Psychiatric Diagnosis and Classification - ResearchGate

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