The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability

The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability
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DOI:
10.1016/s0924-9338(97)83297-x
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发表时间:
1997-01-01
影响因子:
7.8
通讯作者:
Dunbar, GC
Dunbar, GC
中科院分区:
医学2区
文献类型:
--
作者:
Sheehan, DV;Lecrubier, Y;Dunbar, GC

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迷你国际神经精神病学访谈(Mini)是一种简短的诊断性结构化访谈,以临床医生(mini-CR)和患者分级(MIM-PR)的形式开发,适用于17种诊断和统计手册(DSM)-III-R轴I精神障碍。这项研究调查了MINI与DSM-III-R患者结构化临床访谈(SCID-P)的有效性,并与一项类似的研究一起进行,调查MINI与国际疾病统计分类(ICD)-10的综合国际诊断访谈(CIDI)的有效性。这两项研究还检查了Mini的评分者间和重测可靠性。370名受试者(佛罗里达州330人,巴黎40人)参加了MINI与SCID-P的验证。在这些人中,308人至少有一种精神障碍,62人是非患者成人对照组。80名受试者(佛罗里达州的40人和巴黎的40人)也参与了MINI和CIDI的有效性的平行研究。佛罗里达州的330名受试者首先完成了患者评级的迷你版本。所有受试者都接受了Mini-CR(佛罗里达受试者在MIM-PR之后),然后是SCID-P。两名面试者在佛罗里达和巴黎分别对42名受试者和42名受试者进行了Mini-CR评分(评分员间信度测试),并在初始评分(重测可靠性测试)后一至两天由第三名盲面试者重新进行评分。总体而言,研究结果支持了迷你量表的效度和信度。此外,迷你CR的使用时间是SCID-P相应部分的一半。讨论了短期结构化访谈在临床和研究环境中的应用。
The Mini International Neuropsychiatric Interview (MINI) is a short diagnostic structured interview, developed in clinician (MINI-CR) and patient-rated (MIM-PR) formats, for 17 Diagnostic and Statistical Manual (DSM)-III-R Axis I psychiatric disorders. This study, which investigates the validity of the MINI in relation to the Structured Clinical Interview for DSM-III-R Patients (SCID-P), was conducted in conjunction with a similar study, investigating the validity of the MINI in relation to the Composite International Diagnostic Interview (CIDI) for International Statistical Classification of Disease (ICD)-10. Both studies also examined the inter-rater and test-retest reliability of the MINI. Three hundred and seventy subjects (330 in Florida and 40 in Paris) participated in the validation of the MINI versus the SCID-P. Of these, 308 had at least one psychiatric disorder and 62 were non-patient adult controls. Eighty of the subjects (40 in Florida and 40 in Paris) also participated in the parallel study of the validity of the MINI versus the CIDI. The 330 Florida subjects first completed the patient-rated version of the MINI. All subjects were administered the MINI-CR (after the MIM-PR in the case of the Florida subjects), followed by the SCID-P. The MINI-CR was rated by two interviewers for 42 subjects in Florida and 42 in Paris (inter-rater reliability test) and readministered by a third blind interviewer one to two days after the initial rating (test-retest reliability test). Overall, the results supported the validity and reliability of the MINI. In addition, administration of the MINI-CR took half as long as administration of corresponding sections of the SCID-P. The application of short structured interviews in clinical and research settings is discussed.