| Full text | |
| Author(s): |
Quintana, Maria Ines
[1]
;
Mari, Jair de Jesus
;
Ribeiro, Wagner Silva
;
Jorge, Miguel Roberto
;
Andreoli, Sergio Baxter
Total Authors: 5
|
| Affiliation: | [1] Univ Fed Sao Paulo, Escola Paulista Med, Dept Psiquiatria, BR-04026001 Sao Paulo - Brazil
Total Affiliations: 1
|
| Document type: | Journal article |
| Source: | Cadernos de Saúde Pública; v. 28, n. 7, p. 1312-1318, JUL 2012. |
| Web of Science Citations: | 10 |
| Abstract | |
The objective was to study the accuracy of the post-traumatic stress disorder (PTSD) section of the Composite International Diagnostic Interview (CIDI 2.1) DSM-IV diagnosis, using the Structured Clinical Interview (SCID) as gold standard, and compare the ICD-10 and DSM IV classifications for PTSD. The CIDI was applied by trained lay interviewers and the SCID by a psychologist. The subjects were selected from a community and an outpatient program. A total of 67 subjects completed both assessments. Kappa coefficients for the ICD-10 and the DSM IV compared to the SCID diagnosis were 0.67 and 0.46 respectively. Validity for the DSM IV diagnosis was: sensitivity (51.5%), specificity (94.1%), positive predictive value (9.5%), negative predictive value (66.7%), misclassification rate (26.9%). The CIDI 2.1 demonstrated low validity coefficients for the diagnosis of PTSD using DSM IV criteria when compared to the SCID. The main source of discordance in this study was found to be the high probability of false-negative cases with regards to distress and impairment as well as to avoidance symptoms. (AU) | |
| FAPESP's process: | 04/15039-0 - Post-traumatic stress disorder: epidemiology, physiopathology and treatment |
| Grantee: | Jair de Jesus Mari |
| Support Opportunities: | Research Projects - Thematic Grants |