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. 2013 Dec;22(4):303-21.
doi: 10.1002/mpr.1398.

Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

Ronald C Kessler  1 , Patcho N Santiago, Lisa J Colpe, Catherine L Dempsey, Michael B First, Steven G Heeringa, Murray B Stein, Carol S Fullerton, Michael J Gruber, James A Naifeh, Matthew K Nock, Nancy A Sampson, Michael Schoenbaum, Alan M Zaslavsky, Robert J Ursano
Affiliations

Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

Ronald C Kessler et al. Int J Methods Psychiatr Res. 2013 Dec.

Abstract

A clinical reappraisal study was carried out in conjunction with the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) All-Army Study (AAS) to evaluate concordance of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnoses based on the Composite International Diagnostic Interview Screening Scales (CIDI-SC) and post-traumatic stress disorder (PTSD) checklist (PCL) with diagnoses based on independent clinical reappraisal interviews (Structured Clinical Interview for DSM-IV [SCID]). Diagnoses included: lifetime mania/hypomania, panic disorder, and intermittent explosive disorder; six-month adult attention-deficit/hyperactivity disorder; and 30-day major depressive episode, generalized anxiety disorder, PTSD, and substance (alcohol or drug) use disorder (abuse or dependence). The sample (n = 460) was weighted for over-sampling CIDI-SC/PCL screened positives. Diagnostic thresholds were set to equalize false positives and false negatives. Good individual-level concordance was found between CIDI-SC/PCL and SCID diagnoses at these thresholds (area under curve [AUC] = 0.69-0.79). AUC was considerably higher for continuous than dichotomous screening scale scores (AUC = 0.80-0.90), arguing for substantive analyses using not only dichotomous case designations but also continuous measures of predicted probabilities of clinical diagnoses.

Keywords: CIDI Screening Scales (CIDI-SC); Composite International Diagnostic Interview (CIDI); PTSD checklist (PCL); diagnostic concordance; screening scales; validity.

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Figures

Figure 1
Figure 1
ROC curves for the associations between continuous screening scales and DSM‐IV/SCID diagnoses (n = 460). ROC = receiver operating characteristic; SN = sensitivity; SP = specificity; DSM‐IV = Diagnostic and Statistical Manuel of Mental Disorders, Fourth Edition; SCID = Structured Clinical Interview for DSM‐IV.
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