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August 1987

The Spanish Diagnostic Interview ScheduleReliability and Concordance With Clinical Diagnoses in Puerto Rico

Author Affiliations

From the Department of Psychiatry, School of Medicine (Drs Canino, Bird, Sesman, Guevara, and Costas and Ms Bravo), and the School of Public Health (Dr Martinez), University of Puerto Rico, San Juan; the Department of Health, Mental Health Secretariat of Puerto Rico, San Juan, (Drs Canino and Guzman); the Division of Biostatistics, Faculty of Medicine, School of Public Health, Columbia University, New York (Dr Shrout); and the Department of Economics, University of Puerto Rico, Rio Piedras (Ms Rubio-Stipec).

Arch Gen Psychiatry. 1987;44(8):720-726. doi:10.1001/archpsyc.1987.01800200046007

• A Spanish translation of the Diagnostic Interview Schedule (DIS) was assessed using samples of Puerto Rican patients and community subjects from the San Juan area. Concordance between DIS results from psychiatrists' interviews and from laypersons' interviews was similar to results with the DIS in mainland samples. Comparisons of laypersons' DIS results with psychiatrists' clinical diagnoses yielded generally poorer agreement. Levels of agreement improved when diagnoses were clustered into higher-rank categories. These results raise cultural issues related to the use of the DIS in Puerto Rico.