
Mental Health Interviews Fall Short of a True Gold Standard, Large Review Finds
A meta-analysis of 57 studies across 26 countries finds standardized diagnostic interviews for mental health show limited reliability: retests agree with initial results about 65% of the time for mental disorders (roughly 72% for substance-use disorders), with particularly variable results for non-affective psychoses; bipolar disorder and opioid addiction fared better (74% and 81%, respectively). Limitations include incomplete reporting, prompting researchers to warn against treating these interviews as an unassailable gold standard and to combine SDIs with clinical context and knowledge of a disorder’s course.




