Structure and Use of SCID
The SCID is divided into several sections, which correspond to specific categories of disorders. Each section includes a series of questions that the clinician asks the patient, following the diagnostic criteria of the DSM. The patient's answers lead the clinician to confirm or exclude specific diagnoses.
The SCID (Structured Clinical Interview for DSM) is a semi-structured diagnostic tool widely used in psychiatry and clinical psychology to diagnose mental disorders according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The SCID is designed to be used by trained mental health professionals and provides a systematic approach to collecting information necessary for diagnosis.
Major Versions of the SCID:
SCID-I: Covers major mental disorders (axis I of DSM-IV and DSM-5). It includes mood disorders, anxiety disorders, psychotic disorders, substance use disorders, somatoform disorders, and others.
SCID-II: Focuses on personality disorders (axis II of DSM-IV and DSM-5). It examines classic personality disorders, such as borderline personality disorder, antisocial personality disorder, avoidant personality disorder, etc.
Key Features:
Semi-structured interview: While the SCID provides a set structure and sequence of questions, it allows the clinician to probe further based on the patient’s responses.
Personalized diagnostic process: The questions are tailored based on the patient’s initial responses. For example, if a patient does not exhibit any of the core symptoms of a disorder, the clinician can skip the rest of the section and move on to the next one.
Multidimensional assessment: The SCID covers a wide range of disorders and allows for the assessment of multiple diagnoses in one session, thus providing a comprehensive picture of the patient’s mental state.
Process and Structure:
Introductory Questions: Begin with general questions about the patient’s history and current problems. This allows the clinician to identify initial areas of interest for further assessment.
Specific Sections: Each section covers a different category of disorders. For example:
Mood Disorders: Questions about depressive and manic episodes.
Anxiety Disorders: Questions about panic attacks, agoraphobia, generalized anxiety disorder, etc.
Psychotic Disorders: Questions about delusions, hallucinations, disorganized thinking.
Substance Use Disorders: Questions about alcohol and drug use and related behavior.
Supplementary information: Depending on the patient's responses, additional information may be requested to more accurately diagnose or understand the time course of symptoms.
Diagnostic criteria: For each disorder, the SCID includes the specific questions that must be answered positively to meet the DSM diagnostic criteria.
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