Lessons learned from the clinical reappraisal study of the Composite International Diagnostic Interview with Latinos
Lessons learned from the clinical reappraisal study of the Composite International Diagnostic Interview with Latinos
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DOI：
10.1002/mpr.280
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发表时间：
2009-06-01
影响因子：
3.1
通讯作者：
Canino, Glorisa
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Shrout, Patrick E.;Canino, Glorisa
鉴于世界卫生组织的世界精神卫生综合国际诊断访谈（WMH-CIDI）的最新调整，需要新的方法学研究来评估CIDI诊断与临床诊断访谈的一致性。本文总结了经验教训，从临床重新评估研究与美国拉丁美洲人。我们使用世界精神卫生结构化临床访谈DSM-IV（WMH-SCID 2000）将CIDI诊断与独立临床诊断进行比较。根据9种疾病的诊断状态（CIDI阳性、CIDI阴性或CIDI亚阈值）分层，随机选择3个子样本，使用SCID进行电话再访。我们计算了灵敏度、特异性和重量调整的Cohen's kappa。对于广泛性焦虑症、酒精滥用/依赖和药物滥用/依赖，SCID的加权12个月患病率估计值略高于CIDI。对于拉丁美洲人，CIDI-SCID在总体疾病水平的一致性与其他已发表的报告相当，尽管较低。CIDI在总体水平上很好地识别了阴性病例并对疾病进行了分类。在重度抑郁发作和惊恐障碍中也发现了良好的一致性。然而，我们的数据表明，CIDI提出了评估创伤后应激障碍（PTSD）和广泛性焦虑症（GAD）的问题。就如何改善未来版本的CIDI为拉丁美洲人提供了建议。版权所有（C）2009约翰威利父子有限公司
Given recent adaptations of the World Health Organization's World Mental Health Composite International Diagnostic Interview (WMH-CIDI), new methodological studies are needed to evaluate the concordance of CIDI diagnoses with clinical diagnostic interviews. This paper summarizes lessons learned from a clinical reappraisal study done with US Latinos. We compare CIDI diagnoses with independent clinical diagnosis using the World Mental Health Structured Clinical Interview for DSM-IV (WMH-SCID 2000). Three sub-samples stratified by diagnostic status (CIDI positive, CIDI negative, or CIDI sub-threshold for a disorder) based on nine disorders were randomly selected for a telephone re-interview using the SCID. We calculated sensitivity, specificity, and weight-adjusted Cohen's kappa. Weighted 12 month prevalence estimates of the SCID are slightly higher than those of the CIDI for generalized anxiety disorder, alcohol abuse/dependence, and drug abuse/dependence. For Latinos, CIDI-SCID concordance at the aggregate disorder level is comparable, albeit lower, to other published reports. The CIDI does very well identifying negative cases and classifying disorders at the aggregate level. Good concordance was also found for major depressive episode and panic disorder. Yet, our data suggests that the CIDI presents problems for assessing post-traumatic stress disorder (PTSD) and generalized anxiety disorder (GAD). Recommendations on how to improve future versions of the CIDI for Latinos are offered. Copyright (C) 2009 John Wiley & Sons, Ltd.