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Interviewing as Communication: An Alternative Way of Administering the Diagnostic Interview Schedule for Children

Interviewing as Communication: An Alternative Way of Administering the Diagnostic Interview... Parents of 24 children referred to an outpatient psychology clinic (mean child age 10.8, range 6–15) were administered the Diagnostic Interview Schedule for Children Version 2.3 (DSIC-2.3) twice in a 1-week test–retest reliability design (mean retesting interval = 7.5 days, range = 6–11 days). An alternative mode of administration of the DISC, based on communication principles, was used, involving (a) a schematic representation of the areas to be covered; (b) definition of a common language for the categories, diagnoses, and criteria; and (c) the respondent being allowed to select the order in which the diagnostic areas were covered. The DISC items and modules were unchanged. Symptom scores derived from the DISC were highly reliable over 1 week (average ICC = .85, range = .67–.95) and showed no attenuation from Time 1 to Time 2. Reliability of DSM diagnoses averaged kappa = .80 (range = .63–1.0). There was no significant attenuation in diagnoses from Time 1 to Time 2. Overall, this alternative way of administering the DISC appears to have promise for reducing attenuation and boosting the reliability—and ultimately the validity—of child psychiatric diagnoses. Further investigations of the mechanisms underlying these effects, and further studies with child and adolescent respondents and nonreferred community samples are recommended. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Abnormal Child Psychology Springer Journals

Interviewing as Communication: An Alternative Way of Administering the Diagnostic Interview Schedule for Children

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References (24)

Publisher
Springer Journals
Copyright
Copyright © 1999 by Plenum Publishing Corporation
Subject
Psychology; Clinical Psychology; Developmental Psychology
ISSN
0091-0627
eISSN
1573-2835
DOI
10.1023/A:1021979925865
Publisher site
See Article on Publisher Site

Abstract

Parents of 24 children referred to an outpatient psychology clinic (mean child age 10.8, range 6–15) were administered the Diagnostic Interview Schedule for Children Version 2.3 (DSIC-2.3) twice in a 1-week test–retest reliability design (mean retesting interval = 7.5 days, range = 6–11 days). An alternative mode of administration of the DISC, based on communication principles, was used, involving (a) a schematic representation of the areas to be covered; (b) definition of a common language for the categories, diagnoses, and criteria; and (c) the respondent being allowed to select the order in which the diagnostic areas were covered. The DISC items and modules were unchanged. Symptom scores derived from the DISC were highly reliable over 1 week (average ICC = .85, range = .67–.95) and showed no attenuation from Time 1 to Time 2. Reliability of DSM diagnoses averaged kappa = .80 (range = .63–1.0). There was no significant attenuation in diagnoses from Time 1 to Time 2. Overall, this alternative way of administering the DISC appears to have promise for reducing attenuation and boosting the reliability—and ultimately the validity—of child psychiatric diagnoses. Further investigations of the mechanisms underlying these effects, and further studies with child and adolescent respondents and nonreferred community samples are recommended.

Journal

Journal of Abnormal Child PsychologySpringer Journals

Published: Sep 30, 2004

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