Assessing Axis I symptomatology on the SADS-C in two correctional samples: the validation of subscales and a screen for malingered presentations

J Pers Assess. 2003 Dec;81(3):281-90. doi: 10.1207/S15327752JPA8103_11.

Abstract

The Schedule of Affective Disorders and Schizophrenia-Change Version (SADS-C; Spitzer & Endicott, 1978b) is a brief, highly reliable structured interview with clinical applications to diverse populations. This investigation involved reanalyses of data from 2 earlier studies (Rogers, Grandjean, Tillbrook, Vitacco, & Sewell, 2001; Ustad, Rogers, & Salekin, 1998). Focusing on 2 clinical samples from a metropolitan jail, we investigated its subscales via exploratory and confirmatory factor analysis. A good model fit was found (comparative fit index =.92; robust comparative fit index =.94) for 4 subscales (Dysphoria, Psychosis, Mania, and Insomnia) with good interrater reliability (M intraclass coefficient =.95) and clinical relevance. As a preliminary screen for feigned mental disorders, 2 detection scales (Symptom Combinations and Symptom Selectivity) were moderately successful. By maximizing negative predictive power, the SADS-C detection strategies proved effective at ruling out feigning for mentally disordered offenders with a high likelihood of genuine disorders.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Humans
  • Interview, Psychological / methods
  • Male
  • Mood Disorders / classification
  • Mood Disorders / diagnosis*
  • Mood Disorders / psychology
  • Prisoners / psychology
  • Psychiatric Status Rating Scales*
  • Psychometrics
  • Schizophrenia / classification
  • Schizophrenia / diagnosis*
  • Schizophrenic Psychology
  • Texas