title: Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS).
abstract: A clinical reappraisal study was carried out in conjunction with the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) All-Army Study (AAS) to evaluate concordance of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnoses based on the Composite International Diagnostic Interview Screening Scales (CIDI-SC) and post-traumatic stress disorder (PTSD) checklist (PCL) with diagnoses based on independent clinical reappraisal interviews (Structured Clinical Interview for DSM-IV [SCID]). Diagnoses included: lifetime mania/hypomania, panic disorder, and intermittent explosive disorder; six-month adult attention-deficit/hyperactivity disorder; and 30-day major depressive episode, generalized anxiety disorder, PTSD, and substance (alcohol or drug) use disorder (abuse or dependence). The sample (n = 460) was weighted for over-sampling CIDI-SC/PCL screened positives. Diagnostic thresholds were set to equalize false positives and false negatives. Good individual-level concordance was found between CIDI-SC/PCL and SCID diagnoses at these thresholds (area under curve [AUC] = 0.69-0.79). AUC was considerably higher for continuous than dichotomous screening scale scores (AUC = 0.80-0.90), arguing for substantive analyses using not only dichotomous case designations but also continuous measures of predicted probabilities of clinical diagnoses.
authors: Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
authors: Ronald C
authors: RC
authors: Kessler
authors: Patcho N
authors: PN
authors: Santiago
authors: Lisa J
authors: LJ
authors: Colpe
authors: Catherine L
authors: CL
authors: Dempsey
authors: Michael B
authors: MB
authors: First
authors: Steven G
authors: SG
authors: Heeringa
authors: Murray B
authors: MB
authors: Stein
authors: Carol S
authors: CS
authors: Fullerton
authors: Michael J
authors: MJ
authors: Gruber
authors: James A
authors: JA
authors: Naifeh
authors: Matthew K
authors: MK
authors: Nock
authors: Nancy A
authors: NA
authors: Sampson
authors: Michael
authors: M
authors: Schoenbaum
authors: Alan M
authors: AM
authors: Zaslavsky
authors: Robert J
authors: RJ
authors: Ursano
mesh_terms: D019540:Area Under Curve; D016009:Chi-Square Distribution; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D008889:Military Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D011569:Psychiatric Status Rating Scales; D012372:ROC Curve; D055500:Resilience, Psychological; D012189:Retrospective Studies; D018570:Risk Assessment
keywords: CIDI Screening Scales (CIDI-SC); Composite International Diagnostic Interview (CIDI); PTSD checklist (PCL); diagnostic concordance; screening scales; validity