reliability and validity Flashcards
reliability
inter-rater
- refers to the extent that two clinicians will reach the same diagnosis
test-retest
- whether the same diagnosis is reached for the same individual on two occasions by one clinician
Osario et al (2019)
- found inter-rater reliability of +.97
- found test-retest reliability of +.92
validity
refers to the extent that a diagnosis represents something that is real and distinct from other disorders
refers to whether the ICD or DSM measure what they claim to measure
Chemiaux et al (2009)
- 2 psychiatrists assessed the same clients using ICD and DSM
- found 68 diagnosed with ICD and 39 with DSM
schizophrenia may be over OR under diagnosed
evaluation of reliability and validity
co-morbidity
gender bias
symptom overlap
culture bias
co-morbidity (RELIABILITY AND VALIDITY EVALUATION)
co-morbidity = the extent to which two(+) conditions occur at the same time in a patient
schizophrenia Is often diagnosed alongside other conditions
makes diagnosis and treatment difficult
schizophrenia may not even be a distinct disorder
gender bias (RELIABILITY AND VALIDITY EVALUATION)
more men are diagnosed than women
could be because women have more social support and so function better
leads to under diagnosis and a lack of treatment for women
symptom overlap (RELIABILITY AND VALIDITY EVALUATION)
many symptoms are also symptoms of other disorders e.g. bipolar disorder
could be that they are not two separate conditions
may be different variations of the same conditions
culture bias (RELIABILITY AND VALIDITY EVALUATION)
symptoms can be interpreted differently in different cultures
African-Caribbean British people are 9 times MORE likely to be diagnosed then White British people
the diagnostic system may be culturally biased