Psychiatry - July 2008 - (Page 27)

[reliability of diagnoses] INVITATION TO PSYCHIATRISTS TO RESPOND We invite our readers to send us their responses to the question: Do you use any structured interviews (not just a rating scale) in your routine clinical practice, whether inpatient or outpatient? • • If your answer is no, tell us why. If your answer is yes, tell us which structured interview you use. For what percentage of your patients’ load do you use the structured interview routinely? 7. 6. E-mail your responses to: Elizabeth Klumpp, Executive Editor, eklumpp@matrixmedcom.com. Please include “Use of Structured Interviews” in the subject line of your e-mail. Please limit your responses to 100 words. Please include your name, title, and affiliation in your e-mail. No information that identifies respondents will be published with the data.The response data will be included in a follow-up column in the journal. my extensive experience in using both the SCAN and the SCID, I cannot use either instrument on a routine basis in a clinical setting. The authors of the SCID shortened the tool and called it the Clinician Version of the SCID (SCID-CV), which is the same as the original, except it is limited to the DSM-IV diagnoses most commonly seen in clinical practice.5 Similarly, our colleague, Dr. Fokko Nienhius, derived a short version of the SCAN for clinical use that included important clinical sections and a modification of the symptoms ratings. The SCID, the SCAN, and their clinical derivatives are not practical to use in the routine clinical work of psychiatrists. For these reasons, I have worked for the past six years to develop and test a new instrument, which has been named the Schedules for Clinicians’ Interview in Psychiatry (SCIP),6–10 designed to be used by psychiatrists in the real world of psychiatric practice. The sample size of the SCIP project exceeded 1,000 and there will be upcoming publications with regard to this new instrument. 8. REFERENCES 1. Pies R. How “objective” are psychiatric diagnoses? (guess sgain). Psychiatry (Edgemont). 2007;4(10):18–22. Comment in: Psychiatry (Edgemont). 2008;5(2):20–21; author reply 21–22. Spitzer RL, Williams JB, Gibbon M, First MB. The Structured Clinical Interview for DSM-III-R (SCID). I: history, rationale, and description. Arch Gen Psychiatry. 1992;49(8):624–629. Williams JB, Gibbon M, First MB, et al. The Structured Clinical Interview for DSM-III-R (SCID). II. multisite test-retest reliability. Arch Gen Psychiatry. 1992;49(8):630–636. Wing Jk, Babor T, Brugha T, et al. SCAN. Schedules for Clinical Assessment in Neuropsychiatry. Arch Gen Psychiatry. 1990;47(6):589–593. First MB, Spitzer RL, Gibbon M, 9. 2. 10. 3. Williams JBW. Structured Clinical Interview for DSM-IV Axis I Disorders-Clinical Version (SCIDCV). Washington, DC: American Psychiatric Press, Inc., 1997. Aboraya A, Zheng W. The Schedules for Clinicians’ Interview in Psychiatry (SCIP): a new innovative educational tool with dual funtion—clinical management and research. Proceedings from Association for Academic Psychiatry Annual Meeting. Boston, MA: September, 2007. Aboraya A. The Arabic Version of the Schedules for Clinicians’ Interview in Psychiatry. Proceeding from Third Annual Ain Shams International Congress on Psychiatry. Luxor, Egypt: March, 2007. Aboraya A. The Computer Version of the Schedules for Clinicians’ Interview in Psychiatry (SCIP): A new instrument for psychiatrists with dual function: clinical management and research. Proceeding from Fourth Annual Ain Shams International Congress on Psychiatry, Hurghada, Egypt: March, 2008. Aboraya A, Tien A. Schedules for Clinicians’ Interviews in Psychiatry (SCIP): work in progress. eCOMMUNITY: Int J Mental Health Addict. 2004. Aboraya A, Rankin E, France C, et al. The reliability of psychiatric diagnosis revisited: the clinician’s guide to improve the reliability of psychiatric diagnosis. Psychiatry (Edgemont). 2006;3(1):41–50. 4. AUTHOR AFFILIATION: Dr. Aboraya is Chief of Psychiatry, Clinical Associate Professor of Psychiatry, William R. Sharpe Jr. Hospital, Weston, West Virginia ADDRESS CORRESPONDENCE TO: E-mail: aborayaahmed@wvdhhr.org 5. [JULY] Psychiatry 2008 27

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Psychiatry - July 2008 Editor's Message Editorial Advisory Board Contents PsychRx Letters to the Editor Reliability of Diagnoses: Do Psychiatrists Use Structured Interviews In Real Clinical Settings? Trend Watch: Use of Atypical Antipsychotics in the Elderly Review: The Struggle for Mental Healthcare in New Orleans-One Case at a Time Psychotherapy Rounds: Psychotherapeutic and Adjuntive Pharmacologic Approaches to Treating Posttraumatic Stress Disorder Original Research: Baseline Dissociation and Prospective Success in Special Forces Assessment and Selection Commentary: Performance-Enhancing Drugs: Where Should the Line Be Drawn and By Whom? Commentary: Psychiatric Diagnosis and the Pathlogist's View of Schizophrenia Journal Watch Classified Advertising Information for Authors

Psychiatry - July 2008

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