The DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure as a Screening Tool

The Psychiatric Quarterly
Leo Bastiaens, James Galus

Abstract

The DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure was developed to aid clinicians with a dimensional assessment of psychopathology; however, this measure resembles a screening tool for several symptomatic domains. The objective of the current study was to examine the basic parameters of sensitivity, specificity, positive and negative predictive power of the measure as a screening tool. One hundred and fifty patients in a correctional community center filled out the measure prior to a psychiatric evaluation, including the Mini International Neuropsychiatric Interview screen. The above parameters were calculated for the domains of depression, mania, anxiety, and psychosis. The results showed that the sensitivity and positive predictive power of the studied domains was poor because of a high rate of false positive answers on the measure. However, when the lowest threshold on the Cross-Cutting Symptom Measure was used, the sensitivity of the anxiety and psychosis domains and the negative predictive values for mania, anxiety and psychosis were good. In conclusion, while it is foreseeable that some clinicians may use the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure as a screening tool, it should not be relied on to...Continue Reading

References

Jul 1, 1997·Journal of General Internal Medicine·M A WhooleyW S Browner
Jun 3, 2009·Psychiatric Services : a Journal of the American Psychiatric Association·Henry J SteadmanSteven Samuels
Oct 31, 2013·BMC Psychiatry·Michael S MartinKwame McKenzie
Jan 28, 2016·JAMA Internal Medicine·Mary A Whooley

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