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J Abnorm Psychol. 2001 Feb;110(1):49-58.

Reliability of DSM-IV anxiety and mood disorders: implications for the classification of emotional disorders.

Author information

1
Center for Anxiety and Related Disorders, Boston University, 648 Beacon Street, 6th Floor, Boston, Massachusetts 02215-2013, USA. tabrown@bu.edu

Abstract

The reliability of current and lifetime Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) anxiety and mood disorders was examined in 362 outpatients who underwent 2 independent administrations of the Anxiety Disorders Interview Schedule for DSM-IV: Lifetime version (ADIS-IV-L). Good to excellent reliability was obtained for the majority of DSM-IV categories. For many disorders, a common source of unreliability was disagreements on whether constituent symptoms were sufficient in number, severity, or duration to meet. DSM-IV diagnostic criteria. These analyses also highlighted potential boundary problems for some disorders (e.g., generalized anxiety disorder and major depressive disorder). Analyses of ADIS-IV-L clinical ratings (0-8 scales) indicated favorable interrater agreement for the dimensional features of DSM-IV anxiety and mood disorders. The findings are discussed in regard to their implications for the classification of emotional disorders.

PMID:
11261399
DOI:
10.1037//0021-843x.110.1.49
[Indexed for MEDLINE]

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