The Diagnostic Interview for Sexual Dysfunctions in Women for DSM-5 and ICD-11: Development and initial validation using a vignette-based approach

IF 2.4 3区 医学 Q2 PSYCHIATRY
Rebekka Schwesig, Julia Velten, Jürgen Hoyer
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引用次数: 0

Abstract

Objectives

The aim of this study was to evaluate the psychometric properties of the newly developed Diagnostic Interview for Sexual Dysfunctions in Women (DISEX-F), which covers diagnostic criteria of DSM-5 and ICD-11.

Methods

Thirty-two actresses portrayed 32 cases of female sexual dysfunctions (= standardized patients). To calculate inter-rater reliability, each standardized patient was interviewed independently by two trained diagnosticians using the DISEX-F. Interviews were videotaped, and each videotape was evaluated by two other independent diagnosticians. Sensitivity and specificity were calculated by comparing the assigned diagnoses to the target diagnoses pre-determined in the case vignettes. As a side criterion, the acceptance of the DISEX-F among diagnosticians was assessed.

Results

Specificity was found to be generally clinically satisfying (DSM-5: 0.90–0.99; ICD-11: 0.95–0.99), while sensitivity (DSM-5: 0.40–0.92; ICD-11: 0.71–0.96) and inter-rater reliability (DSM-5: Cohen's kappa = 0.44–1; ICD-11: Cohen's kappa = 0.75–0.94) greatly varied between classification systems and disorders. Imprecise acting and false differential diagnostic decisions were identified as major sources of mismatch. The acceptance of the DISEX-F was high.

Conclusion

Results encourage usage of the DISEX-F for ICD-11 diagnoses. Mixed results were found for DSM-5 diagnoses, which can partly be explained by shortcomings in DSM-5 criteria.

针对 DSM-5 和 ICD-11 的女性性功能障碍诊断访谈:使用基于小故事的方法进行开发和初步验证
本研究旨在评估新开发的女性性功能障碍诊断访谈(DISEX-F)的心理测量特性,该访谈涵盖了 DSM-5 和 ICD-11 的诊断标准。
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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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