The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC- 2.3): Description, acceptability, prevalence rates, and performance in the MECA study

David Shaffer, Prudence Fisher, Mina K. Dulcan, Mark Davies, John Piacentini, Mary E. Schwab-Stone, Benjamin B. Lahey, Karen Bourdon, Peter S. Jensen, Hector R. Bird, Glorisa Canino, Darrel A. Regier

Research output: Contribution to journalArticlepeer-review

1161 Scopus citations

Abstract

Objective: To describe the NIMH Diagnostic Interview Schedule for Children (DISC) Version 2.3 and to provide data on its performance characteristics in the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Method: Data were collected on the DISC-2.3 at four sites on 1,285 randomly selected children, aged 9 through 17 years, and their parents. Two hundred forty-seven of these child-parent pairs were reassessed on the DISC-2.3 by a clinician interviewer, 1 to 3 weeks later. Results: Administration time was approximately 1 hour and the interview was acceptable to more than 90% of subjects. The reliability of questions to parents assessing impairment and age of onset was generally good to acceptable for most diagnoses but was less satisfactory for the child interview. Using information from parent and child, the prevalence for any diagnosis ranged from 50.6 if no impairment criteria were required to 5.4 if a Global Assessment Scale score of 50 or less was necessary. The prevalence of anxiety disorders and enuresis was markedly reduced by requiring attributable impairment. Conclusions: The DISC-2 is a reliable and economical tool for assessing child psychopathology. Reliability of the DISC-P-2.3 is superior to that of the child DISC for most diagnoses but is least good for anxiety disorders. The 2.3 version of the instrument provides a significant improvement over earlier versions.

Original languageEnglish (US)
Pages (from-to)865-877
Number of pages13
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume35
Issue number7
DOIs
StatePublished - Jul 1996

Keywords

  • Diagnostic Interview Schedule for Children
  • child psychiatric disorders
  • diagnostic interview
  • epidemiology
  • measurement
  • prevalence of psychiatric disorders
  • scales

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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