Abstract and Keywords
In routine clinical practice, diagnosis and assessment are conducted predominantly using nonstandardized interviews and clinical judgment. This chapter presents an overview of numerous diagnostic errors that result from underuse of structured interviews and other standardized tools. The prevalence of both underdetection and overdetection of mood disorders, as well as the underrecognition of diagnostic comorbidity, is reviewed. Next, problems in the routine assessment of treatment outcome are described. The clinical implications of each of these errors are discussed. A range of standardized self-report and clinician-administered tools to improve diagnostic accuracy are reviewed, and recommendations for integrating measurement-based care into routine clinical settings are given. Finally, the chapter outlines recent advances to utilize feasible and cost-effective Internet-based screening measures to enhance routine standardized outcome assessment.
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