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Titolo:
THE ECLW COLLABORATIVE STUDY .3. TRAINING AND RELIABILITY OF ICD-10 PSYCHIATRIC DIAGNOSES IN THE GENERAL-HOSPITAL SETTING - AN INVESTIGATION OF 220 CONSULTANTS FROM 14 EUROPEAN COUNTRIES
Autore:
MALT UF; HUYSE FJ; HERZOG T; LOBO A; RIJSSENBEEK AJMM;
Indirizzi:
FREE UNIV AMSTERDAM HOSP,DEPT CL PSYCHIAT,POB 7057 NL-1071 MB AMSTERDAM NETHERLANDS FREE UNIV AMSTERDAM HOSP,DEPT CL PSYCHIAT NL-1071 MB AMSTERDAM NETHERLANDS UNIV OSLO,NATL HOSP,DEPT PSYCHOSOMAT & BEHAV MED OSLO NORWAY UNIV FREIBURG HOSP,DEPT PSYCHOTHERAPY & PSYCHOSOMAT MED FREIBURG GERMANY UNIV ZARAGOZA,UNIV HOSP,PSYCHIAT SERV ZARAGOZA SPAIN
Titolo Testata:
Journal of psychosomatic research
fascicolo: 5, volume: 41, anno: 1996,
pagine: 451 - 463
SICI:
0022-3999(1996)41:5<451:TECS.T>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
DSM-III-R; HIGH AGREEMENT; HARMFUL USE; LOW KAPPA; CLASSIFICATION; DEPENDENCE; DISORDERS; DEPRESSION; PARADOXES; ALCOHOL;
Keywords:
DIAGNOSIS; CLASSIFICATION; ICD-10; CONSULTATION-LIAISON PSYCHIATRY; RELIABILITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
31
Recensione:
Indirizzi per estratti:
Citazione:
U.F. Malt et al., "THE ECLW COLLABORATIVE STUDY .3. TRAINING AND RELIABILITY OF ICD-10 PSYCHIATRIC DIAGNOSES IN THE GENERAL-HOSPITAL SETTING - AN INVESTIGATION OF 220 CONSULTANTS FROM 14 EUROPEAN COUNTRIES", Journal of psychosomatic research, 41(5), 1996, pp. 451-463

Abstract

A comprehensive training program for reliable use of the ICD/10 in Consultation-Liaison (C-L) psychiatry was conducted with 220 psychiatrists and psychologists from 14 European countries, The training includedrating of written test cases and development of a coding manual to avoid diagnostic pitfalls not addressed in the ICD-10 manual. Following this training, all consultants rated 13 written case histories. One hundred sixty-seven consultants (76%) had a kappa (kappa) of at least 0.70. Only 13 (6%) had a kappa 0.40. The percentage of high reliability raters was evenly distributed among the different countries. Consultants had some problems in the differentiation between adjustment disorders and depressive disorders, and in the classification of disorders where ICD-10 differs from the DSM-III-R system. National biases in diagnostic practice were found with regard to the ''case'' concept and the role of alcohol in confusional states. Finnish consultants coded ''no psychiatric disorder'' significantly more often, whereas German and Italian consultants attributed delirious state more often to alcohol than consultants from other European countries. The study demonstrates that it is possible to achieve acceptable interrater reliability in applying the ICD-10 guidelines, through training programs designed for C-Lpsychiatrists and psychologists. Nevertheless, this first cross-national study shows the importance of addressing differences in national diagnostic practice. Copyright (C) 1996 Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 09:19:26