Agreement between clinician and patient ratings of adaptive functioning and developmental history

The American Journal of Psychiatry
Jared A DeFifeDrew Westen

Abstract

Psychiatric researchers rely heavily on patient report data for clinical research. However, patient reports are prone to defensive and self-presentation biases. Recent research using practice networks has relied on clinician reports, and both forensic and personality disorder researchers have recently turned to quantified data from clinically expert observers as well. However, critics have raised legitimate concerns about the reliability and validity of data from clinician informants. The aim of this study was to assess the validity and diagnostic efficiency of clinician reports of their patients' adaptive functioning and developmental histories, using patient reports as the comparative standard traditionally used in psychiatric research. Eighty-four clinicians and their patients completed a clinical data form designed to assess a range of patient functioning, clinical history, and developmental relationship variables used in multiple clinician report studies. The authors correlated clinician and patient reports across a number of clinically relevant adaptive functioning variables and calculated diagnostic efficiency statistics for a range of clinical history variables, including suicide attempts, hospitalizations, arrests, int...Continue Reading

Citations

Jul 1, 2011·The Journal of Nervous and Mental Disease·Jonathan HinrichsDrew Westen
Oct 2, 2012·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Drew WestenJared A DeFife
Dec 3, 2014·Journal of Personality Assessment·Jared A DefifeKeith Ditkowsky
Apr 22, 2014·Journal of the American Academy of Child and Adolescent Psychiatry·Drew WestenJohn DiLallo
Oct 15, 2013·Journal of Affective Disorders·Steven K HuprichDrew Westen
Jun 30, 2011·Behavioral and Brain Functions : BBF·Therese M MurphyKevin M Malone
Jul 11, 2014·Journal of Personality Assessment·Greg HaggertyJennifer Zodan
Sep 24, 2013·European Journal of Psychotraumatology·Bekh BradleyKerry J Ressler
Jan 26, 2011·Development and Psychopathology·Drew WestenJared A Defife
Mar 22, 2014·The Journal of Nervous and Mental Disease·Johanna C MaloneAlytia A Levendosky
Jan 4, 2013·Qualitative Health Research·Ora Nakash, Margarita Alegría
Jan 8, 2011·Clinical Child Psychology and Psychiatry·Abigail D Powers, Drew Westen
Jun 18, 2017·Clinical Child Psychology and Psychiatry·Dion N Terrelonge, Andrew Jb Fugard
Oct 29, 2018·Journal of Clinical Psychology·Olivier LaverdièreValérie Simard
Oct 4, 2011·The Journal of Nervous and Mental Disease·Dorthie CrossBekh Bradley
Jan 25, 2020·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Maayan NagarDrew Westen
Nov 28, 2017·The Journal of Nervous and Mental Disease·Ora NakashDrew Westen
Sep 19, 2018·Work : a Journal of Prevention, Assessment, and Rehabilitation·E Sally RogersElizabeth Rasch

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