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Using consensus OPCRIT diagnoses: An efficient procedure for best-estimate lifetime diagnoses

  • M. H. Azevedo (a1), M. J. Soares (a1), I. Coelho (a1), A. Dourado (a1), J. Valente (a1), A. Macedo (a1), M. Pato (a2) and C. Pato (a2)...

Abstract

Background

The Operational Criteria Checklist (OPCRIT) generates diagnoses according to 12 operational diagnostic systems (e. g. DSM–III, DSM–III–R, Research Diagnostic Criteria, ICD–10)

Aims

To examine the agreement between diagnoses generated by the OPCRIT, as completed by the interviewer, with a best-estimate lifetime procedure using the OPCRIT.

Method

Subjects came from large mufti-generational bipolar or schizophrenia pedigrees (n=100), and from a sample of unrelated subjects with schizophrenia (n=40). We analysed the diagnostic agreement between OPCRIT diagnoses generated by the interviewer and our best-estimate OPCRIT diagnoses, according to DSM–III–R and ICD–10, using Cohen kappa statistics.

Results

Excellent agreement was found between interviewer OPCRIT diagnoses and OPCRIT diagnoses made by the best-estimate lifetime consensus procedure for DSM–III–R (κ=0.83) and ICD-10 (κ=0.81)

Conclusions

Results suggest that this procedure for diagnostic assessment is an efficient alternative to classic best-estimate diagnosis procedures.

Copyright

Corresponding author

Professor Maria Helena Azevedo, Psicologia Médica, Faculdade de Medecina, Universidade de Coimbra, Rua Larga, 3049 Coimbra Codex, Portugal. e-mail: helenamh@ci.uc.pt

Footnotes

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Presented at the Sixth World Congress on Psychiatric Genetics, Bonn, Germany, 7–10 October 1998.

Footnotes

References

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Using consensus OPCRIT diagnoses: An efficient procedure for best-estimate lifetime diagnoses

  • M. H. Azevedo (a1), M. J. Soares (a1), I. Coelho (a1), A. Dourado (a1), J. Valente (a1), A. Macedo (a1), M. Pato (a2) and C. Pato (a2)...

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Using consensus OPCRIT diagnoses: An efficient procedure for best-estimate lifetime diagnoses

  • M. H. Azevedo (a1), M. J. Soares (a1), I. Coelho (a1), A. Dourado (a1), J. Valente (a1), A. Macedo (a1), M. Pato (a2) and C. Pato (a2)...
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