Psychiatric Diagnosis and Classification - ResearchGate
Psychiatric Diagnosis and Classification - ResearchGate
Psychiatric Diagnosis and Classification - ResearchGate
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184 PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION<br />
description of the major psychopathologic features during the week prior to<br />
the evaluation, which can then be used as a measure of change. In Part II the<br />
interview allows a detailed description of past psychopathology <strong>and</strong> functioning<br />
relevant to the evaluation of diagnosis, prognosis <strong>and</strong> overall severity<br />
of disturbance, <strong>and</strong> provides a series of questions <strong>and</strong> criteria allowing<br />
the formulation of diagnoses according to the RDC Table 8.1).<br />
The change version SADS-C) is designed for re-interviewing a previously<br />
interviewed study subject, <strong>and</strong> the lifetime version SADS-L) merges the<br />
current <strong>and</strong> past symptomatology sections of the interview, allowing a<br />
more ``longitudinal'' completion of the interview with non-disordered or<br />
recovered respondents. Finally, a version for children <strong>and</strong> adolescents has<br />
recently been published [26].<br />
The SADS has been used widely as a gold st<strong>and</strong>ard for clinical assessment.<br />
Its initial application was in clinical studies where accurate diagnosis<br />
is essential to treatment evaluation. The first application to a community<br />
sample was made by Weissman et al. in 1975 [27].<br />
The Structured Clinical Interview for DSM-IV Axis I<br />
Disorders SCID-I)<br />
The Structured Clinical Interview for DSM-IV Axis I Disorders SCID-I) is a<br />
semi-structured interview originally developed by Spitzer <strong>and</strong> Williams to<br />
assess DSM-III <strong>and</strong> DSM-III-R criteria [28, 29]. The interview was originally<br />
designed to meet the needs of both researchers <strong>and</strong> clinicians. This duality<br />
of purpose created problems for researchers because a lot of potentially<br />
useful specifiers were left out of the DSM-III-R version, <strong>and</strong>, on the other<br />
h<strong>and</strong>, clinicians still felt that the amount of detail included made the interview<br />
too long <strong>and</strong> complex. The SCID-I therefore comes in two versions:<br />
Clinician Version SCID-CV) <strong>and</strong> Research Version.<br />
The Clinician Version [30] is a streamlined version of the SCID-I available<br />
from the American <strong>Psychiatric</strong> Press http://www.appi.org, see the category<br />
``DSM-IV library''). It is an adaptation of the SCID that is intended to introduce<br />
the benefits of structured interviewing into clinical settings. It is published<br />
in two parts: a reusable administration booklet with color-coded tabs)<br />
<strong>and</strong> one-time-use-only scoresheets. The SCID-CV is divided into six relatively<br />
self-contained modules: a) mood episodes; b) psychotic symptoms;<br />
c) psychotic disorders; d) mood disorders; e) substance use disorders; <strong>and</strong><br />
f) anxiety <strong>and</strong> other disorders. Seven diagnostic categories are not addressed<br />
i.e. developmental disorders, sleep disorders, factitious disorders, organic<br />
mental disorders, sexual disorders, <strong>and</strong> impulse control disorders). The<br />
SCID-CV can be used partially to confirm <strong>and</strong> document a suspected DSM-<br />
IV diagnosis or be administered completely to evaluate systematically all of