Comparison of clinical and research diagnoses of substance use disorders in a first-admission psychotic sample

Shmuel Fennig, Silvana Naisberg-Fennig, Thomas J. Craig, Marsha Tanenberg-Karant, Evelyn J. Bromet

Research output: Contribution to journalArticlepeer-review

Abstract

In a sample of 294 first-admission psychotic subjects participating in an epidemiologic study, a diagnosis of comorbid psychoactive substance use disorder (PSUD) was made less frequently by clinicians at the treating facilities (17.7%) than by the research diagnosticians (28.9%). The level of agreement was moderate (kappa = 0.49), and the clinical diagnoses showed high specificity (0.95) but low sensitivity (0.48). Concordance between clinical and research diagnosis of PSUD was not significantly associated with demographic or clinical characteristics; the major reason for the discordance was criterion variance.

Original languageEnglish
Pages (from-to)40-48
Number of pages9
JournalAmerican Journal on Addictions
Volume5
Issue number1
DOIs
StatePublished - 1996
Externally publishedYes

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