title: Teaching Chinese psychiatrists to make reliable dissociative disorder diagnoses.
abstract: The aim of the study was to assess the outcome of an educational effort by two North American experts in dissociative disorders to teach Chinese psychiatrists to make reliable dissociative disorder diagnoses. In the final phase of the educational effort, 569 patients at Shanghai Mental Health Center completed the Chinese version of the Dissociative Experiences Scale (DES). Patients were then randomly selected in different proportions according to their DES scores: 96 selected patients were then assessed with the Dissociative Disorders Interview Schedule (DDIS) and clinical diagnostic interviews based on DSM-IV criteria. According to the clinical diagnostic interviews, 28 (4.9%) patients were diagnosed as having dissociative disorders. Agreement between the American experts and Chinese psychiatrists for presence or absence of a dissociative disorder was 0.75 using Cohen's kappa. Dissociative disorders can be diagnosed in China with good inter-rater reliability. The authors describe the steps taken to achieve this outcome.
authors.affiliation: Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Fan
authors.forename: Junhan
authors.initials: J
authors.lastname: Yu
authors.forename: Colin A
authors.initials: CA
authors.lastname: Ross
authors.forename: Benjamin B
authors.initials: BB
authors.lastname: Keyes
authors.forename: Yunfei
authors.initials: Y
authors.lastname: Dai
authors.forename: Tianhong
authors.initials: T
authors.lastname: Zhang
authors.forename: Lanlan
authors.initials: L
authors.lastname: Wang
authors.forename: Zeping
authors.initials: Z
authors.lastname: Xiao
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China; D004213:Dissociative Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011570:Psychiatry / Q000193:education*; D055815:Young Adult