Psychiatric diagnosis of patients with substance abuse problems: a comparison of two procedures, the DIS and the SADS-L. Alcoholism, drug abuse/dependence, anxiety disorders and antisocial personality disorder.
We compared DSM-III and RDC diagnoses from the DIS to RDC diagnoses from the SADS-L for alcohol and drug use disorders, anxiety disorders and Antisocial Personality Disorder in a group of patients with substance abuse problems. Kappa values for substance use disorders were fairly good. The instruments did not agree well on anxiety disorders, or on Antisocial Personality Disorder. Criterion differences gave rise to some of the disagreement between the instruments on Antisocial Personality Disorder, but the causes of disagreement for the anxiety disorders were not so clear. The implications of these findings are discussed.
D000328:Adult; D000437:Alcoholism / Q000175:diagnosis; D000987:Antisocial Personality Disorder / Q000150:complications / Q000175:diagnosis*; D001008:Anxiety Disorders / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis; D010200:Panic; D010698:Phobic Disorders / Q000175:diagnosis; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis*