Comparison of clinical and research diagnoses of substance use disorders in a first-admission psychotic sample

Author(s): Naisbergfennig, S., Craig, T. J., Tanenbergkarant, M., Bromet, E. J.

Journal/Book: Amer J Addiction. 1996; 5: 1400 K St NW, Washington, DC 20005. Amer Psychiatric Association. 40-48.

Abstract: In a sample of 294 first-admission psychotic subjects participating in an epidemiologic study, a diagnosis of comorbid psychoactive substance rise disorder (PSUD) was made less frequently by clinicians at the treating facilities (17.7%) than by the research diagnosticians (28.9%). The level of agreement was moderate (kappa = 0.49), and the clinical diagnoses showed high specificity (0.95) belt low, sensitivity (0.48). Concordance between clinical and research diagnosis of PSUD was not significantly associated with demographic or clinical characteristics; the major reason for the discordance was criterion variance.

Note: Article S Fennig, SUNY Stony Brook, Dept Psychiat, Div Epidemiol, Putnam Hall S Campus, Stony Brook, NY 11794 USA

Keyword(s): INTERVIEW SCHEDULE; ABUSE; VALIDITY; HISTORY; DRUG

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