Test-Retest Reliability of Standardized Diagnostic Interviews for Common Adult Psychiatric Disorders: A Systematic Review and Meta-Analysis - PubMed
2 hours ago
- #Meta-Analysis
- #Psychiatric Assessment
- #Diagnostic Reliability
- The meta-analysis found a pooled test-retest reliability of SDIs at κ = 0.69, indicating moderate reliability with substantial between-study heterogeneity.
- Substance use disorders (SUDs) showed higher reliability (κ = 0.72) compared to mental disorders (κ = 0.65), with reliability varying across specific disorder types.
- Within mental disorders, reliability ranged from κ = 0.55 for nonaffective psychoses to κ = 0.74 for bipolar disorders, while for SUDs, it ranged from κ = 0.59 for hallucinogens to κ = 0.81 for opioids.
- Diagnostic criteria partially explained heterogeneity in SUDs, but methodological factors like sample size and retest interval did not significantly impact reliability.
- The study suggests that structural standardization in SDIs alone may not ensure consistent diagnoses, emphasizing the need to integrate contextual and phenomenological information in assessments.