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Reliability of Anxiety Assessment:  I. Diagnostic Agreement

Salvatore Mannuzza, PhD; Abby J. Fyer, MD; Lynn Y. Martin, MS, RN; Mark S. Gallops, MPhil; Jean Endicott, PhD; Jack Gorman, MD; Michael R. Liebowitz, MD; Donald F. Klein, MD
Arch Gen Psychiatry. 1989;46(12):1093-1101. doi:10.1001/archpsyc.1989.01810120035007.
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• Test-retest reliability of lifetime anxiety disorder diagnoses was determined using the Schedule for Affective Disorders and Schizophrenia-Lifetime Anxiety version. The subjects were 104 patients at an anxiety research clinic. Reliability ranged from good to excellent (kappa = +.60 to +.90) for generalized anxiety, social phobic, panic, agoraphobic, and obsessive-compulsive disorders. Simple phobia showed poor agreement. Current episodes showed better agreement than past episodes, particularly for social phobia and obsessive-compulsive disorder. Major sources of disagreement (variance in subject report, rater error, criterion ambiguity) were reviewed for each diagnosis and implications for DSM-IV are proposed.


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