Diagnostic validity of the composite international diagnostic interview (CIDI) depression module in an East African population.
Diagnostic validity of the composite international diagnostic interview (CIDI) depression module in an East African population.
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DOI：
10.2190/pm.46.4.e
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发表时间：
2013
影响因子：
2
通讯作者：
Zhou XH
中科院分区：
文献类型：
--
作者：
Gelaye B;Williams MA;Lemma S;Deyessa N;Bahretibeb Y;Shibre T;Wondimagegn D;Lemenih A;Fann JR;Stoep AV;Zhou XH
评估结构化复合国际诊断访谈（CIDI）在东非成人中诊断当前重性抑郁障碍（MDD）的有效性和可靠性。926例患者参加了一个主要的转诊医院的样本参加了这项诊断评估研究。我们使用了两个阶段的研究设计，参与者首先接受了采访，使用阿姆哈拉语版本的CIDI和分层随机样本进行了后续的半结构化的临床访谈，由精神科医生进行，不知道筛选结果，使用神经精神病学临床评估（SCAN）工具的时间表。我们通过检查CIDI和世界卫生组织生活质量（WHO-QOL）问卷的相关性来测试结构效度。我们使用SCAN诊断访谈作为金标准计算了CIDI的心理测量学特性。我们发现，阿姆哈拉语版本的CIDI诊断面试具有良好的内部可靠性（克朗巴赫的α = 0.97）在埃塞俄比亚成年人。与SCAN参考标准相比，CIDI具有较好的特异性（72.2%），但敏感性较低（51.0%）。我们的研究提供了证据的单维度的核心抑郁症筛查问题的CIDI访谈与良好的因素负荷的主要核心抑郁因素。阿姆哈拉语版本的CIDI有公平的特异性和较低的敏感性，在检测MDD相比，精神科医生管理的扫描诊断。我们的研究结果与先前的研究基本一致。在临床环境中使用完全结构化的访谈（如CIDI）进行MDD诊断可能导致DSM-IV MDD检测不足。
To evaluate the validity and reliability of the structured Composite International Diagnostic Interview (CIDI) in diagnosing current major depressive disorder (MDD) among East African adults. A sample of 926 patients attending a major referral hospital participated in this diagnostic assessment study. We used a two stage-study design where participants were first interviewed using an Amharic version of the CIDI and a stratified random sample underwent a follow-up semi-structured clinical interview conducted by a psychiatrist, blinded to the screening results, using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) instrument. We tested construct validity by examining the association of the CIDI and World Health Organization Quality of Life (WHO-QOL) questionnaire. We calculated the psychometric properties of the CIDI using the SCAN diagnostic interview as a gold standard. We found that the Amharic version of the CIDI diagnostic interview has good internal reliability (Cronbach’s alpha= 0.97) among Ethiopian adults. Compared to the SCAN reference standard, the CIDI had fair specificity (72.2%) but low sensitivity (51.0%). Our study provided evidence for unidimensionality of core depression screening questions on the CIDI interview with good factor loadings on a major core depressive factor. The Amharic language version of the CIDI had fair specificity and low sensitivity in detecting MDD compared with psychiatrist administered SCAN diagnosis. Our findings are generally consistent with prior studies. Use of fully structured interviews such as the CIDI for MDD diagnosis in clinical settings might lead to under detection of DSM-IV MDD.