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April 2005 Revision

Scoresheet:   Bipolar II Disorder: the scoring for current episode has been changed so that it corresponds with the coding for Bipolar II on page D.2.

Screening Page 2.  A follow-up question has been added to the Obsessions question (#8) that corresponds to the follow-up question used in the OCD section (i.e., IF NOT SURE WHAT IS MEANT:  Thoughts like hurting  someone even  though you really didn’t want to or being contaminated by germs or dirt..") 

Module A: Current/Past Manic Episode (A.18 and A.28):  The follow-up question for criterion A inquiring about a period of abnormally irritable mood has been changed because the prior question ("What about a period of time when you were so irritable that you found yourself shouting at people or starting fights or arguments?") sometimes led to false negatives since some individuals with irritable mood may not manifest it by this specific example of irritable mood.    A better strategy in differentiating "normal" irritability from the abnormal irritability characteristic of a manic/hypomanic episode is to focus on duration, i.e., a period of irritable mood lasting continuously for at least 4 days is a better indicator of a possible episode.   

The formatting for this follow-up question has also been changed to reduce the possibility  that the irritable mood question is skipped if the answer to the initial elevated mood question is "no"  (which is one of the most common SCID administration errors among novices.)   The new format now provides explicit follow-up questions for both a "YES" and a "NO" answer to the initial screening question, making it harder to skip over the irritable mood question.

Module C: C.15.  A skip instruction has been added to clarify that if there have not been any delusions, the section on Delusional Disorder can be skipped and the interview can proceed with the section on Brief Psychotic Disorder. 

Module D: Chronology Section (Pages D.10-D.14). The mood chronology section which appled to both Bipolar and MDD has now been split into two chronology sections, one for Bipolar Disorder and the other for Major Depressive Disorder.   This was done in order to allow for the "unspecified" type of episode for bipolar I disorder (in which criteria are met for a manic, hypomanic, mixed, or major depressive episode  except for duration. 

Module E: Abuse/Dependence questions for both Alcohol and Other Substances:  (E.2, E.4, E.5, E.11, E.12, E.13, E.14, E.20, E.21, E.22 and E.2, E.4, E.5, E.11, E.13, E.14 in alternate version).   Most typically when assessing for alcohol abuse, the SCID interviewer determines a period of heaviest/problematic use and then focuses the alcohol abuse questions on that time frame.  In some instances, no specific period of particularly heavy use can be identified, in which case the questions should be rephrased to determine whether the adverse consequence described in the question has ever happened.   All of the Abuse questions are now preceded by a bracketed section in which the interviewer is given the option to use either first phrase (that refers to a specific period of time) or the second phrase (which looks for lifetime occurrences). 

Module J (Optional module).  A note has been added to the beginning of the section of Acute Stress Disorder clarifying that this section should be administered  within module F.