TY - JOUR
T1 - New diagnostic efficiency statistics
T2 - Comparative sensitivity and predictive/prevalence ratio
AU - Millon, T.
AU - Bochian, N.
AU - Tringone, R.
AU - Antoni, M.
AU - Green, C. J.
PY - 1989/1/1
Y1 - 1989/1/1
N2 - A major issue in evaluating the validity and utility of a criterion for a target diagnostic syndrome requires that its efficiency be compared to those of other diagnoses. A criterion may prove quite sensitive for diagnosis A, but this level may turn out to be a lesser magnitude than for diagnosis B and C. A new statistic, that of 'comparative sensitivity', introduces a formula for comparing the relative diagnostic sensitivity of a criterion when several diagnostic categories are being evaluated simultaneously. Another issue of concern relates to the positive predictive power of diagnostic criterion; the significance and utility of this power is a function largely of the prevalence or base-rate of the diagnostic syndrome for which it is intended to serve as an index. Accordingly, a second new statistic, that termed the 'predictive/prevalence ratio' is presented; it provides a standard gauge for evaluating the effective utility of the PPP statistic. The logic, methodology, and several examples are presented for these new statistics.
AB - A major issue in evaluating the validity and utility of a criterion for a target diagnostic syndrome requires that its efficiency be compared to those of other diagnoses. A criterion may prove quite sensitive for diagnosis A, but this level may turn out to be a lesser magnitude than for diagnosis B and C. A new statistic, that of 'comparative sensitivity', introduces a formula for comparing the relative diagnostic sensitivity of a criterion when several diagnostic categories are being evaluated simultaneously. Another issue of concern relates to the positive predictive power of diagnostic criterion; the significance and utility of this power is a function largely of the prevalence or base-rate of the diagnostic syndrome for which it is intended to serve as an index. Accordingly, a second new statistic, that termed the 'predictive/prevalence ratio' is presented; it provides a standard gauge for evaluating the effective utility of the PPP statistic. The logic, methodology, and several examples are presented for these new statistics.
UR - http://www.scopus.com/inward/record.url?scp=0024430131&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0024430131&partnerID=8YFLogxK
U2 - 10.1521/pedi.1989.3.3.163
DO - 10.1521/pedi.1989.3.3.163
M3 - Article
AN - SCOPUS:0024430131
VL - 3
SP - 163
EP - 173
JO - Journal of Personality Disorders
JF - Journal of Personality Disorders
SN - 0885-579X
IS - 3
ER -