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January 2007 Revision

Module A: 

1)    After making a diagnosis of a current major depressive episode (page A.5), many SCID users choose to skip the assessment of the current specifiers (i.e., with catatonic features, with post-partum onset, with melancholic features, and with atypical features).  A box with a skip instruction has been added at the bottom of page A.5 (i.e., to page A.18) for those who chose not to make these assessments.

2)    In the assessment for Manic and Hypomanic Episodes, additional follow-up questions have been added for B(2) ("How much sleep did you get?"), B(4) ("What was it like?") and B(6) ("Were you especially productive or busy during that time?").  This effects pages A.19, A.24, A.25, A.29, A.33, A.34, J.15, J.16, and J.19.

3)    Both Mood Disorder Due to a GMC and Substance-Induced Mood Disorder include a criterion D (pages A.44/A.46) which excludes the diagnosis if the symptoms "occur exclusively during the course of a delirium."  This criterion, however, caused the SCID to skip out of the sections for these disorders, suggesting that the mood disorder is NOT due to a substance or general medical condition, which is not the case—only that the mood symptoms were part of a delirium due to a general medical condition or substance.  The mood symptoms are still due to a substance or general medical condition.  This revision omits the D criterion from both conditions, so that it is possible that some cases of mood disorder due to a substance or GMC are really part of a delirium.  A box was also added to allow the SCID rater to indicate that the mood disorder due to a GMC or substance-induced mood disorder is current in the past month.

Module B/C Psychotic Screening: On page B/C.1, the interview questions that help in ruling out general medical condition or substance etiology for the psychotic symptoms have been placed in a box in order to more clearly set them apart from the questions about delusions and hallucinations.  On page B/C.2 two new SCID questions have been added to the SCID to screen for delusional jealousy and erotomanic delusions.

 

Module B: Psychotic Symptoms. On page B.2 two new SCID questions have been added to the SCID to screen for delusional jealousy and erotomanic delusions.  On the top of page B.5, the skip instruction has been modified to make clear that the following pages should only be skipped if there is no suggestion that any of the A symptoms of schizophrenia have ever been present.

 

Module C: Psychotic Differential Diagnosis. On pages C.20 and C.22. Delirium is also deleted from Psychotic Disorder Due to GMC/Substance-Induced Psychotic Disorder for the same reason as with Mood Disorder Due to a GMC and Substance-Induced Mood Disorder.

 

Module D: Mood Differential Diagnosis. An additional option was added on page D.12 for the chronology of current Bipolar Disorder (besides current Manic, Mixed, or Major Depressive Episode) for current hypomanic and unspecified episodes.  (The score sheet was also modified on page ii to move codes for hypomanic and unspecified episodes out of the box that lead to severity ratings.

 

Module E: 

1)    For most studies in which substance use is not the main focus, it is generally enough to determine whether or not criteria for dependence and abuse have been met for any class of substance.  (This is the procedure used in the "Alternate Version" of the E module).  Given that this scenario is so much more common than scenarios in which the investigator needs to determine whether dependence and abuse criteria are met for each drug class, we have now designated the version of the E module in which dependence/abuse criteria are assessed for each drug class in parallel as the "alternate" version. 

2)    On page E.9 (E.10 in newly designated alternate version), the drug list has been updated and expanded.

3)    On page E.2 and E.11 (E.20 in alternate version), the first question for Abuse has been modified to indicate that the phrase about "taking care of children" should only be said to subjects with children.

 

Module F:

1)    PTSD screening questions, page F.25, have been changed (by adding "traumatic experiences like (TRAUMAS LISTED ABOVE)" to clarify that the screening questions should refer to specifically to those in the trauma list.

2)    Changes were made to the Anxiety Disorder Due to GMC and Substance-Induced Anxiety Disorder (F.37 and F.39) for the same reasons as for Mood Disorder Due to GMC and Substance-Induced Mood Disorder (see above).  A box to indicate that the disorders are current was also added.

For Anxiety Disorder NOS (page F.41), a rating was added to allow the SCID user to indicate that the Anxiety Disorder NOS is current.  Also, an additional subtype of Anxiety Disorder NOS ("unspecified") has been included.