Abstract
DTREE has been developed to provide new clinicians with computer-assisted teaching of psychiatric diagnosis, according to the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R). At the core of DTREE is an expert system that guides the user through the process of making a diagnosis. To best model the DSM-III-R system, a decision tree design has been employed in which questions are sequentially asked about a case, with the answer determining which question is asked next. Since the primary goal of an expert system used for teaching is to be able to provide explanations of what it is doing, annotated comments and additional explanatory text are available for each question that is asked. DTREE is currently undergoing field testing in both clinical and educational settings.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Fleiss J. L., Spitzer R. L., Cohen J., Endicott J. Three computer diagnosis methods compared. Arch Gen Psychiatry. 1972 Nov;27(5):643–649. doi: 10.1001/archpsyc.1972.01750290057011. [DOI] [PubMed] [Google Scholar]
- Hirschfeld R., Spitzer R. L., Miller R. G. Computer diagnosis in psychiatry: a Bayes approach. J Nerv Ment Dis. 1974 Jun;158(6):399–407. doi: 10.1097/00005053-197406000-00002. [DOI] [PubMed] [Google Scholar]
- Melrose J. P., Stroebel C. F., Glueck B. C. Diagnosis of psychopathology using stepwise multiple discriminant analysis. I. Compr Psychiatry. 1970 Jan;11(1):43–50. doi: 10.1016/0010-440x(70)90203-8. [DOI] [PubMed] [Google Scholar]
- Miller R. A., Pople H. E., Jr, Myers J. D. Internist-1, an experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med. 1982 Aug 19;307(8):468–476. doi: 10.1056/NEJM198208193070803. [DOI] [PubMed] [Google Scholar]
- Skodol A. E., Williams J. B., Spitzer R. L., Gibbon M., Kass F. Identifying common errors in the use of DSM-III through diagnostic supervision. Hosp Community Psychiatry. 1984 Mar;35(3):251–255. doi: 10.1176/ps.35.3.251. [DOI] [PubMed] [Google Scholar]
- Spitzer R. L., Endicott J. DIAGNO. A computer program for psychiatric diagnosis utilizing the differential diagnostic procedure. Arch Gen Psychiatry. 1968 Jun;18(6):746–756. doi: 10.1001/archpsyc.1968.01740060106013. [DOI] [PubMed] [Google Scholar]
- Swartz C. M., Pfohl B. A learning aid for DSM-III: computerized prompting of diagnostic criteria. J Clin Psychiatry. 1981 Sep;42(9):359–361. [PubMed] [Google Scholar]
- Wing J. K. At the research front - standardizing clinical diagnostic judgements the PSE-CATEGO System. Aust N Z J Psychiatry. 1980 Mar;14(1):17–20. doi: 10.3109/00048678009159350. [DOI] [PubMed] [Google Scholar]
