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Diagnostic Agreement in Psychiatry

A Comparative Study Between ICD-9, ICD-10 and DSM-III-R

Published online by Cambridge University Press:  02 January 2018

A. Okasha*
Affiliation:
Ain Shams University, Cairo, Egypt
A. Sadek
Affiliation:
Ain Shams University, Cairo, Egypt
M. K. Al-Haddad
Affiliation:
Psychiatric Hospital, PO Box 12, Bahrain
M. Abdel-Mawgoud
Affiliation:
Psychiatric Hospital, PO Box 12, Bahrain, Severalls Hospital, Colchester, Essex
*
3 Shawarby Street, Cairo, Egypt

Abstract

A random sample of 100 new patients referred consecutively to the psychiatric hospital was assessed using the Arabic translation of the PSE. An abstract form was designed to include all PSE scores as well as the necessary extra data to make ICD-9, ICD-10, and DSM-III-R diagnoses. Kappa correlation was calculated for inter-rater and intra-rater reliability. Overall reliability and reliability of each major psychiatric diagnosis were compared between the three systems. The use of the PSE helped in achieving good agreement between Arab psychiatrists for all the three systems, but ICD-10 was found to have the highest reliability figures both for three-digit and four-digit psychiatric diagnoses.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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Footnotes

Paper presented at the WPA regional symposium, 13–16 October, 1988. Washington DC, USA.

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