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Using consensus OPCRIT diagnoses. An efficient procedure for best-estimate lifetime diagnoses.

M H Azevedo·M J Soares·I Coelho·A Dourado·J Valente·A Macedo·M Pato·C Pato
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Abstract

BACKGROUND: The Operational Criteria Checklist (OPCRIT) generates diagnoses according to 12 operational diagnostic systems (e.g. DSM-III, DSM-III-R, Research Diagnostic Criteria, ICD-10). AIMS: To examine the agreement between diagnoses generated by the OPCRIT, as completed by the interviewer, with a best-estimate lifetime procedure using the OPCRIT. METHOD: Subjects came from large multi-generational bipolar or schizophrenia pedigrees (n = 100), and from a sample of unrelated subjects with schizophrenia (n = 40). We analysed the diagnostic agreement between OPCRIT diagnoses generated by the interviewer and our best-estimate OPCRIT diagnoses, according to DSM-III-R and ICD-10, using Cohen kappa statistics. RESULTS: Excellent agreement was found between interviewer OPCRIT diagnoses and OPCRIT diagnoses made by the best-estimate lifetime consensus procedure for DSM-III-R (kappa = 0.83) and ICD-10 (kappa = 0.81). CONCLUSIONS: Results suggest that this procedure for diagnostic assessment is an efficient alternative to classic best-estimate diagnosis procedures.

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AlgorithmsBipolar DisorderHumansObserver VariationPsychiatric Status Rating ScalesSchizophreniaSensitivity and SpecificityJournal ArticleResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.

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M H Azevedo, M J Soares, I Coelho, A Dourado, J Valente, A Macedo, M Pato, C Pato. 1999. Using consensus OPCRIT diagnoses. An efficient procedure for best-estimate lifetime diagnoses.. https://doi.org/10.1192/bjp.175.2.154

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