Structured Clinical Interview for DSM‐5 – Clinician Version

Finns inte i Sverige officiellt. Se SCID-IV istället!

The Structured Clinical Interview for the DSM is one of the most used diagnostic instruments in clinical research worldwide. The current Clinician Version of the instrument (SCID‐5‐CV) has not yet been assessed in respect to its psychometric qualities. We aimed to assess the clinical validity and different reliability indicators (interrater test–retest, joint interview, face‐to‐face vs telephone application) of the SCID‐5‐CV in a large sample of 180 non‐prototypical and psychiatric patients based on interviews conducted by raters with different levels of clinical experience.

Methods
The SCID‐5‐CV was administered face‐to‐face and by telephone by 12 psychiatrists/psychologists who took turns as raters and observers. Clinical diagnoses were established according to DSM‐5 criteria and the longitudinal, expert, all data (LEAD) procedure. We calculated the percentage of agreement, diagnostic sensitivity and specificity, and the level of agreement (kappa) for diagnostic categories and specific diagnoses.

Results
The percentage of positive agreement between the interview and clinical diagnoses ranged between 73% and 97% and the diagnostic sensitivity/specificity were >0.70. In the joint interview, the levels of positive agreement were high (>75%) and kappa levels were >0.70 for most diagnoses. The values were less expressive, but still adequate, for interrater test–retest interviews.

Conclusion
The SCID‐5‐CV presented excellent reliability and high specificity as assessed with different methods. The clinical validity of the instrument was also confirmed, which supports its use in daily clinical practice. We highlight the adequacy of the instrument to be used via telephone and the need for careful use by professionals with little experience in psychiatric clinical practice.

Källa:
Osório, F.L., Loureiro, S.R., Hallak, J.E.C., Machado‐de‐Sousa, J.P., Ushirohira, J.M., Baes, C.V.W., Apolinario, T.D., Donadon, M.F., Bolsoni, L.M., Guimarães, T., Fracon, V.S., Silva‐Rodrigues, A.P.C., Pizeta, F.A., Souza, R.M., Sanches, R.F., dos Santos, R.G., Martin‐Santos, R. and Crippa, J.A.S. (2019), Clinical validity and intrarater and test–retest reliability of the Structured Clinical Interview for DSM‐5 – Clinician Version (SCID‐5‐CV). Psychiatry Clin. Neurosci., 73: 754-760. doi:10.1111/pcn.12931

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American Psychological Association.

The Structured Clinical Interview for DSM-5® Disorders—Clinician Version (SCID-5-CV) guides the clinician step-by-step through the DSM-5 diagnostic process. Interview questions are provided conveniently alongside each corresponding DSM-5 criterion, to aid in rating each criterion as either present or absent. A unique and valuable tool, the SCID-5-CV covers the DSM-5 diagnoses most commonly seen in clinical settings. The User’s Guide for the SC/D-5-CV provides comprehensive instructions on how to use the SCID-5-CV effectively and accurately. It not only describes the rationale, structure, conventions, and usage of the SCID-5-CV, but also discusses in detail how to interpret and apply the specific DSM-5 criteria for each of the disorders included in the SCID-5-CV. A number of sample role-play and homework cases are also included to help clinicians learn how to use the SCID-5-CV. Together with the SCID-5-CV, the User’s Guide for the SCID-5-CV will prove invaluable to clinicians, researchers, interviewers, and students in the mental health professions who seek to integrate time-tested interview questions corresponding to the DSM-5 criteria into their DSM-5 diagnostic assessment process.

First MB, Williams JBW, Karg RS, Spitzer RL. Structured Clinical Interview for DSM‐5 Disorders, Clinician Version (SCID‐5‐CV). Artmed, Porto Alegre, 2017.

https://psycnet-apa-org.ezp.sub.su.se/record/2016-15667-000