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Structured Clinical Interview for DSM

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Structured Clinical Interview for DSM-IV
Purposedetermine DSM-IV Axis I and Axis II disorders

The Structured Clinical Interview for DSM (SCID) is a semi-structured interview guide for making diagnoses according to the diagnostic criteria published in the Diagnostic and Statistical Manual of Mental Disorders (DSM).[1] The development of SCID has followed the evolution of the DSM and multiple versions are available for a single edition covering different categories of mental disorders. The first SCID (for DSM-III-R) was released in 1989[citation needed], SCID-IV (for DSM-IV) was published in 1994 and the current version, SCID-5 (for DSM-5), is available since 2013.[2]

It is administered by a clinician or trained mental health professional who is familiar with the DSM classification and diagnostic criteria. The interview subjects may be either psychiatric or general medical patients or individuals who do not identify themselves as patients, such as participants in a community survey of mental illness or family members of psychiatric patients.[3] However, for the purposes of some research studies, non-clinician research assistants, who have extensive experience with the study population in question, and who have demonstrated competence, have been trained to use the SCID. The less clinical experience and specific education the potential interviewer has had, the more training is required.[citation needed]

Axis I Disorders (SCID-I) is a diagnostic exam used to determine DSM-IV Axis I disorders (major mental disorders). The SCID-II is a diagnostic exam used to determine Axis II disorders (personality disorders). There are at least 700 published studies in which the SCID was the diagnostic instrument used. Major parts of the SCID have been translated into other languages, including Danish, French, German, Greek, Hebrew, Italian, Portuguese, Spanish, Swedish, Turkish, and Zulu.

An Axis I SCID assessment with a psychiatric patient usually takes between 1 and 2 hours, depending on the complexity of the subject's psychiatric history and their ability to clearly describe episodes of current and past symptoms. A SCID with a non-psychiatric patient takes 1⁄2 hour to 1+1⁄2 hours. (See editions below.) A SCID-II personality assessment takes about 1⁄2 to 1 hour.

DSM-III editions of SCID

The DSM-III SCID had one edition per axis: SCID-P/SCID-NP[4] and SCID-II.[5]

The reliability and validity of the SCID for DSM-III-R has been reported in several published studies. With regard to reliability, the range in reliability is enormous, depending on the type of the sample and research methodology (i.e., joint vs. test-retest, multi-site vs. single site with raters who have worked together, etc.)

DSM-IV editions of SCID

There are several editions of the SCID-I addressed to different audiences:[6]

  • Three Research Versions:
    • Patient Edition (SCID-I/P)[7]
    • Patient Edition, with psychotic screen (SCID-I/P W/ PSY SCREEN)[8]
    • Non-patient Edition (SCID-I/NP),[9]
  • A Clinical Trials Version (SCID-CT)[10]
  • Clinician Version (SCID-CV)[11]

The SCID-II for DSM-IV comes in a single edition.[12]

The first version of the SCID for DSM-5, intended for researchers, was released on 24 November 2014.[13] American Psychiatric Association Publishing offers four versions the Structured Clinical Interview for DSM-5 (SCID-5), and pricing varies according to intended use.[14]

SCID-D

The Structured Clinical Interview for DSM-IV Dissociative disorders (SCID-D)[15] is widely used to diagnose dissociative disorders, especially in research settings. This interview takes about 30 minutes to 1.5 hours, depending on individual's experiences. The SCID-D has been translated into Dutch and Turkish and is used in the Netherlands and Turkey.[16][17]

DSM-5 editions of SCID

The SCID-5 for DSM-5 has been published in 2016. The SCID-II has been replaced by the SCID-5-PD, the SCID-I by a clinical (SCID-5-CV) and research version (SCID-5-RV). The clinical version "covers the diagnoses most commonly seen in clinical settings", while the research version contains more disorders and " all of the relevant subtypes and severity and course specifiers".[18]

See also

References

  1. ^ "SCID website, Columbia University".
  2. ^ "SCID-IV, Columbia University".
  3. ^ "What is the SCID-5?, Columbia University".
  4. ^ Spitzer, Robert L, Williams Janet BW, Gibbon Miriam, First Michael B, Structured Clinical Interview for DSM-III-R, Patient Edition/Non-patient Edition,(SCID-P/SCID-NP), Washington, D.C.: American Psychiatric Press, Inc., 1990.
  5. ^ Spitzer, Robert L, Williams Janet BW, Gibbon Miriam, First Michael B, Structured Clinical Interview for DSM-III-R Axis II Disorders,(SCID-II), Washington, D.C.: American Psychiatric Press, Inc., 1990
  6. ^ "SCID-IV". Columbia University Department of Psychiatry. 11 July 2018.
  7. ^ First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) New York: Biometrics Research, New York State Psychiatric Institute, November 2002.
  8. ^ First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition With Psychotic Screen (SCID-I/P W/ PSY SCREEN) New York: Biometrics Research, New York State Psychiatric Institute, November 2002.
  9. ^ First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition. (SCID-I/NP) New York: Biometrics Research, New York State Psychiatric Institute, November 2002.
  10. ^ First, Michael B., Williams, Janet B.W., Spitzer, Robert L., and Gibbon, Miriam: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Clinical Trials Version (SCID-CT). New York: Biometrics Research, New York State Psychiatric Institute, 2007.
  11. ^ First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version (SCID-CV). Washington, D.C.: American Psychiatric Press, Inc., 1996.
  12. ^ First, MB., Gibbon M, Spitzer RL, Williams, JBW, Benjamin LS.: Structured Clinical Interview for DSM-IV Axis II Personality Disorders, (SCID-II). Washington, D.C.: American Psychiatric Press, Inc., 1997.
  13. ^ "What's New?". Structured Clinical Interview for DSM Disorders. December 2014. Archived from the original on 21 October 2016.
  14. ^ "Structured Clinical Interview for DSM-5 (SCID-5)". American Psychiatric Association Publishing. Retrieved 29 January 2017.
  15. ^ Steinberg M: Interviewers Guide to the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) Archived 2007-09-28 at the Wayback Machine. Washington, DC, American Psychiatric Press, 1994.
  16. ^ Boon S, Draijer N (1991). "Diagnosing dissociative disorders in The Netherlands: a pilot study with the Structured Clinical Interview for DSM-III-R Dissociative Disorders". The American Journal of Psychiatry. 148 (4): 458–62. doi:10.1176/ajp.148.4.458. PMID 2006691.
  17. ^ Kundakçi T, Sar V, Kiziltan E, Yargiç IL, Tutkun H (2014). "Reliability and Validity of the Turkish Version of the Structured Clinical Interview for DSM–IVDissociative Disorders (SCID-D): A Preliminary Study". Journal of Trauma & Dissociation. 15 (1): 24–34. doi:10.1080/15299732.2013.821434. PMID 24377970.
  18. ^ "Structured Clinical Interview for DSM-5 (SCID-5)". www.appi.org.
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