Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews.
Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews.
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DOI：
10.1192/bjp.2018.54
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Thombs BD
中科院分区：
文献类型：
--
作者：
Levis B;Benedetti A;Riehm KE;Saadat N;Levis AW;Azar M;Rice DB;Chiovitti MJ;Sanchez TA;Cuijpers P;Gilbody S;Ioannidis JPA;Kloda LA;McMillan D;Patten SB;Shrier I;Steele RJ;Ziegelstein RC;Akena DH;Arroll B;Ayalon L;Baradaran HR;Baron M;Beraldi A;Bombardier CH;Butterworth P;Carter G;Chagas MH;Chan JCN;Cholera R;Chowdhary N;Clover K;Conwell Y;de Man-van Ginkel JM;Delgadillo J;Fann JR;Fischer FH;Fischler B;Fung D;Gelaye B;Goodyear-Smith F;Greeno CG;Hall BJ;Hambridge J;Harrison PA;Hegerl U;Hides L;Hobfoll SE;Hudson M;Hyphantis T;Inagaki M;Ismail K;Jetté N;Khamseh ME;Kiely KM;Lamers F;Liu SI;Lotrakul M;Loureiro SR;Löwe B;Marsh L;McGuire A;Mohd Sidik S;Munhoz TN;Muramatsu K;Osório FL;Patel V;Pence BW;Persoons P;Picardi A;Rooney AG;Santos IS;Shaaban J;Sidebottom A;Simning A;Stafford L;Sung S;Tan PLL;Turner A;van der Feltz-Cornelis CM;van Weert HC;Vöhringer PA;White J;Whooley MA;Winkley K;Yamada M;Zhang Y;Thombs BD
不同的诊断访谈被用作研究中抑郁症分类的参考标准。半结构化面试涉及临床判断，而完全结构化面试则完全照本宣科。迷你国际神经精神访谈（Mini International Neuropsychiatric Interview，MINI）是一种简短的完全结构化的访谈，有时也会使用。目前尚不清楚访谈方法是否与重性抑郁症分类的可能性有关。评估访谈方法与重性抑郁症分类几率之间的关系，控制抑郁症状评分和参与者特征。对患者健康问卷-9（PHQ-9）诊断准确性的个体参与者数据荟萃分析收集的数据进行了分析。二项广义线性混合模型拟合。分析了来自57项主要研究的17，158名参与者（2，287例重度抑郁症病例）。在完全结构化的访谈中，MINI的重度抑郁症发生率高于复合国际诊断访谈（CIDI）[OR（95%CI）= 2.10（1.15 - 3.87）]。与半结构化面试相比，全结构化面试（排除MINI）不显著更有可能将参与者归类为低水平抑郁症状（PHQ-9评分≤ 6分）为重度抑郁[OR（95%CI）= 3.13（0.98 - 10.00）]，同样可能为中度症状（PHQ-9评分7 - 15）[OR（95% CI）= 0.96（0.56 - 1.66）]，高水平症状（PHQ-9评分≥ 16）的可能性显著较低[OR（95%CI）= 0.50（0.26 - 0.97）]。MINI可能比CIDI识别出更多的抑郁病例，半结构化访谈和全结构化访谈可能不是可互换的方法，但这些结果应该被复制。
Different diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini International Neuropsychiatric Interview (MINI), a brief fully structured interview, is also sometimes used. It is not known whether interview method is associated with probability of major depression classification. To evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics. Data collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analyzed. Binomial Generalized Linear Mixed Models were fit. 17,158 participants (2,287 major depression cases) from 57 primary studies were analyzed. Among fully structured interviews, odds of major depression were higher for the MINI compared to the Composite International Diagnostic Interview (CIDI) [OR (95% CI) = 2.10 (1.15–3.87)]. Compared to semi-structured interviews, fully structured interviews (MINI excluded) were non-significantly more likely to classify participants with low-level depressive symptoms (PHQ-9 scores ≤6) as having major depression [OR (95% CI) = 3.13 (0.98–10.00)], similarly likely for moderate-level symptoms (PHQ-9 scores 7–15) [OR (95% CI) = 0.96 (0.56–1.66)], and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) [OR (95% CI) = 0.50 (0.26–0.97)]. The MINI may identify more depressed cases than the CIDI, and semi- and fully structured interviews may not be interchangeable methods, but these results should be replicated.
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DOI：
10.1177/070674370505001308
发表时间：
2005-11-01
影响因子：
4
作者：
Kurdyak, PA;Gnam, WH
通讯作者：
Gnam, WH
影响因子：
4.7
作者：
Leavens, Allison;Patten, Scott B.;Thombs, Brett D.
通讯作者：
Thombs, Brett D.
影响因子：
3.5
作者：
Cook, Karon F.;Kallen, Michael A.;Amtmann, Dagmar
通讯作者：
Amtmann, Dagmar
影响因子：
7.8
作者：
Lecrubier, Y;Sheehan, DV;Dunbar, GC
通讯作者：
Dunbar, GC
影响因子：
4.7
作者：
Rice, Danielle B.;Kloda, Lorie A.;Thombs, Brett D.
通讯作者：
Thombs, Brett D.