Reliability and clinical utility of DSM-IV substance-induced psychiatric disorders in acute psychiatric inpatients.
The goal of his study was to evaluate in 1,951 acute psychiatric inpatients the reliability, construct, convergent, and predictive validity of substance-induced psychiatric syndrome ratings made by clinical attending pschiatrists. The primary admitting condition for each subject was categorically rated by clinical attendings as not, mildly, moderately, or mostly substance-induced at both admission and discharge. Individual substance categories were associated with characteristic demographic, clinical treatment response, and length of stay, findings indicating good construct, predictive validity, and clinical utility. A linear dimensional approach to rating substance-induced syndromes in acute clinical populations may be preferable to the simple dichotomous approach used in DSM-IV.
Ries
R K
RK
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Harborview Medical Center, Seattle 98104, USA. rries@u.washington.edu
Demirsoy
A
A
Russo
J E
JE
Barrett
J
J
Roy-Byrne
P P
PP
D000208:Acute Disease; D000328:Adult; D005260:Female; D006778:Hospitals, Psychiatric; D006786:Hospitals, Urban; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D011599:Psychopathology; D015203:Reproducibility of Results; D019966:Substance-Related Disorders / Q000523:psychology*; D014861:Washington