Abstract
BackgroundThere is a need of comprehensive standardized diagnostic assessment tools of psychopathology that match recent changes in diagnostic classification systems, such as the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Therefore, the computer-assisted DIA-X-5 was developed and its test-retest reliability was explored. The DIA-X-5 is based on the DIA-X/M-CIDI (Diagnostisches Expertensystem für psychische Störungen/Munich-Composite International Diagnostic Interview) which referred to the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).MethodsA convenience sample (N = 60, age: 15–67) was interviewed twice with the computer-assisted DIA-X-5 interview, on average nine days apart, by trained and blinded interviewers. The DIA-X-5 is a standardized instrument for research purposes covering symptoms, syndromes and diagnoses from eleven classes of mental disorders according to the DSM-5 with matching F codes of the 10th edition of the International Classification of Diseases (ICD-10).ResultsKappa values ranged from 0.90 for post-traumatic stress disorder to 0.30 for social anxiety disorder. For age of onset and age of recency, test-retest reliability as measured by intra-class correlation was satisfying with values above 0.90 for most disorders.ConclusionsTest-retest reliability of the DIA-X-5 syndromes and diagnoses were comparable to those of previous DSM-IV/DIA-X diagnoses for most disorders. Due to low case numbers for some diagnoses, further research in larger samples is required.
Highlights
There is a need of comprehensive standardized diagnostic assessment tools of psychopathology that match recent changes in diagnostic classification systems, such as the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Within the World Health Organization (WHO) -Composite International Diagnostic Interview (CIDI; [2]) platform the Diagnostisches Expertensystem für Psychische Störungen (DIA-X)/M-CIDI (Diagnostisches Expertensystem für psychische Störungen/Munich-Composite International Diagnostic Interview; [3]) was found to possess good test-retest reliability [4] and validity [5]. It has been employed in multiple epidemiologic studies assessing mental disorders of the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; [6]) and 10th edition of the International
Development of the DIA-X-5 The DIA-X/M-CIDI is a well-established standardized clinical interview [3] which was originally developed for clinical epidemiological purposes and served as basis for the DIA-X-5, keeping the form, the rules and conventions unchanged, whenever possible
Summary
There is a need of comprehensive standardized diagnostic assessment tools of psychopathology that match recent changes in diagnostic classification systems, such as the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Within the World Health Organization (WHO) -Composite International Diagnostic Interview (CIDI; [2]) platform the DIA-X/M-CIDI (Diagnostisches Expertensystem für psychische Störungen/Munich-Composite International Diagnostic Interview; [3]) was found to possess good test-retest reliability [4] and validity [5]. It has been employed in multiple epidemiologic studies assessing mental disorders of the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; [6]) and 10th edition of the International. “new” mental disorders were defined (e.g., disruptive mood dysregulation disorder) and “specifiers” were introduced (e.g., panic attack specifier which can be added to most disorders; anxious distress specifier in bipolar and depressive disorders)
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