Reliability of the structured clinical interview for DSM-5 sleep disorders module

Daniel J. Taylor, Allison K. Wilkerson, Kristi E. Pruiksma, Jacob M. Williams, Camilo J. Ruggero, Willie Hale, Jim Mintz, Katherine Marczyk Organek, Karin L. Nicholson, Brett T. Litz, Stacey Young-McCaughan, Katherine A. Dondanville, Elisa V. Borah, Antoinette Brundige, Alan L Peterson

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

To develop and demonstrate interrater reliability for a Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Sleep Disorders (SCISD). Methods: The SCISD was designed to be a brief, reliable, and valid interview assessment of adult sleep disorders as defined by the DSM-5. A sample of 106 postdeployment active-duty military members seeking cognitive behavioral therapy for insomnia in a randomized clinical trial were assessed with the SCISD prior to treatment to determine eligibility. Audio recordings of these interviews were double-scored for interrater reliability. Results: The interview is 8 pages long, includes 20 to 51 questions, and takes 10 to 20 minutes to administer. Of the nine major disorders included in the SCISD, six had prevalence rates high enough (ie, n≥5) to include in analyses. Cohen kappa coefficient (k) was used to assess interrater reliability for insomnia, hypersomnolence, obstructive sleep apnea hypopnea (OSAH), circadian rhythm sleep-wake, nightmare, and restless legs syndrome disorders. There was excellent interrater reliability for insomnia (1.0) and restless legs syndrome (0.83); very good reliability for nightmare disorder (0.78) and OSAH (0.73); and good reliability for hypersomnolence (0.50) and circadian rhythm sleep-wake disorders (0.50). Conclusions: The SCISD is a brief, structured clinical interview that is easy for clinicians to learn and use. The SCISD showed moderate to excellent interrater reliability for six of the major sleep disorders in the DSM-5 among active duty military seeking cognitive behavioral therapy for insomnia in a randomized clinical trial. Replication and extension studies are needed.

Original languageEnglish (US)
Pages (from-to)459-464
Number of pages6
JournalJournal of Clinical Sleep Medicine
Volume14
Issue number3
DOIs
StatePublished - Mar 15 2018

Keywords

  • Apnea
  • Circadian
  • Diagnosis
  • DSM-5
  • Hypersomnolence
  • Insomnia
  • Nightmare
  • Restless Legs Syndrome
  • Sleep Disorders
  • Structured Clinical Interview

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

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  • Cite this

    Taylor, D. J., Wilkerson, A. K., Pruiksma, K. E., Williams, J. M., Ruggero, C. J., Hale, W., Mintz, J., Organek, K. M., Nicholson, K. L., Litz, B. T., Young-McCaughan, S., Dondanville, K. A., Borah, E. V., Brundige, A., & Peterson, A. L. (2018). Reliability of the structured clinical interview for DSM-5 sleep disorders module. Journal of Clinical Sleep Medicine, 14(3), 459-464. https://doi.org/10.5664/jcsm.7000