Concordance between symptom screening and diagnostic procedure : the Hopkins Symptom Checklist-25 and the Composite International Diagnostic Interview I.
The definition of case is a core issue in psychiatric epidemiology.
Psychiatric symptom screening scales have been extensively used in population studies for many decades.
Structured diagnostic interviews have become available during recent years to give exact diagnoses through carefully undertaken procedures.
The aim of this article was to assess how well the Hopkins Symptom Checklist-25 (HSCL-25) predicted cases by the Composite International Diagnostic Interview (CIDI). and find the optimal cut-offs on the HSCL-25 for each diagnosis and gender.
Characteristics of concordant and discordant cases were explored.
In a Norwegian two-stage survey mental health problems were measured by the HSCL-25 and the CIDI.
Only 46% of the present CIDI diagnoses were predicted by the HSCL-25.
Comorbidity between CIDI diagnoses was found more than four times as often in the concordant cases (cases agreed upon by both instruments) than in the discordant CIDI cases.
Concordant cases had more depression and panic,/generalized anxiety disorders.
Neither the anxiety nor the depression subscales improved the prediction of anxiety or depression.
The receiver operating characteristic (ROC) curves confirmed that the HSCL-25 gave best information about depression.
Except for phobia it predicted best for men.
Optimal HSCL-25 cut-off was 1.67 for men and 1.75 for women. (...)
Mots-clés Pascal : Psychométrie, Dépistage, Symptomatologie, Diagnostic, Epidémiologie, Santé mentale, Méthodologie, Homme, Symptom Checklist 25 Hopkins, Composite International Diagnostic Interview
Mots-clés Pascal anglais : Psychometrics, Medical screening, Symptomatology, Diagnosis, Epidemiology, Mental health, Methodology, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0320377
Code Inist : 002B18B01. Création : 27/11/1998.