Diagnostik psychischer Störungen: „Gold”- oder „Blech”-Standard?

Susanne Knappe; Juliane Runge; Katja Beesdo; Frank Jacobi; Hans-Ulrich Wittchen

doi:10.1055/s-2007-986197

PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie, Table of Contents

Psychother Psychosom Med Psychol 2008; 58(2): 72-75
DOI: 10.1055/s-2007-986197

Kurzmitteilung

Diagnostik psychischer Störungen: „Gold”- oder „Blech”-Standard?

Kritische Randbemerkungen zu standardisierten diagnostischen Instrumenten und der Bewertung klinischer RoutinediagnosenDiagnosing Mental Disorders: Gold or Tin Standard?Critical Comments on Standardized Diagnostic Interviews and Clinical Routine DiagnosesSusanne Knappe¹ , Juliane Runge¹ , Katja Beesdo¹ , Frank Jacobi¹ , Hans-Ulrich Wittchen¹

¹Institut für Klinische Psychologie und Psychotherapie, Technische Universität Dresden

Abstract

Zusammenfassung

In einer Stichprobe psychosomatischer Patienten fanden Becker et al. [1] eine geringe Übereinstimmung zwischen klinischen Routinediagnosen und computergestützten DSM-IV-Diagnosen, die durch ein weltweit etabliertes standardisiertes diagnostisches Interview (CIDI, Composite International Diagnostic Interview) erstellt wurden. Sie schlussfolgern, dass eine unzureichende Validität des CIDI im psychosomatischen Kontext vorliege. Der aktuelle Beitrag kommt zu dem Ergebnis, dass die Ergebnisse von Becker et al. eine derartige Schlussfolgerung nicht rechtfertigen. Neben erheblichen methodischen Mängeln wird insbesondere die Annahme der Autoren infrage gestellt, dass klinische Routinediagnosen im psychosomatischen Kontext einen Goldstandard darstellen.

Abstract

In a convenience sample of psychosomatic inpatients, Becker et al. [1] reported poor diagnostic congruence between clinical diagnoses from routine examinations and DSM-IV diagnoses derived from the use of a computer-assisted standardized diagnostic interview (CIDI). The authors conclude that there is insufficient validity of such interviews in psychosomatic settings. This paper emphasizes that the results of Becker et al. do not justify this conclusion. Aside from substantial methodological deficits, we question the authors' assumption that clinical diagnoses could be regarded as an appropriate „gold standard”.

Key words

CIDI - gold-standard - validity - standardized diagnostic

Full Text

References

Literatur

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Dipl.-Psych. Susanne Knappe

Institut für Klinische Psychologie und Psychotherapie, Technische Universität Dresden

Chemnitzer Straße 46

01187 Dresden

Email: knappe@psychologie.tu-dresden.de