The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI
The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI
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DOI：
10.1016/s0924-9338(97)83296-8
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发表时间：
1997-01-01
影响因子：
7.8
通讯作者：
Dunbar, GC
中科院分区：
文献类型：
--
作者：
Lecrubier, Y;Sheehan, DV;Dunbar, GC
迷你国际神经精神访谈（Mini International Neuropsychiatric Interview，MINI）是法国和美国开发的一种简短的诊断性结构化访谈（DSI），根据诊断和统计手册（DSM）-III-R诊断标准探索17种疾病。它的结构完全允许非专业访谈人员进行管理。为了保持简短，它侧重于当前存在的障碍。对于每一种疾病，一个或两个筛选问题排除诊断时，回答否定。对严重程度、残疾或医学解释的症状的探索并不是逐症状探索的。两篇联合论文介绍了MINI的评分者间和重测信度以及与复合国际诊断访谈（CIDI）（本文）和DSM-III-II患者结构化临床访谈（SCID）（联合论文）的有效性。340例sig患者（296例精神病患者和50例非精神病患者）接受了MIM和CIDI“金标准”。两名调查员约谈了42人，随后在两天内约谈了42人。访谈者接受了使用这两种工具的培训。平均持续时间的采访是21分钟与MIM和92相应的部分CIDI。Kappa系数、敏感性和特异性均为良好或非常好，但广泛性焦虑症（GAD）（Kappa = 0.36）、广场恐怖症（敏感性= 0.59）和贪食症（Kappa = 0.53）除外。评分员间信度和重测信度良好。查明了差异的主要原因。MINI在短时间内提供了可靠的DSM-III-R诊断。该研究允许在目前的DSM-IV版本的MINI中改进GAD和广场恐怖症的表述。
The Mini International Neuropsychiatric Interview (MINI) is a short diagnostic structured interview (DSI) developed in France and the United States to explore 17 disorders according to Diagnostic and Statistical Manual (DSM)-III-R diagnostic criteria. It is fully structured to allow administration by non-specialized interviewers. In order to keep it short it focuses on the existence of current disorders. For each disorder, one or two screening questions rule out the diagnosis when answered negatively. Probes for severity, disability or medically explained symptoms are not explored symptom-by-symptom. Two joint papers present the inter-rater and test-retest reliability of the MINI and the validity versus the Composite International Diagnostic Interview (CIDI) (this paper)and the Structured Clinical Interview for DSM-III-II patients (SCID) (joint paper). Three-hundred and forty-sig, patients (296 psychiatric and 50 non-psychiatric) were administered the MIM and the CIDI 'gold standard'. Forty two were interviewed by two investigators and 42 interviewed subsequently within two days. Interviewers were trained to use both instruments. The mean duration of the interview was 21 min with the MIM and 92 for corresponding sections of the CIDI. Kappa coefficient, sensitivity and specificity were good or very good for all diagnoses with the exception of generalized anxiety disorder (GAD) (kappa = 0.36), agoraphobia (sensitivity = 0.59) and bulimia (kappa = 0.53). Inter-rater and test-retest reliability were good. The main reasons for discrepancies were identified. The MINI provided reliable DSM-III-R diagnoses within a short time frame. The study permitted improvements in the formulations for GAD and agoraphobia in the current DSM-IV version of the MINI.