Major depression and the NIMH Diagnostic Interview Schedule: validation in medically ill hospitalized patients.

Published

Journal Article (Review)

The authors validate the usefulness of the Diagnostic Interview Schedule (DIS) in prevalence studies of major depression (MD) in medically ill male veterans. The affective disorders portion of the DIS was administered by a trained interviewer to a representative sample of 408 medically-ill hospitalized patients (75% over age 70). Using a standardized handscoring method for the DIS, the patients were categorized as having or not having MD. Using a two-stage design, sixty-nine patients scoring above a cutoff score on a self-rated depression scale were referred for blind evaluation by a psychiatrist. The psychiatrist made a clinical diagnosis of MD using a standard checklist of DSM-III criteria. The DIS correctly diagnosed MD in 78 percent (14/18) of older and 69 percent (9/13) of younger patients, and correctly ruled out the disorder in 65 percent (15/23) of older and 67 percent (10/15) of younger patients; the kappa statistic of agreement was .40 in older and .36 in younger patients.

Full Text

Duke Authors

Cited Authors

  • Koenig, HG; Goli, V; Shelp, F; Cohen, HJ; Meador, KG; Blazer, DG

Published Date

  • 1989

Published In

Volume / Issue

  • 19 / 2

Start / End Page

  • 123 - 132

PubMed ID

  • 2681026

Pubmed Central ID

  • 2681026

International Standard Serial Number (ISSN)

  • 0091-2174

Language

  • eng

Conference Location

  • United States