The reliability of the family history method for psychiatric diagnoses

Arch Gen Psychiatry. 1988 Apr;45(4):320-2. doi: 10.1001/archpsyc.1988.01800280030004.

Abstract

We evaluated the test-retest interrater reliability of the Family History Research Diagnostic Criteria (FH-RDC) in 58 depressed patients who described 341 first-degree relatives. Reliability was examined as a function of the threshold to determine caseness. In general, diagnostic reliability was good-excellent for specific FH-RDC disorders, but not for the residual category of other psychiatric disorder. A higher diagnostic threshold was associated with greater reliability, especially for the diagnosis of depression. Patient variance accounted for a greater percentage of the disagreements between the interviewers than did rater variance.

MeSH terms

  • Data Collection / standards
  • Depressive Disorder / diagnosis
  • Depressive Disorder / genetics
  • Family*
  • Humans
  • Mental Disorders / diagnosis*
  • Mental Disorders / genetics
  • Predictive Value of Tests
  • Psychiatric Status Rating Scales*
  • Psychometrics
  • Research Design / standards
  • Sensitivity and Specificity