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

Inter-Rater Reliability of the Diagnoses of Psychosis and Depression in Individuals with Intellectual Disabilities

Inter-Rater Reliability of the Diagnoses of Psychosis and Depression in Individuals with Intellectual Disabilities

Journal of Applied Research in Intellectual Disabilities 20(5): 384-390

BACKGROUND: There is a history of over-prescription of antipsychotics to individuals with intellectual disability (ID), while antidepressants may be under-prescribed. However, appropriate treatment is best supported when the diagnosis of psychosis or depression is valid and carries good predictive validity. The present authors report a study examining one aspect of validity, namely whether skilled clinicians can agree on whether an individual with an ID is psychotic or depressed. MATERIALS AND METHODS: Pairs of clinicians assessed 52 individuals. Agreement was assessed using Cohen's kappa statistic and agreement proportion. RESULTS: Overall agreement was high for both psychosis and depression. Whether the individual had mild ID or moderate/severe ID did not have a significant impact on agreement. CONCLUSIONS: Experienced clinicians achieved a high level of agreement as to whether a person with ID was psychotic or depressed similar to that found for those without ID. The findings provide some support for treatment interventions based on diagnosis.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 053900757

Download citation: RISBibTeXText

PMID: 19096529

DOI: 10.1111/j.1468-3148.2007.00381.x

Related references

Inter-rater reliability of professional-caregiver-reported life events in adults with intellectual disabilities. Journal of Intellectual Disability Research 61(7): 697-706, 2018

The Adult Attachment Projective Picture System: a pilot study of inter-rater reliability and face validity with adults with intellectual disabilities. Advances in Mental Health and Intellectual Disabilities 12(2): 57-66, 2018

Inter-rater reliability of Hamilton depression rating scale using video- recorded interviews - Focus on rater-blinding. Indian Journal of Psychiatry 51(3): 191-194, 2009

Inter-rater reliability of dementia diagnoses from clinical data. European Journal of Neurology 10(Suppl. 1): 234, 2003

Inter-rater reliability in assigning ICF codes to children with disabilities. Disability and Rehabilitation 26(6): 353-361, 2004

Statistical Characteristics of the Weighted Inter-Rater Reliability Index for Clinically Validating Nursing Diagnoses. International Journal of Nursing Knowledge 26(4): 150-155, 2017

Inter-rater reliability and stability of diagnoses of autism spectrum disorder in children identified through screening at a very young age. European Child and Adolescent Psychiatry 18(11): 663-674, 2010

Inter-rater Reliability in Videos of Patients With a Suspected Diagnostic of Autism and Child Psychosis. Revista Colombiana de Psiquiatria 48(2): 80-87, 2019

Inter-rater reliability of the Hamilton Depression Rating Scale as a diagnostic and outcome measure of depression in primary care. Journal of Affective Disorders 111(2-3): 204-213, 2008

Inter-rater, intra-rater, and inter-machine reliability of quantitative ultrasound measurements of the patellar tendon. Ultrasound in Medicine and Biology 39(5): 791-796, 2013

Diagnostic interview for genetic studies (DIGS): Inter-rater and test-retest reliability of alcohol and drug diagnoses. Drug and Alcohol Dependence 65(2): 149-158, 2002

Ultrasound measures of tendon thickness: Intra-rater, Inter-rater and Inter-machine reliability. Muscles, Ligaments and Tendons Journal 7(1): 192-199, 2017

OASIS inter-rater reliability and reimbursement: a study of inter-rater reliability of the Outcome and Assessment Information Set (OASIS): its effects on the Home Health Resource Group (HHRG) and reimbursement. Home Healthcare Nurse 28(1): 31-36, 2010

The impact of revised DSM-5 criteria on the relative distribution and inter-rater reliability of eating disorder diagnoses in a residential treatment setting. Psychiatry Research 229(1-2): 517-523, 2016

Inter-Rater Reliability and Intra-Rater Reliability of Assessing the 2-Minute Push-Up Test. Military Medicine 181(2): 167-172, 2017