Modifying and validating the Composite International Diagnostic Interview (CIDI) for use in Nepal.
Modifying and validating the Composite International Diagnostic Interview (CIDI) for use in Nepal.
复制标题
DOI：
10.1002/mpr.1375
复制
发表时间：
2013-03
影响因子：
3.1
通讯作者：
Adhikari, Bishnu P.
中科院分区：
文献类型：
--
作者：
Ghimire, Dirgha J.;Chardoul, Stephanie;Kessler, Ronald C.;Axinn, William G.;Adhikari, Bishnu P.
在非西方国家，开发和验证完全结构化的精神障碍诊断访谈的努力基本上没有成功。然而，跨国调查方法学家开发的翻译、协调和校准的原则性方法以前从未用于指导此类开发工作。本报告介绍了使用这些方法进行严格研究的结果，这些方法旨在修改和验证尼泊尔流行病学调查的综合国际诊断访谈（CIDI）。一个翻译，协调和校准的五步过程被用来修改仪器。采用盲态临床再评价设计来验证该工具。与当地心理健康专家的初步访谈导致重点关注重度抑郁发作、躁狂/轻躁狂、恐慌症、创伤后应激障碍、广泛性焦虑症和间歇性爆发性障碍。在跨国调查方法学家制定的原则指导下，经过多次预防-修订的迭代过程后，基于最终尼泊尔CIDI的终身DSM-IV诊断与基于盲法SCID临床再评价访谈的诊断具有极好的一致性。即使在低收入的非西方环境中，只要严格执行可复制的发展战略，也可以通过结构完整的诊断访谈来实现对精神障碍的有效评估。
Efforts to develop and validate fully-structured diagnostic interviews of mental disorders in non-Western countries have been largely unsuccessful. However, the principled methods of translation, harmonization, and calibration that have been developed by cross-national survey methodologists have never before been used to guide such development efforts. The current report presents the results of a rigorous program of research using these methods designed to modify and validate the Composite International Diagnostic Interview (CIDI) for an epidemiological survey in Nepal. A five-step process of translation, harmonization, and calibration was used to modify the instrument. A blinded clinical reappraisal design was used to validate the instrument. Preliminary interviews with local mental health expert led to a focus on major depressive episode, mania/hypomania, panic disorder, post-traumatic stress disorder, generalized anxiety disorder, and intermittent explosive disorder. After an iterative process of multiple translations-revisions guided by the principles developed by cross-national survey methodologists, lifetime DSM-IV diagnoses based on the final Nepali CIDI had excellent concordance with diagnoses based on blinded SCID clinical reappraisal interviews. Valid assessment of mental disorders can be achieved with fully-structured diagnostic interviews even in low-income non-Western settings with rigorous implementation of replicable developmental strategies.
登录
查看更多内容
影响因子：
0.6
作者：
Manson, SM
通讯作者：
Manson, SM
影响因子：
7.2
作者：
BYRT, T;BISHOP, J;CARLIN, JB
通讯作者：
CARLIN, JB
影响因子：
1.9
作者：
LANDIS, JR;KOCH, GG
通讯作者：
KOCH, GG
影响因子：
4.4
作者：
Sartorius, N;Janca, A
通讯作者：
Janca, A
DOI：
10.1097/chi.0b013e31819a1cbc
发表时间：
2009-04-01
影响因子：
13.3
作者：
Kessler, Ronald C.;Avenevoli, Shelli;Merikangas, Kathleen R.
通讯作者：
Merikangas, Kathleen R.