DSM-III-R psychotic disorders: procedural validity of the Mini International Neuropsychiatric Interview (MINI). Concordance and causes for discordance with the CIDI
DSM-III-R psychotic disorders: procedural validity of the Mini International Neuropsychiatric Interview (MINI). Concordance and causes for discordance with the CIDI
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DOI：
10.1016/s0924-9338(97)86748-x
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发表时间：
1998-01-01
影响因子：
7.8
通讯作者：
Sheehan, D
中科院分区：
文献类型：
--
作者：
Amorim, P;Lecrubier, Y;Sheehan, D
目的：迷你国际神经精神访谈（MINI）是一种简短的诊断结构化访谈（DSI），设计用于产生主要诊断和统计手册（DSM）-III-R/IV轴I障碍的阳性诊断，并探索精神分裂症（Sc）的标准A的症状以排除精神病性障碍的存在。MINI的程序有效性。在欧洲使用复合国际诊断访谈（CIDI）作为金标准，在美国使用DSM-III-R（SCID-P）结构化临床访谈，在精神病患者中进行了调查。本文介绍了DSM-III-R精神病和心境障碍的MINI和CIDI之间的一致性和不一致的原因。没有研究系统地分析了精神病患者基于相同操作标准的DSI之间的分歧来源。研究方法：结果：256例精神病患者和50例非精神病患者通过MINI和CIDI测试，在重度抑郁发作（MDE）、躁狂发作、精神病性障碍、综合征或症状方面的一致性较好（0.65 ~ 0.82）。对疾病近因评估的加强占当前诊断不一致的25 - 40%。53%的终生躁狂发作的不一致性是由于指数发作的严重程度不一致造成的。50%的精神疾病诊断不一致是由于两种DSI之间的算法差异，结论：MINI在短时间内（22分钟）产生可靠的DSM-III-R诊断。根据定量和定性分析的MINI和CIDI的精神疾病和情绪发作之间的差异，我们提出并测试了修改贷款的改善，在两次采访。根据修改后的CIDI修改后的MINI的程序有效性被认为是非常好的。(C)1998年，爱思唯尔，巴黎。
Objectives: the Mini International Neuropsychiatric Interview (MINI) is a short diagnostic structured interview (DSI) designed to generate positive diagnosis for the main Diagnostic and Statistical Manual (DSM)-III-R/IV Axis I disorders and to explore the symptoms of Criterion A for Schizophrenia (Sc) to rule out the presence of Psychotic Disorders. The procedural validity of the MINI. was investigated in psychiatric patients using the Composite International Diagnostic Interview (CIDI) as a gold standard in Europe and the Structured Clinical Interview for DSM-III-R (SCID-P)in the US. This paper presents the concordance and the reasons for discordance between the MINI and the CIDI for DSM-III-R Psychotic and Mood Disorders. No study had systematically analysed the sources of disagreement between DSI based on the same operational criteria in psychotic patients. Methods: 256 consecutively recruited psychiatric patients and 50 non-psychiatric subjects passed the MINI and the CIDI.Results: concordance was good for the presence of Major Depressive Episode (MDE), Manic Episode, Psychotic Disorders, syndromes or symptoms (0.65 to 0.82). Inconsistencies in evaluation of the disorder recency accounted for 25 to 40% of discordance for current diagnoses. Fifty-three percent of discordance for lifetime Manic Episode resulted from inconsistencies in the severity of the index episode. Fifty percent of discordance for the diagnosis of Psychotic Disorders was due to algorithmic differences between the two DSI,Conclusion: the MINI yields reliable DSM-III-R diagnoses within a short time frame (22 minutes). Depending on the quantitative and the qualitative analyses of discrepancies between the MINI and the CIDI for Psychotic Disorders and Mood Episodes, we proposed and tested modifications lending to improvements in both interviews. The procedural validity of the modified MINI according to the modified CIDI was found to be very good. (C) 1998, Elsevier, Paris.