M Gibbon’s research while affiliated with Columbia University and other places

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Publications (14)


Supervising intake diagnosis. A psychiatric 'Rashomon'
  • Article

December 1982

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15 Reads

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20 Citations

Archives of General Psychiatry

R L Spitzer

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A E Skodol

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[...]

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Psychiatric diagnoses based on data collected during routine clinical intake evaluations done by trainees are often later used in research studies and in program evaluation. It is commonly assumed that the supervisory process can effectively overcome errors that trainees make in diagnosis. We designed a study to assess the adequacy of patient-in-absentia supervision for ensuring accurate psychiatric diagnoses. In 30% of the cases there were major diagnostic disagreements between the supervised diagnoses and consensus diagnoses based on information provided by both the trainee and an experienced clinician who sat in on the trainee's initial interview. These findings have implications for clinical care, training, and research.


Brief hospitalization: two-year follow-up

July 1979

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11 Reads

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48 Citations

Archives of General Psychiatry

This article presents the long-term follow-up effects of brief vs standard hospitalization on families. One hundred seventy-five newly admitted inpatients who lived with their families were randomly assigned to standard inpatient care, brief hospitalization followed by the availability of transitional day care, and brief hospitalization. All patients were offered follow-up outpatient treatment. Initial length of stay was 11 days for both brief hospitalization groups and 60 days for the standard group. The long-term results generally indicate little differential effect between treatments. When differences occurred, they generally favored the brief groups. For example, at one year the standard group families were judged to have a higher overall level of burden than the brief-day families. The findings suggest that patients are more likely to be rehospitalized because of their psychopathology than because of family burden.


Crossing the border into borderline personality and borderline schizophrenia. The development of criteria

February 1979

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86 Reads

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345 Citations

Archives of General Psychiatry

Although there is a large psychiatric literature on various "borderline" conditions, there has been no agreement as to the definition of the concept. A review of the literature reviewed two major uses of the term: Borderline Schizophrenia and Borderline Personality. Two item sets were developed to provide diagnostic criteria for the two concepts. High sensitivity and specificity were demonstrated for both item sets using data describing 808 borderline and 808 control patients. These criteria will be used in the forthcoming DSM-III classification for the categories of Borderline Personality Disorder and Schizotypal Personality Disorder.


Brief versus standard hospitalization: The differential costs

July 1978

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22 Reads

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61 Citations

American Journal of Psychiatry

The authors compared the use of inpatient and day care services, number of readmissions, use of special services, use of drugs, costs to family and community, and differential dollar costs of three treatment approaches--brief hospitalization followed by day care, brief hospitalization followed by outpatient care, and standard hospitalization. They found that, among patients who had families willing to care for them, brief hospitalization followed by either day or outpatient care was less expensive in terms of hospital costs and costs to the family than standard hospitalization.


Citations (14)


... Axis I Disorders (SCID): 13 This is a semistructured interview for making major DSM-IV-TR axis I diagnosis. The SCID-P version was used in this study and only the module on schizophrenia was used. ...

Reference:

Disability among Attendees with Schizophrenia in a Nigerian Hospital: Further Evidence for Integrated Rehabilitative Treatment Designs
The Structured Clinical interview for DSM-III-R: 1. History, rationale and description
  • Citing Article
  • January 1992

... The diagnosis of BPD was based on the Spanish version of the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) [25]. The Spanish version of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime version [26] was used to assess psychiatric disorders other than BPD in patients and controls under 16 years old. ...

Structured clinical interview for the DSM-IV personality disorders (SCID-II)
  • Citing Book
  • January 1987

... The MINI contains questions querying about the intensity, frequency and duration of specific symptoms and the degree of distress and impairment associated with them. The MINI is a reliable and valid assessment tool (Lecrubier et al., 1997;Sheehan et al., 1997) and has demonstrated good concordance with other diagnostic interviews (Spitzer et al., 1990). Participants in this study were assessed using the mood disorder (mania, hypomania, major depression, persistent depression), anxiety disorder (generalized anxiety, panic disorder, agoraphobia, social anxiety, specific phobia), suicidality, illness anxiety disorder, obsessive-compulsive disorder, posttraumatic stress disorder, substance and alcohol use disorder, eating disorder (bulimia nervosa, anorexia nervosa, binge eating) and psychosis screener modules. ...

Structured Clinical Interview of DSM-III-R-Patient Edition
  • Citing Article
  • January 1990

... A trained psychiatric nurse conducted a Structured Clinical Interview for DSM-IV, clinician version (SCID-CV), with each participant (32), assigning all comorbid diagnoses. The involvement of a trained psychiatric nurse was in accordance with the SCID user's guide, which permits structured diagnostic interviews and the assignment of diagnoses by trained professionals who are not necessarily psychiatrists or psychologists (32). ...

Structured clinical interview for DSM-IV Axis-II disorders
  • Citing Article
  • January 1994

... Inventory ofDepressive Symptoms14 and Center for Epidemiologic Studies-Depression15 were categorized into a single ordinal variable by converting individual scores into severity bands (no/minimal, mild, moderate and severe) following procedures established in preliminary work on dataset integration.16 For this analysis we used baseline BD symptom data for all datasets, regardless of the study methodology.Functional status was assessed using the Global Assessment of Functioning (GAF)17 ; however, GAF was only collected in 8 out of 15 studies (n = 540) in W2 and 17 out of 33 studies (n = 1209) in the combined W1 þW2 dataset. We were not able to consistently identify if sites were using versions of the GAF that may have included psychiatric symptom severity anchors within the GAF score calculation. ...

Global Assessment of Functioning (GAF) Scale
  • Citing Article
  • January 1996

... For the bipolar groups, diagnoses were made based on the Structural Clinical Interview for DSM-IV-TR (SCID) [19]. Healthy persons were screened using the Non-Patient Edition of the SCID [20]. Group membership and demographics are provided in Table 1. ...

Structured clinical interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition
  • Citing Chapter
  • January 2002

... Tageskliniken reduzierten jedoch weder die Wiederaufnahmerate, noch die Belastung von Bezugspersonen; sie verbesserten auch nicht das soziale Funktionsniveau der Patienten (Marshall et al., 2003). Marshall et al. (2011) International gab es für die Wirksamkeit tagesklinischer Behandlung damit bis Ende der 1990-er Jahre viele Belege, die in den oben genannten Metaanalysen zusammengefasst wurden Endicott et al., 1978;Herz, Endicott, & Gibbon, 1979;Herz et al., 1975Herz et al., , 1977Herz et al., 1971;Longabaugh et al., 1983;McCrady, 1986;Moscowitz, 1980;Schene, van Wijngaarden, Poelijoe, & Gersons, 1993;Sledge et al., 1996a;Sledge, Tebes, Wolff, & Helminiak, 1996b). ...

Brief hospitalization: two-year follow-up
  • Citing Article
  • July 1979

Archives of General Psychiatry

... Indeed, even if the term "borderline" had been misused for decades, there was no official description in any previous diagnostic manual. These two terms referred to the two main uses of the word "borderline", identifying, on one hand, a group of patients more closely related to schizophrenia, and a group of patients predominantly characterized by "unstable affect, interpersonal relationships, job functioning, and sense of identity" [11]. Later, the task force who worked at the third edition of the Diagnostic and Statistical Manual of mental disorders (DSM-III), replaced the term "unstable personality disorder" with "borderline personality disorder", which was clinically much more usual and wasn't subject to misinterpretation on the actual stability of personality disorders. ...

Crossing the border into borderline personality and borderline schizophrenia. The development of criteria
  • Citing Article
  • February 1979

Archives of General Psychiatry

... In addition, the SCID has demonstrated superior validity over standard clinical interviews during the intake episode (First et al., 1997). It has been translated into several languages and there are several cross-national epidemiologic and reliability studies using this instrument in non-American samples (Gorman et al., 2004;Williams, Spitzer, & Gibbon, 1992). Furthermore, it has been also successfully used in populations from the Middle East (Sharifi et al., 2009). ...

International reliability of a diagnostic intake procedure for panic disorder
  • Citing Article
  • May 1992

American Journal of Psychiatry