal of Psychiatry 144(2): 208-211, 1987

Validity and psychiatric diagnoses. JAMA Psychiatry 70(2): 138-139, 2013

The reliability of psychiatric diagnoses. Journal of Abnormal and Social Psychology 44(2): 272-276, 1949