The Structured Clinical Interview for DSM (SCID) is a semi-structured interview guide for making diagnoses according to the diagnostic criteria published in the

Diagnostic and Statistical Manual of Mental Disorders The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common langu ...

(DSM). The development of SCID has followed the evolution of the DSM and multiple versions are available for a single edition covering different categories of mental disorders. The first SCID (for DSM-III-R) was released in 1989, SCID-IV (for DSM-IV) was published in 1994 and the current version, SCID-5 (for DSM-5), is available since 2013. It is administered by a clinician or trained mental health professional who is familiar with the DSM classification and diagnostic criteria. The interview subjects may be either psychiatric or general medical patients or individuals who do not identify themselves as patients, such as participants in a community survey of mental illness or family members of psychiatric patients. SCID users should have had sufficient clinical experience to be able to perform diagnostic evaluation, however, nonclinicians who have comprehensive diagnostic experience with a particular study population may be trained to administer the SCID. Generally additional training is required for individuals with less clinical experience.

DSM-III editions of SCID

The SCID for the DSM-III-R helped determine Axis I (SCID-I) and Axis II disorders (SCID-II). Separate versions were used to assess psychiatric patients (SCID-P) and to study non-patient populations (SCID-NP). Another form of the SCID-P, SCID-P W/PSY SCREEN, was developed for patients in which psychotic disorders were expected to be rare and only included screening questions for these disorders but not the complex module. Special versions were also created for studying

panic disorder Panic disorder is a mental and behavioral disorder, specifically an anxiety disorder characterized by reoccurring unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, short ...

, assessing

PTSD Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on ...

and combat experience in Vietnam veterans and studying the social and psychiatric consequencies of HIV infection. The reliability and validity of the SCID for DSM-III-R has been reported in several published studies. With regard to reliability, the range in reliability is enormous, depending on the type of the sample and research methodology (i.e., joint vs. test-retest, multi-site vs. single site with raters who have worked together, etc.)

SCID-D

The ''Structured Clinical Interview for DSM-IV Dissociative Disorders'' (SCID-D) is used to diagnose dissociative disorders, especially in research settings. It was originally designed for the DSM-III-R but early access to DSM-IV criteria for dissociative disorders allowed them to be incorporated into the SCID-D. For subjects with non-dissociative disorders administration takes between 30 minutes and 1.5 hours. Subjects with dissociative disorders usually require between 40 minutes to 2.5 hours. These subjects should be given enough time to describe their experiences fully. The SCID-D has been translated into

Dutch Dutch commonly refers to: * Something of, from, or related to the Netherlands * Dutch people () * Dutch language () Dutch may also refer to: Places * Dutch, West Virginia, a community in the United States * Pennsylvania Dutch Country People E ...

and Turkish and is used in the Netherlands and Turkey.

DSM-IV editions of SCID

SCID for DSM-IV also follows the multi-axial system, SCID-I for Axis I disorders (major mental disorders) and SCID-II for Axis II disorders (

personality disorders Personality disorders (PD) are a class of mental disorders characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the individual's cultur ...

). There are several variants of SCID-I addressed to different audiences. Similarly to the previous edition SCID-I is available for examining psychiatric patients (SCID-I/P) and studying non-patients (SCID-I/NP) and patient populations where psychotic disorders are not expected (SCID-I/P W/ PSY SCREEN). Specific version for clinicians (SCID-CV) and

clinical trials Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dieta ...

(SCID-CT) were also developed. The SCID-II for DSM-IV comes in a single edition. A variant of the tool (KID-SCID) was developed at

York University York University (french: Université York), also known as YorkU or simply YU, is a public research university in Toronto, Ontario, Canada. It is Canada's fourth-largest university, and it has approximately 55,700 students, 7,000 faculty and sta ...

for generating childhood DSM-IV diagnoses for clinical research studies. In 2015 a study evaluated the

psychometric Psychometrics is a field of study within psychology concerned with the theory and technique of measurement. Psychometrics generally refers to specialized fields within psychology and education devoted to testing, measurement, assessment, and ...

properties of the KID-SCID in a Dutch sample of children and adolescents which later led to the creation of SCID-5-Junior for the DSM-5 (see below). An Axis I SCID assessment with a psychiatric patient usually takes between 1 and 2 hours, depending on the complexity of the subject's psychiatric history and their ability to clearly describe episodes of current and past symptoms. A SCID with a non-psychiatric patient takes hour to hours. A SCID-II personality assessment takes about to 1 hour. There are at least 700 published studies in which the SCID was the diagnostic instrument used. Major parts of the SCID have been translated into other languages, including Danish,

French French (french: français(e), link=no) may refer to: * Something of, from, or related to France ** French language, which originated in France, and its various dialects and accents ** French people, a nation and ethnic group identified with Franc ...

German German(s) may refer to: * Germany (of or related to) **Germania (historical use) * Germans, citizens of Germany, people of German ancestry, or native speakers of the German language ** For citizens of Germany, see also German nationality law **Ge ...

Greek Greek may refer to: Greece Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group. *Greek language, a branch of the Indo-European language family. **Proto-Greek language, the assumed last common ancestor ...

Hebrew Hebrew (; ; ) is a Northwest Semitic language of the Afroasiatic language family. Historically, it is one of the spoken languages of the Israelites and their longest-surviving descendants, the Jews and Samaritans. It was largely preserved ...

Italian Italian(s) may refer to: * Anything of, from, or related to the people of Italy over the centuries ** Italians, an ethnic group or simply a citizen of the Italian Republic or Italian Kingdom ** Italian language, a Romance language *** Regional Ita ...

, Portuguese,

Spanish Spanish might refer to: * Items from or related to Spain: **Spaniards are a nation and ethnic group indigenous to Spain **Spanish language, spoken in Spain and many Latin American countries **Spanish cuisine Other places * Spanish, Ontario, Can ...

, Swedish, Turkish, and Zulu.

DSM-5 editions of SCID

SCID-5-RV (Research Version) is the most comprehensive version of the SCID-5. It contains more disorders and includes all of the relevant subtypes and severity and course specifiers. An important feature is its customizability, allowing the instrument to be tailored to meet the requirements of a particular study. SCID-5-CV (Clinician Version) is a reformatted version of the SCID-5-RV for use by clinicians. It covers the most common diagnoses seen in clinical settings. Despite the "clinician" designation, it can be used in research as long as the disorders of interest are among those included in this version. SCID-5-CT (Clinical Trials version) is an adaptation of the SCID-5-RV that has been optimized for use in clinical trials. SCID-5-PD (Personality Disorders version) is used to evaluate the 10 personality disorders. Its name reflects the elimination of the multiaxial system of the SCID-IV. The SCID-5-AMPD (Alternative Model for Personality Disorders) provides dimensional and categorical approaches to personality disorders. Designed for trained clinicians, the modular format allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest. Various versions of the SCID-5 have been translated to Chinese, Danish, Dutch, German, Greek, Hungarian, Italian, Japanese, Korean, Norwegian, Polish, Portuguese, Romanian, Spanish, Turkish. As a result of earlier studies conducted on Dutch youth a variant of the tool, SCID-5-Junior, a revision of the KID-SCID, is available in Dutch. There are plans to create a more widely available version for children and adolescents.

References

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External links