Cards (7)

  • what is reliability in diagnosing schizophrenia
    the consistency of the diagnosis
  • two types of reliability
    • test-retest reliability
    • inter-rater reliability
  • test-retest reliability
    this can be assessed by asking the same clinician to speak to the same patient and see if they get the same diagnosis
  • inter-rater reliability
    involves seeing whether two or more clinicians who speak to the same patient give the same diagnosis
  • cheniaux study findings - inter-rater reliability
    asked 2 clinicians to diagnose 100 p's
    findings = clinician1 using DSM diagnosed 26 vs clinician 2 using DSM diagnosed 13
    clinician 1 using ICD diagnosed 44 vs clinician 2 diagnosed 24
  • Cheniaux conclusion
    results suggest that there in poor inter-rater reliability between clinicians and shows that patients are more likely to be diagnosed using the ICD than the DSM = showing poor reliability between DSM and ICD.
    • this is a weakness of diagnosing depression as there aren't reliable measures
  • Copeland
    gave a description of a patient to 134 US and 194 British psychiatrists
    found 69% of US physiatrist's diagnosed schizophrenia but 2% of British did
    = poor inter-reliability across cultures because the same symptoms an be presented but the diagnosis is different