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Hispanic Journal of Behavioral Sciences
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Concurrent Validity of the DIS: Experience With Psychiatric Patients in Mexico City

Jorge Caraveo Anduaga

Catalina Gonzalez Forteza

Luciana Ramos Lira

Instituto Mexicano de Psiquiatria

The Diagnostic-Interview Schedule (DIS) is an instrument useful for cross-cultural studies and for research service delivery, therefore a study of the reliability and concurrent validity in Mexico was carried out. Interrater reliability showed intraclass correlation coefficient (ICC) values of .89 among lay interviewers. The DSM-III syndrome checklist was elicited as the clinical diagnostic measure for concurrent validity. hnzterrater reliability among clinicians showed ICC values ranging from .64 to .92. For the concurrent validity study a minimum quota of 10 patients for each diagnosis was sought. The final sample included 55 inpatients and 94 outpatients interviewed independently. Sensitivity as a whole was low, ranging from .08 to .53; specificity ranged from .80 to .99; kappa agreement ranged from -.02 to .60; Yules' Y ranged from -.05 to .81. Validity indices were higher on diagnostic categories on which the flow-chart is simpler, suggesting that the memorylcognition process is a factor that attenuates reliability and face validity assessments. Comparisons with three studies using the Spanish DIS are discussed as well as reasons for discrepancies.

Hispanic Journal of Behavioral Sciences, Vol. 13, No. 1, 63-77 (1991)
DOI: 10.1177/07399863910131005
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