Test-retest reliability of the computerized DSM-IV version of the Munich-Composite International Diagnostic Interview (M-CIDI)

SummaryThe Mini International Neuropsychiatric Interview (MINI) is a short diagnostic structured interview (DSI) developed in France and the United States to explore 17 disorders according to Diagnostic and Statistical Manual (DSM)-III-R diagnostic criteria. It is fully structured to allow administration by non-specialized interviewers. In order to keep it short it focuses on the existence of current disorders. For each disorder, one or two screening questions rule out the diagnosis when answered negatively. Probes for severity, disability or medically explained symptoms are not explored symptom-by-symptom. Two joint papers present the inter-rater and test-retest reliability of the MINI the validity versus the Composite International Diagnostic Interview (CIDI) (this paper) and the Structured Clinical Interview for DSM-III-R patients (SCID) (joint paper). Three-hundred and forty-six patients (296 psychiatric and 50 non-psychiatric) were administered the MINI and the CIDI ‘gold standard’. Forty two were interviewed by two investigators and 42 interviewed subsequently within two days. Interviewers were trained to use both instruments. The mean duration of the interview was 21 min with the MINI and 92 for corresponding sections of the CIDI. Kappa coefficient, sensitivity and specificity were good or very good for all diagnoses with the exception of generalized anxiety disorder (GAD) (kappa = 0.36), agoraphobia (sensitivity = 0.59) and bulimia (kappa = 0.53). Interrater and test-retest reliability were good. The main reasons for discrepancies were identified. The MINI provided reliable DSM-III-R diagnoses within a short time frame, The study permitted improvements in the formulations for GAD and agoraphobia in the current DSM-IV version of the MINI.

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Latent Class Analysis of DSM-5 Criteria for Opioid Use Disorders: Results from the Iranian National Survey on Mental Health

European Addiction Research ◽

10.1159/000369338 ◽

2015 ◽

Vol 21 (3) ◽

pp. 144-152 ◽

Cited By ~ 7

Author(s):

Mohammad Javad Tarrahi ◽

Afarin Rahimi-Movaghar ◽

Hojjat Zeraati ◽

Seyed Abbas Motevalian ◽

Masoumeh Amin-Esmaeili ◽

...

Keyword(s):

Mental Health ◽

Latent Class ◽

Composite International Diagnostic Interview ◽

Opioid Use Disorder ◽

Diagnostic Interview ◽

Opioid Use ◽

Dsm 5 ◽

Legal Problems ◽

Dsm Iv ◽

Opioid Users

Background: Assessments of DSM-IV and DSM-5 criteria with sample populations of opioid users are limited. This study aimed to determine the number of latent classes in opioid users and assessment of the proposed revisions to the DSM-5 opioid use disorder (OUD) criteria. Methods: Data came from the 2011 Iranian National Mental Health Survey (IranMHS) on 7,886 participants aged 15-64 years living in Iran. We used the Composite International Diagnostic Interview (CIDI) version 2.1 in all respondents who indicated using opioids at least 5 times in the previous 12 months (n = 236). Results: A three-class model provided the best fit of all the models tested. Classes showed a spectrum of severity that was compatible with the DSM-5 classification. ‘Legal problems' and ‘desire to cut down' showed poor discrimination between classes. The weighted prevalence of OUD using DSM-5 was 20.7% higher than with DSM-IV. Conclusions: Results support the grouping based on severity of symptoms, combining abuse and dependence into a single diagnosis, omitting legal problems, and addition of craving as a new criterion.

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Empirical Investigation of Two Assumptions in the Diagnosis of DSM-IV Major Depressive Episode

Australian & New Zealand Journal of Psychiatry ◽

10.1080/00048670601050440 ◽

2007 ◽

Vol 41 (1) ◽

pp. 17-23 ◽

Cited By ~ 15

Author(s):

Chika Sakashita ◽

Tim Slade ◽

Gavin Andrews

Keyword(s):

Depressive Episode ◽

Major Depressive Episode ◽

Sleep Problems ◽

Composite International Diagnostic Interview ◽

Population Based ◽

Diagnostic Interview ◽

Major Depressive ◽

Diagnostic Threshold ◽

Dsm Iv ◽

The Relationship

Objective: The aim of the current study was to examine two major assumptions behind the DSM-IV diagnosis of major depressive episode (MDE): that depression represents a distinct category defined by a valid symptom threshold, and that each depressive symptom contributes equally to the diagnosis. Methods: Data were from the Australian National Survey of Mental Health and Wellbeing. Participants consisted of a random population-based sample of 10 641 community volunteers, representing a response rate of 78%. DSM-IV diagnoses of MDE and other mental disorders were obtained using the Composite International Diagnostic Interview, version 2.0. Analyses were carried out on the subsample of respondents who endorsed either depressed mood or loss of interest (n =2137). Multivariate linear regression analyses examined the relationship between the number and type of symptoms and four independent measures of impairment. Results: The relationship between the number of depressive symptoms and the four measures of impairment was purely linear. Three individual symptoms (sleep problems, energy loss, and psychomotor disturbance) were all independent predictors of three of the four measures of impairment. Conclusions: Counting symptoms alone is limited in guiding a clear diagnostic threshold. The differential impact of individual symptoms on impairment suggests that impairment levels may be more accurately estimated by weighting the particular symptoms endorsed.

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Diagnostic Interview for Genetic Studies (DIGS): Inter-rater and test-retest reliability and validity in a Spanish population

European Psychiatry ◽

10.1016/j.eurpsy.2006.10.004 ◽

2007 ◽

Vol 22 (1) ◽

pp. 44-48 ◽

Cited By ~ 24

Author(s):

Miguel Roca ◽

Rocio Martin-Santos ◽

Jerónimo Saiz ◽

Jordi Obiols ◽

Maria J. Serrano ◽

...

Keyword(s):

Major Depression ◽

Reliability And Validity ◽

Kappa Statistic ◽

Diagnostic Interview ◽

Spanish Version ◽

Spanish Population ◽

Good Reliability ◽

Retest Reliability ◽

Kappa Value ◽

Test Retest Reliability

AbstractObjectiveTo test the reliability and validity of the DIGS in Spanish population.MethodsInter-rater and test-retest reliability of the Spanish version of DIGS was tested in 95 inpatients and outpatients. The resultant diagnoses were compared with diagnoses obtained by the LEAD (Longitudinal Expert All Data) procedure as “gold standard”. The kappa statistic was used to measure concordance between blind inter-raters and between the diagnoses obtained by LEAD procedure and through the DIGS.ResultsOverall kappa coefficient for inter-rater reliability was 0.956. The kappa value for individual diagnosis varied from major depression = 0.877 to schizophrenia = 1. Test-retest reliability was 0.926. Kappa for all individual target diagnoses ranged from 0.776 (major depression) to 1. Kappa between LEAD procedure and DIGS ranged from 0.704 (major depression) to 0.825 (bipolar I disorder).ConclusionMost of the DSM-IV major psychiatric disorders can be assessed with acceptable to excellent reliability with the Spanish version of the DIGS interview. The Spanish version of DIGS showed an acceptable to excellent concurrent validity. Giving the good reliability and validity of Spanish version of DIGS it should be considered to identify psychiatric phenotypes for genetics studies.

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Test-Retest Reliability of Anxiety Symptoms and Diagnoses With the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent Versions

Journal of the American Academy of Child & Adolescent Psychiatry ◽

10.1097/00004583-200108000-00016 ◽

2001 ◽

Vol 40 (8) ◽

pp. 937-944 ◽

Cited By ~ 801

Author(s):

WENDY K. SILVERMAN ◽

LISSETTE M. SAAVEDRA ◽

ARMANDO A. PINA

Keyword(s):

Anxiety Disorders ◽

Anxiety Symptoms ◽

Interview Schedule ◽

Retest Reliability ◽

Dsm Iv ◽

Test Retest Reliability

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Inter-Rater and Test-Retest Reliability of the Revised Diagnostic Interview for Borderlines

Journal of Personality Disorders ◽

10.1521/pedi.16.3.270.22538 ◽

2002 ◽

Vol 16 (3) ◽

pp. 270-276 ◽

Cited By ~ 113

Author(s):

Mary C. Zanarini ◽

Frances R. Frankenburg ◽

A. Anna Vujanovic

Keyword(s):

Diagnostic Interview ◽

Retest Reliability ◽

Test Retest Reliability

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Test-Retest Reliability of the Diagnostic Interview for Borderlines

Archives of General Psychiatry ◽

10.1001/archpsyc.1983.01790110049009 ◽

1983 ◽

Vol 40 (12) ◽

pp. 1307 ◽

Cited By ~ 33

Author(s):

Dewey G. Cornell

Keyword(s):

Diagnostic Interview ◽

Retest Reliability ◽

Test Retest Reliability

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Standardised Assessment of Personality – Abbreviated Scale (SAPAS): Preliminary validation of a brief screen for personality disorder

The British Journal of Psychiatry ◽

10.1192/bjp.183.3.228 ◽

2003 ◽

Vol 183 (3) ◽

pp. 228-232 ◽

Cited By ~ 205

Author(s):

Paul Moran ◽

Morven Leese ◽

Tennyson Lee ◽

Paul Walters ◽

Graham Thornicroft ◽

...

Keyword(s):

Personality Disorder ◽

Psychiatric Patients ◽

Preliminary Evidence ◽

Clinical Settings ◽

Retest Reliability ◽

Preliminary Validation ◽

Dsm Iv ◽

Test Retest Reliability ◽

Screening Interview ◽

Brief Screening

BackgroundThere is a need for a brief and simple screen for personality disorders that can be used in routine psychiatric assessments.AimsTo test the concurrent validity and test–retest reliability of a brief screen for personality disorder.MethodSixty psychiatric patients were administered a brief screening interview for personality disorder. On the same day, they were interviewed with an established assessment for DSM–IV personality disorder. Three weeks later, the brief screening interview was repeated in order to examine test–retest reliability.ResultsA score of 3 on the screening interview correctly identified the presence of DSM–IV personality disorder in 90% of participants. The sensitivity and specificity were 0.94 and 0.85 respectively.ConclusionsThe study provides preliminary evidence of the usefulness of the screen in routine clinical settings.

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