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The British Journal of Psychiatry 175: 154-157 (1999)
© 1999 The Royal College of Psychiatrists

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

MH Azevedo, MJ Soares, I Coelho, A Dourado, J Valente, A Macedo, M Pato and C Pato
Department of Psychiatry, College of Medicine, Coimbra University, Portugal. helenamh@ci.uc.pt

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 multi-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 (kappa = 0.83) and ICD-10 (kappa = 0.81). CONCLUSIONS: Results suggest that this procedure for diagnostic assessment is an efficient alternative to classic best-estimate diagnosis procedures.


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Schizophr BullHome page
L. B. Jansson and J. Parnas
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