Use of the diagnostic interview schedule in patients with diabetes mellitus

Patrick J. Lustman, Gary W. Harper, Linda S. Griffith, Ray E. Clouse

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

In routine clinical practice and in research interviews like the Diagnostic Interview Schedule (DIS), symptoms attributed to physical illness are excluded from contributing positively toward psychiatric diagnoses. The maximal rate of underdiagnosis which results from this diagnostic rule was determined in 114 patients with diabetes mellitus. When symptoms attributed to diabetes (total = 296, X = 2.6 per patient) were discounted, 256 diagnoses were made. Eighteen additional diagnoses (a 6.7% increase) were appreciated when these excluded symptoms were considered as psychiatrically significant; however, only two of these new diagnoses were given to patients previously without a psychiatric diagnosis. The authors concluded that the DIS is sensitive in its detection of psychiatric illness in diabetes and perhaps other physical illnesses as well.

Original languageEnglish
Pages (from-to)743-746
Number of pages4
JournalJournal of Nervous and Mental Disease
Volume174
Issue number12
DOIs
StatePublished - Dec 1986

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