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Reliability of the Group for Advancement of Psychiatry Diagnostic Categories in Child Psychiatry
Joseph H. Beitchman, MD, MPH;
Teddy E. Dielman, PhD;
J. Richard Landis, PhD;
Ronald M. Benson, MD;
Patricia L. Kemp, MPH
Arch Gen Psychiatry. 1978;35(12):1461-1466.
Abstract
• A total of 403 multiple diagnoses were independently assigned to 41 patient protocols by 73 psychiatrists, psychologists, and social workers to determine the levels of interrater reliability of the Group for the Advancement of Psychiatry (GAP) diagnostic categories. With the exception of the psychotic disorders category, these diagnostic categories were found to have low levels of interdiagnostician reliability. Differences in the reliabilities across disciplines and levels of training were found. It is noted, however, that neither years of experience, kind of training, nor direct contact with the patient can be regarded as a substitute for improvements in the classification system itself. The importance of a reliable classification system for child psychiatry is emphasized and suggestions for improvements in the present GAP system are made.
Author Affiliations
From the Department of Psychiatry and Epidemiology, University of Ottawa, Royal Ottawa Hospital (Dr Beitchman), the University of Michigan, Ann Arbor (Drs Dielman, Landis, and Benson), and the Upjohn Co, Kalamazoo, Mich (Ms Kemp).
Footnotes
Accepted for publication June 18, 1978.
Reprint requests to Royal Ottawa Hospital, 1145 Carling Ave, Ottawa, Ontario, Canada K1Z 7K4 (Dr Beitchman).
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