By Martin M. Antony PhD ABPP FRSC, David H. Barlow PhD
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Extra info for Handbook of Assessment and Treatment Planning for Psychological Disorders
May be inadequate to detect bipolar disorders, particularly if past episodes were of hypomania. In summary, the PRIME-MD is an adequate measure when used for the purposes for which it was designed. However, it is limited by its basic coverage of only a few of the mental disorders seen in psychiatric settings and by its only rough equivalence to DSM-IV criteria for those disorders it does cover. This is even more true of the PHQ. Clearly, neither one should be seen as a substitute for a more thorough diagnostic interview for Axis I disorders, particularly for complex cases where differential diagnosis may be of importance.
Ratings are made on the basis of the probe question and any follow-up questions deemed necessary. Although probe questions, to be asked verbatim, may produce an unelaborated “yes” or “no” answer, this answer is often inadequate to determine whether the corresponding criteria have been met and additional clarifying questions are necessary. For example, First et al. ”—should be followed up by a request for specific examples that establish the psychotic nature of the belief as the standard question, alone, has a high false positive rate.
Clearly, neither one should be seen as a substitute for a more thorough diagnostic interview for Axis I disorders, particularly for complex cases where differential diagnosis may be of importance. More detailed information on the PRIME-MD and its use in primary care settings is included in a recent review chapter by Hahn, Kroenke, Williams, and Spitzer (2000). Contact Information The PRIME-MD is under copyright to Pfizer, Inc. Free copies of PRIME-MD and PHQ materials can be obtained from Dr. Robert L.