Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-14T05:07:04.826Z Has data issue: false hasContentIssue false

The Stability of Psychiatric Diagnoses

Published online by Cambridge University Press:  29 January 2018

R. E. Kendell*
Affiliation:
Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF

Extract

Numerous studies of the reliability of psychiatric diagnosis have been published in the last twenty years, but most have been based either on a comparison of the diagnoses made by two or more raters at a single joint interview, or separate interviews a few days apart (the observer agreement model), or on a comparison of the overall spectrum of diagnoses assigned to two comparable series of patients (the frequency agreement model). Comparisons between the diagnoses assigned to patients on successive admissions, or at other widely separated points in time (the consistency or stability model), have been carried out less often, in spite of the fact that the usefulness of our diagnostic categories is just as dependent on temporal stability as on reliability in an observer agreement situation.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1974 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Babigian, H. M., Gardner, E. A., Miles, H. C., and Romano, J. (1965). ‘Diagnostic consistency and change in a follow-up study of 1,215 patients.’ American Journal of Psychiatry, 121, 895901.CrossRefGoogle Scholar
Cooper, J. E. (1967). ‘Diagnostic change in a longitudinal study of psychiatric patients.’ British Journal of Psychiatry, 113, 129–42.CrossRefGoogle Scholar
Lewis, N. D. C., and Piotrowski, Z. A. (1954). ‘Clinical diagnosis of manic-depressive psychosis’, in Depression (ed. Hoch, and Zubin, ), pp. 2538. New York.Google Scholar
Masserman, J. H., and Carmichael, H. T. (1938). ‘Diagnosis and prognosis in psychiatry.’ Journal of Mental Science, 84, 893946.Google Scholar
Ødegaard, Ø. (1966). ‘An official diagnostic classification in actual hospital practice.’ Acta Psychiatrica Scandinavica, 42, 329–37.Google Scholar
Roth, M., Gurney, C., Garside, R. F., and Kerr, T. A. (1972). ‘Studies in the classification of affective disorders: the relationship between anxiety states and depressive illnesses.’ British Journal of Psychiatry, 121, 147–61.Google Scholar
Slater, E. (1965). ‘Diagnosis of hysteria.’ British Medical Journal, i, 1395–9.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.