title: Reliability of anxiety assessment. I. Diagnostic agreement.
abstract: Test-retest reliability of lifetime anxiety disorder diagnoses was determined using the Schedule for Affective Disorders and Schizophrenia-Lifetime Anxiety version. The subjects were 104 patients at an anxiety research clinic. Reliability ranged from good to excellent (kappa = +.60 to +.90) for generalized anxiety, social phobic, panic, agoraphobic, and obsessive-compulsive disorders. Simple phobia showed poor agreement. Current episodes showed better agreement than past episodes, particularly for social phobia and obsessive-compulsive disorder. Major sources of disagreement (variance in subject report, rate error, criterion ambiguity) were reviewed for each diagnosis and implications for DSM-IV are proposed.
authors.affiliation: Anxiety Disorders Clinic, New York State Psychiatric Institute, New York 10032.
authors.forename: S
authors.initials: S
authors.lastname: Mannuzza
authors.forename: A J
authors.initials: AJ
authors.lastname: Fyer
authors.forename: L Y
authors.initials: LY
authors.lastname: Martin
authors.forename: M S
authors.initials: MS
authors.lastname: Gallops
authors.forename: J
authors.initials: J
authors.lastname: Endicott
authors.forename: J
authors.initials: J
authors.lastname: Gorman
authors.forename: M R
authors.initials: MR
authors.lastname: Liebowitz
authors.forename: D F
authors.initials: DF
authors.lastname: Klein
mesh_terms: D000328:Adult; D000368:Aged; D000379:Agoraphobia / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D000553:Ambulatory Care; D001008:Anxiety Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D010200:Panic; D010698:Phobic Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics