Abstract
The test-retest reliability of the Spanish Diagnostic Interview Schedule for Children (DISC-IV) is presented. This version was developed in Puerto Rico in consultation with an international bilingual committee, sponsored by NIMH. The sample (N = 146) consisted of children recruited from outpatient mental health clinics and a drug residential treatment facility. Two different pairs of nonclinicians administered the DISC twice to the parent and child respondents. Results indicated fair to moderate agreement for parent reports on most diagnoses. Relatively similar agreement levels were observed for last month and last year time frames. Surprisingly, the inclusion of impairment as a criterion for diagnosis did not substantially change the pattern of results for specific disorders. Parents were more reliable when reporting on diagnoses of younger (4–10) than older children. Children 11–17 years old were reliable informants on disruptive and substance abuse/dependence disorders, but unreliable for anxiety and depressive disorders. Hence, parents were more reliable when reporting about anxiety and depressive disorders whereas children were more reliable than their parents when reporting about disruptive and substance disorders.
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REFERENCES
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Bird, H. R., Davies, M., Fishers, P., Narrow, W., Jensen, P. S., Hoven, C., Cohen, P., & Dulcan, M. (2000). How specific is specific impairment? Journal of the American Academy of Child and Adolescence Psychiatry, 39, 1182–1189.
Boyle, M. H., Offord. D. R., Racine, Y., Stanford, M., Szatmari, P., Fleming, J. E., & Price-Munn, N. (1993). Evaluation of the Diagnostic Interview Schedule for Children and Adolescents for use in general population samples. Journal of Abnormal Child Psychology, 21, 663–681.
Bravo, M., Woodbury-Fariña, M., Canino, G., & Rubio-Stipec, M. (1993). The Spanish translation and cultural adaptation of the Diagnostic Interview Schedule for Children (DISC) in Puerto Rico. Cultural, Medicine and Psychiatry, 17, 329–344.
Brislin, R., Looner, W., & Thorndike, R. (1973). Cross-cultural methods. New York: Wiley.
Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.
Compton, W. M., Cottler, L. B., Reich, W., Ben-Addallah, A., & Cunningham-Williams, R. N. (1999, February). Reliability of Diagnostic Interview Schedule for Children, DSM-IV Version (DISC-IV) in parents of 4 to 8 year old children. Paper presented at the meeting of the Academy of Child Psychiatry, Chicago, Il.
Donner, A., & Eliasziw, M. (1992). A goodness-of-fit approach to inference procedures for the kappa statistic: Confidence interval construction, significance testing and sample size estimation. Statistics in Medicine, 11, 1511–1519.
Edelbrock, C., Costello, A. J., Dulcan, M. K., Kalas, R., & Calabro-Conover, N. (1985). Age differences in the reliability of the psychiatric interview of the child. Child Development, 56, 265–275.
Fisher, P., Shaffer, D., Lucas, C., Davies, M., Xu, J. (in press). Diagnostic Interview Schedule for Children, Version IV-Update of Scoring Algorithms. Journal of the American Academy of Child and Adolescent Psychiatry.
Gutterman, E. M., O'Brien, J. D., & Young, G. (1987). Structured diagnostic interviews for children and adolescents: Current status and future directions. Journal of the American Academy of Child Psychiatry, 23, 621–630.
Hart, E. L., Lahey, B., Loeber, R., & Hanson, K. S. (1994). Criterion validity of informants in the diagnosis of disruptive behavior disorders in children: A preliminary study. Journal of Consulting and Clinical Psychology, 62, 410–414.
Helzer, J. E., Robins, L. N., McEvoy, L. T., Spitznagel, E. L., Stoltzman, R. K., Farmer, A., & Brockington, I. F. (1985). A comparison of clinical and diagnostic interview schedule diagnoses: Physician reexamination of lay interviewed cases in the general population. Archives of General Psychiatry, 42, 657–666.
Jensen, P. S., Bloedau, L., & Davies, H. (1990). Children at risk, II: Predictors of clinic utilization. Journal of the American Children and Adolescence Psychiatry, 29, 804–812.
Jensen, P., Roper, M., Fisher, P., Piacentini, J., Canino, G., Richters, J., Rubio-Stipec, M., Dulcan, M., Goodman, S., Davies, M., Rae, D., Shaffer, D., Bird, H., Lahey, B., & Schwab-Stone, M. (1995). Testretest reliability of the Diagnostic Interview Schedule for Children (DISC 2.1). Archives of General Psychiatry, 52, 61–71.
Jensen, P., Rubio-Stipec, M., Canino, G., Bird, H., Dulcan, M., Schwab-Stone, M., & Lahey, B. (1999). Parent and child contributions to child psychiatric diagnosis: Are both informants always necessary? Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1569–1579.
Jensen, P. S., Salzberg, A. D., Richters, J., Watanabe, H. K., & Roper, M. (1993). Scales, diagnoses, and child psychopathology: I. CBCL and DISC relationships. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 397–406.
Lahey, B. B., Flagg, E. W., Bird, H. R., Schwab-Stone, M., Canino, G., Dulcan, M. K., Leaf, P. J., Davies, M., Brogan, D., Bourdon, K., Horwitz, S. M., Rubio-Stipec, M., Freeman, D. H., Lichtman, J., Shaffer, D., Goodman, S. H., Narrow, W. E., Weissman, M. M., Kandel, D. B., Jensen, P. S., Richters, J. E., & Regier, D. A. (1996). The NIMH methods for the epidemiology of child and adolescent mental disorder (MECA) study: Background and methodology. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 855–864.
Loeber, R., Green, S., Lahey, B. B., & Stouthamer-Loeber, M. (1989). Optimal informants on childhood disruptive behaviors. Developmental Psychopathology, 1, 317–337.
Piacentini, J., Roper, M., Jensen, P., Lucas, C., Fisher, P., Bird, H., Bourdon, K., Schwab-Stone, M., Rubio-Stipec, M., & Dulcan, M. (1999). Informant-based determinants of symptom attenuation in structured child psychiatric interviews. Journal of Abnormal Child Psychology, 27, 417–428.
Ribera, J. C., Canino, G. J., Rubio-Stipec, M., Bravo, M., Bird, H. R., Freeman, D., Shrout, P., Bauermeister, J., Alegía, M., Woodbury, M., Huertas, S., & Guevara, L. M. (1996). The Diagnostic Interview Schedule for Children (DISC 2.1) in Spanish: Reliability in a Hispanic population. Journal of Child Psychology and Psychiatry, 37, 195–204.
Schwab-Stone, M., Dulcan, M., Bird, H., Lahey, B., Canino, G., Jensen, P., Shaffer, D., Fisher, P., Goodman, S., Lichtman, J., Rubio-Stipec, M., & Rae, D. S. (1996). The NIMH methods for the epidemiology of child and adolescent mental disorders (MECA) study: Criterion validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC 2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35, 878–888.
Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.
Shaffer, D., Fisher, P. W., & Lucas, C. P. (1999). Respondent-based interviews. In D. Shaffer, C. P. Lucas, & J. E. Richters (Eds.), Diagnostic assessment in child and adolescent psychopathology (pp. 3–33). New York: Guilford.
Shaffer, D., Schwab-Stone, M., Fisher, P., Cohen, P., Piacentini, J., Davies, M., Conners, C. K., & Regier, D. (1993). The Diagnostic Interview for Children-Revised Version (DISC-R): I. Preparation, field testing, inter-rater reliability, and acceptability. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 643–650.
Shrout, P. E. (1998). Measurement reliability and agreement in psychiatry. Statistical Methods in Medical Research, 7, 301–317.
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Bravo, M., Ribera, J., Rubio-Stipec, M. et al. Test-Retest Reliability of the Spanish Version of the Diagnostic Interview Schedule for Children (DISC-IV). J Abnorm Child Psychol 29, 433–444 (2001). https://doi.org/10.1023/A:1010499520090
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DOI: https://doi.org/10.1023/A:1010499520090