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Reliability of Anxiety AssessmentI. 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.
Abstract
• 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.
Author Affiliations
From the Anxiety Disorders Clinic of the Departments of Therapeutics (Drs Mannuzza, Fyer, Gorman, Liebowitz, and Klein, Ms Martin, and Mr Gallops) and Research Assessment and Training (Dr Endicott), New York State Psychiatric Institute, New York; and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York (Drs Mannuzza, Fyer, Endicott, Gorman, Liebowitz, and Klein).
Footnotes
Accepted for publication November 16, 1988.
Reprint requests to Anxiety Disorders Clinic, 722 West 168th Street, New York, NY 10032 (Dr Mannuzza).
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