By Martin M. Antony PhD ABPP FRSC, David H. Barlow PhD
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Extra info for Handbook of Assessment and Treatment Planning for Psychological Disorders
22. The most common sources of unreliability varied across disorders. For social phobia, specific phobia, and obsessive–compulsive disorder (but not other disorders), a common reason for diagnostic disagreements involved one clinician assigning the condition at a clinical level and the other clinician assigning the diagnosis at a subclinical level. Differences in patient reports across the two interviews was also a common reason for diagnostic disagreements. , GAD and depression) this was frequently a source of disagreement.
Indeed, Rogers (1995) has suggested that the etiologic component of the DIS is “overly elaborate and unduly refined” (p. , laboratory procedures) are used. Researchers working with some populations should note that the DIS-IV may be vulnerable to response styles and deliberate faking. Although no published study has been made of this, it is a possibility due to the high face validity of the measure’s content and the disallowance of additional inquiry when such strategies are suspected (see Rogers, 1995).
Not surprisingly, these types of differential inquiries can make the DIS quite unwieldy to administer—the original DIS had over 800 contingent probe questions—and administration time for the most recent version (DIS-IV) is estimated by its authors to be 90 to 120 minutes for community-based participants. Based on answers to the core and subsequent probe questions, each symptom is assigned one of five possible codes: 1 = did not occur; 2 = lack of clinical significance; 3 = medication, drugs, or alcohol; 4 = physical illness or injury (or physical illness plus substance use); or 5 = possible psychiatric syndrome.