Structure, content and reliability of the Munich Composite International Diagnostic Interview (M-CIDI) substance use sections
Structure, content and reliability of the Munich Composite International Diagnostic Interview (M-CIDI) substance use sections
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DOI：
10.1159/000018922
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发表时间：
1998-01-01
影响因子：
3.9
通讯作者：
Pfister, H
中科院分区：
文献类型：
--
作者：
Lachner, G;Wittchen, HU;Pfister, H
在回顾了现有的物质使用障碍诊断评估工具之后，本文描述了慕尼黑-综合国际诊断访谈(M-CIDI)物质使用障碍部分的形式和结构。此外，还报告了尼古丁、酒精、非法药物和处方药的诊断和标准的重测可靠性。在青少年和青壮年社区样本中获得的调查结果表明，物质部分对几乎所有类型的答复者都是可以接受的，在时间和管理方面是有效的，而且在调查结果随时间的一致性方面是可靠的。由两名独立面试者审查的平均1个月的复测可靠性表明，所评估的所有物质障碍的卡伯值从好到优，显著的卡伯值介于药物滥用的0.55和酒精滥用的0.83之间。对关于滥用和依赖的单一DSM-IV诊断标准以及M-CIDI的数量-频率和与时间有关的问题的评估也得到了相当一致的同意。总而言之，尽管与以前的研究不同，这项研究是在社区样本中进行的，而不是在患者中进行的，并且使用了相当长的两次调查之间超过一个月的时间间隔，但我们的M-CIDI可靠性至少与以前的研究一样高。
After reviewing currently available diagnostic assessment instruments for substance use disorders this paper describes the format and structure of the Munich-Composite International Diagnostic Interview (M-CIDI) substance disorder section. In addition, the test-retest reliability of diagnoses and criteria for nicotine, alcohol, illegal and prescription drugs, is reported. Findings obtained in community sample of adolescents and young adults indicate that the substance section is acceptable for almost all types of respondents, efficient in terms of time and ease of administration as well as reliable in terms of consistency of findings over time. The test-retest reliability over a period of an average of 1 month, as examined by two independent interviewers indicates good-to-excellent kappa values for all substance disorders assessed, with significant kappa values ranging between 0.55 for drug abuse and 0.83 for alcohol abuse. There was also fairly consistently high agreement for the assessment of single DSM-IV diagnostic criteria for abuse and dependence as well as the M-CIDI quantity-frequency and time-related questions. To conclude, although - unlike previous studies - this study was conducted in a community sample and not in patients and used considerably longer time intervals of more than a month between investigations, our M-CIDI reliability findings are at least as high as those from previous studies.