Abstract
We examined the interrater reliability and diagnostic efficiency of clinician report (both the treating clinician and independent expert clinical interviewer) and patient self-report of clinically meaningful information pertaining to adaptive functioning. A convenience sample of clinicians (N = 80) and patients (N = 170) from eight community mental health clinics in Israel participated in the study. Our findings suggest that clinicians overall reliably report on adaptive functioning of patients (overall correct classification rates range, 0.74-0.98). Yet, in some areas, they may fail to collect necessary information such as self-mutilation history, loss of job in the past 5 years, and adult physical abuse. The patterns of higher versus lower diagnostic efficiency suggest that both treating clinicians and independent clinician interviewers tend to make judgments conservatively, essentially sacrificing sensitivity for specificity, not diagnosing events unless they were certain, thus maximizing false-negatives and minimizing false-positives.
| Original language | English |
|---|---|
| Pages (from-to) | 116-121 |
| Number of pages | 6 |
| Journal | Journal of Nervous and Mental Disease |
| Volume | 206 |
| Issue number | 2 |
| DOIs | |
| State | Published - 1 Feb 2018 |
| Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2018 Wolters Kluwer Health, Inc. All rights reserved.
Funding
This study was supported by the United States–Israel Binational Science Foundation (2011163 to Nakash and Westen). The sponsor had no role in the study design or conduct of the study; in the collection, analysis, and interpretation of the data; or in the preparation or approval of the manuscript. The authors declare no conflict of interest.
| Funders | Funder number |
|---|---|
| United States-Israel Binational Science Foundation | 2011163 |
Keywords
- Interrater reliability
- adaptive functioning
- diagnostic efficiency
- validity
