Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-22T07:58:22.444Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical Observation of Assessment Using the Composite International Diagnostic Interview (CIDI)

An Analysis of the CIDI Field Trials–Wave II at the St Louis Site

Published online by Cambridge University Press:  02 January 2018

Aleksandar Janča ,
Lee N. Robins ,
Linda B. Cottler  and
Terrence S. Early
Aleksandar Janča*
Affiliation:
Washington University School of Medicine, Department of Psychiatry, 4940 Audubon Avenue, St Louis, MO 63110, USA, now Medical Officer, Division of Mental Health, World Health Organization, 1211 Geneva 27, Switzerland
Lee N. Robins
Affiliation:
Washington University School of Medicine, Department of Psychiatry
Linda B. Cottler
Affiliation:
Washington University School of Medicine, Department of Psychiatry
Terrence S. Early
Affiliation:
Washington University School of Medicine, Department of Psychiatry
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

Two clinicians scored the ICD–10 Research Criteria Checklist either while observing or after administering CIDI interviews to a sample of 20 subjects. Overall diagnostic concordance between clinical and CIDI assessments was found to be good (overall kappa = 0.77). Assessment of the specific diagnoses could be done only for the three most commonly represented in the studied sample: anxiety/phobic disorders (kappa = 0.73), depressive disorders (kappa = 0.78), and psychoactive substance use disorders (kappa = 0.83). While the lack of independence of the two assessments and the small, non-randomly selected sample might have exaggerated the concordance, this study shows that the CIDI provides all the data needed to score diagnoses in the ICD–10 nomenclature, as indicated by the small number of questions clinicians needed to ask following completion of the CIDI.

Type
Papers
Information
The British Journal of Psychiatry , Volume 160 , Issue 6 , June 1992 , pp. 815 - 818
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

These results were obtained in the course of participation by the authors in the CIDI Field Trials - Wave II. supported by the World Health Organization, US Alcohol, Drug and Mental Health Administration (ADAMNA) and the collaborating centres in Amsterdam, Athens, Basel, Beijing, Darlinghurst, Farmington, Gondomar, Jena, Munichand Sao Paolo.

References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Anthony, J. C., Folstein, M. F., Romanoski, A. J., et al (1985) Comparison of the lay Diagnostic Interview Schedule and a standardized psychiatric diagnosis. Archives of General Psychiatry, 42, 667–675.CrossRefGoogle Scholar
Helzer, J. E., Robins, L. N., McEvoy, L. T., et al (1985) A comparison of clinical and Diagnostic Interview Schedule diagnoses. Archives of General Psychiatry, 42, 657–666.Google Scholar
Janča, A. & Helzer, J. E. (1989) ICD–10 Research Criteria Checklist. St Louis: Washington University School of Medicine, Department of Psychiatry.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J. L., et al (1979) The NIMH Diagnostic Interview Schedule (DIS). Bethesda: National Institute of Mental Health.Google Scholar
Robins, L. N., Wing, J. K., Wittchen, H.-U., et al (1988) The Composite International Diagnostic Interview: an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Archives of General Psychiatry, 45, 1069–1077.Google Scholar
Spitznagel, E. L. & Helzer, J. E. (1985) A proposed solution to the case rate problem in the Kappa statistics. Archives of General Psychiatry, 42, 725–728.Google Scholar
Wittchen, H.-U., Semler, G. & Von Zerssen, D. (1985) A comparison of two diagnostic methods. Archives of General Psychiatry, 42, 677–684.Google Scholar
Wittchen, H.-U., Robins, L. N., Cottler, L. B., et al (1991) Cross-cultural feasibility, reliability and sources of variance of the Composite International Diagnostic Interview (CIDI). British Journal of Psychiatry, 159, 645–653.Google Scholar
World Health Organization (1989a) Composite International Diagnostic Interview. Core Version 1.0. Geneva: WHO.Google Scholar
World Health Organization (1989b) International Classification of Diseases, tenth edition. Draft of Chapter V: Mental and Behavioural and Developmental Disorders: Diagnostic Criteria for Research (ICD–10). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.