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DSM-IH-R Psychotic Disorders: procedural validity of the Mini International Neuropsychiatric Interview (MINI). Concordance and causes for discordance with the CIDI

Published online by Cambridge University Press:  16 April 2020

P Amorim ,
Y Lecrubier ,
E Weiller ,
T Hergueta  and
D Sheehan
P Amorim
Affiliation:
NSERM UnitP 302, Hôpital de la Salpêtrière, Pavillon Clérambault, 47, Boulevard de l'Hôpital, 75651Paris cedex 13. France
Y Lecrubier
Affiliation:
NSERM UnitP 302, Hôpital de la Salpêtrière, Pavillon Clérambault, 47, Boulevard de l'Hôpital, 75651Paris cedex 13. France
E Weiller
Affiliation:
NSERM UnitP 302, Hôpital de la Salpêtrière, Pavillon Clérambault, 47, Boulevard de l'Hôpital, 75651Paris cedex 13. France
T Hergueta
Affiliation:
NSERM UnitP 302, Hôpital de la Salpêtrière, Pavillon Clérambault, 47, Boulevard de l'Hôpital, 75651Paris cedex 13. France
D Sheehan
Affiliation:
University of South Florida College of Medicine, 3515 Fletcher Avenue, Tampa, FL 33613, USA
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Abstract

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 leading to improvements in both interviews. The procedural validity of the modified MINI according to the modified CIDI was found to be very good.

Keywords

Diagnostic Structured InterviewPsychotic disordersschizophreniaaffective disordersMINICIDI
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 1 , 1998 , pp. 26 - 34
Copyright
Copyright © Elsevier, Paris 1998

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References

Anthony, JC, Folstein, M, Romanoski, AJ, Von Korff, MR, Nestadt, G, Chahal, R et al. Comparison of the Lay Diagnostic Interview Schedule and a Standardized Psychiatric Diagnosis: Experience in Eastern Baltimore Arch Gen Psych 1985; 42: 667–675CrossRefGoogle Scholar
Bromet, EJ, Dunn, OL, Connell, MM, Dew, MA, Schulberg, HC. Long-term Reliability of Diagnosing Lifetime Major Depression in a Community Sample Arch Gen Psychiatry 1986; 43: 435–44010.1001/archpsyc.1986.01800050033004CrossRefGoogle Scholar
Farmer, AE, Katz, R, McGuffin, P, Bebbington, P. A Comparison Between the Present Sate Examination and the Composite International Diagnostic Interview Arch Gen Psychiatry 1987; 44: 1064–106810.1001/archpsyc.1987.01800240038006CrossRefGoogle Scholar
Kovess, V, Sylla, O, Fournier, L, Flavigny, V. Why discrepancies exist between structured diagnostic interviews and clinicians' diagnosis Soc Psychiatry Psychiatr Epidemiol 1992; 27: 185–191CrossRefGoogle Scholar
Lecrubier, Y, Sheehan, D, Weiller, E, Amorim, P, Bonora, I, Sheehan, K et al. The Mini International Neuropsychiatric Interview (MINI). A short Diagnostic Structured Interview: reliability and validity according to the CIDI Eur Psychiatry 1997; 12: 224–23110.1016/S0924-9338(97)83296-8CrossRefGoogle Scholar
McGorry, PD, Copolov, DL, Singh, BS. The validity of the assessment of psychopathology in the psychoses Aust N Z J Psychiatry 1989; 23: 469–48210.3109/00048678909062614CrossRefGoogle ScholarPubMed
Robins, LN. Epidemiology: Reflections on Testing the Validity of Psychiatric Interviews Arch Gen Psychiatry 1985; 42: 918–92410.1001/archpsyc.1985.01790320090013CrossRefGoogle ScholarPubMed
Robins, LN. Diagnostic Grammar and Assessment: Translating Criteria into Questions Psychol Med 1989; 19: 57–68CrossRefGoogle ScholarPubMed
Robins, LN, Helzer, JE, Croughan, J, Ratcliff, KS. National Institute of Mental Health Diagnostic Interview Schedule: Its History, Characteristics and Validity Arch Gen Psychiatry 1981; 38: 381–389CrossRefGoogle ScholarPubMed
Robins, LN, Wing, JK, Wittchen, HU, Helzer, JE, Babor, TF, Burke, J et al. The Composite International Diagnostic Interview: an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures Arch Gen Psychiatry 1988; 45: 1069–107710.1001/archpsyc.1988.01800360017003CrossRefGoogle ScholarPubMed
Semler, G, Wittchen, HU, Joschke, K, Zauding, M, Von Geiso, T, Kaiser, S et al. Test-Retest Reliability of a Standardized Psychiatric Interview (DIS/CICI) Euro Arch Psychiatry Nerurological Sci 1987; 236: 214–222CrossRefGoogle Scholar
Sheehan, D, Lecrubier, Y, Sheehan, KH, Janavs, J, Weiller, E, Keskiner, A et al, The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability Eur Psychiatry 1997; 12: 232–241CrossRefGoogle Scholar
Spitzer, RL, Endicott, J2nd ed Schedule for Affective Disorders and Schizophrenia (SADS) New York: Biometrics Research Department, New York State Psychiatric Institute, 1975Google Scholar
Spitzer, RL, Endicott, J, Robins, E. Research Diagnostic Criteria: rationale and reliability Arch Gen Psychiatry 1978; 35: 773–78210.1001/archpsyc.1978.01770300115013CrossRefGoogle ScholarPubMed
Spitzer, RL, Williams, JBW, Gibbon, M, First, MBStructured Clinical Interview for DSM-III-R - Patient Version (SCID-P, 4/1/88) New York: Biometrics Research Department, New York State Psychiatric Institute, 1988Google Scholar
Von Korff, MR, Anthony, JC. The NIMH Diagnostic Interview Schedule Modified to Record Current Mental Status J Affective Disorders 1982; 4: 365–371CrossRefGoogle ScholarPubMed
Williams, JB, Gibbon, M, First, MB, Spitzer, RL, Davies, M, Borus, J et al. The Structured Clinical Interview for DSM-III-R (SCID). II: Multisite Test-Retest Reliability Arch Gen Psychiatry 1992; 49: 630–636CrossRefGoogle ScholarPubMed
Wittchen, HU, Semler, G, Von Zerssen, D. A Comparison of Two Diagnostic Methods: Clinical ICD vs DSM-III and Research Diagnostic Criteria Using the Diagnostic Interview Schedule (Version 2) Arch Gen Psychiatry 1985; 42: 677–684CrossRefGoogle ScholarPubMed
Wittchen, HU, Burke, JD, Semler, G, Pfister, H, Von Cranach, M, Zaudig, M. Recall and Dating of Psychiatric Symptoms. TestRetest Reliability of Time-Related Symptom Questions in the Standardized Psychiatric Interview Arch Gen Psychiatry 1989; 46: 437–443CrossRefGoogle Scholar
World Health Organisation The Composite International Diagnostic Interview (CIDI) Authorized Core Version 1.0 Geneva: World Health Organisation, 1990Google Scholar
World Health Organisation Schedules for Clinical Assessment in Neuropsychiatry (SCAN) Geneva: World Health Organisation, 1992Google Scholar
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