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New study casts doubt on reliability of mental health diagnosis interviews
- Latest Jama Network Open review finds diagnostic interviews for mental health vary in reliability across conditions.
- Highest reliability was observed for opioid use disorder, tied to behavior-based criteria.
- Experts caution that interview data may not provide a definitive benchmark for diagnoses.
- Researchers call for more rigorous reporting on interview formats and reporting gaps.
- Fully structured interviews yield more consistent results than semi-structured formats in some cases.
- Clinicians argue for a shift away from strict categories toward symptom spectrums.
- The study pooled data from tests conducted between February 2024 and September 2025.
- Duncan is a psychiatry professor at McMaster University and co-authored the review.
- First argues for more granular comparison of instruments; data is currently insufficient.
- The Guardian frames the study as highlighting the need for better diagnostic rigor and alternative approaches.
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