Social Psychiatry and Psychiatric Epidemiology

, Volume 45, Issue 12, pp 1149–1159 | Cite as

Validity across translations of short survey psychiatric diagnostic instruments: CIDI-SF and CIS-R versus SCID-I/NP in four European countries

  • Ondine Pez
  • Fabien Gilbert
  • Adina Bitfoi
  • Mauro Giovanni Carta
  • Vesna Jordanova
  • Carmen Garcia-Mahia
  • Raimundo Mateos-Alvarez
  • Martin Prince
  • Bogdana Tudorache
  • Catherine Blatier
  • Viviane Kovess-MasfetyEmail author
Original Paper



The aims of the study are: first, to compare two short diagnostic instruments, CIDI-SF and CIS-R, with respect to the structured clinical interview for non-patient (SCID-I/NP) for anxiety and depressive disorders; and second, to evaluate the influence of four languages, Italian, Romanian, Spanish and French, on the concordance tests.


A total of 120 participants from Italy and Romania, 119 from Spain and 141 from France (N = 500) were recruited randomly in a local primary care research centre (GPs or medical centres). The instruments were administered during a unique session: the lay instruments by students in psychology and the SCID by experienced psychiatrists. Kappa, sensitivity/specificity/negative (NPV) and positive predictive values (PPV), ROC curve (AUC) and the Youden Index (Y) were calculated.


Results were better for the CIDI-SF than the CIS-R for anxious disorders, depressive disorders and any of them. The results were identical to that obtained by the CIDI 3.0 for the three categories and constant across the languages except for depressive disorders in Romania and France.


CIDI-SF is a cost-effective instrument and could be easily integrated into health surveys; its performance values are better across languages than values proposed by the CIS-R and could be increased by inclusion of few additional information.


Cross-cultural validation Short diagnostic disorders instruments: CIDI-SF, CIS-R SCID-I/NP Anxious and depressive disorders Local primary care patients 


Conflict of interest statement

The paper presents results of the MINDFUL project conducted with the EA 4069 Paris Descartes University and the MGEN Foundation for Public Health, which received funding from the European Union, within the framework of the Public Health Program Grant No. 2003119.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Ondine Pez
    • 1
  • Fabien Gilbert
    • 2
  • Adina Bitfoi
    • 3
  • Mauro Giovanni Carta
    • 4
  • Vesna Jordanova
    • 7
  • Carmen Garcia-Mahia
    • 5
  • Raimundo Mateos-Alvarez
    • 5
  • Martin Prince
    • 6
  • Bogdana Tudorache
    • 3
  • Catherine Blatier
    • 8
  • Viviane Kovess-Masfety
    • 1
    Email author
  1. 1.University of Paris DescartesParisFrance
  2. 2.MGEN Foundation for Public HealthParis Cedex 15France
  3. 3.The Romanian League for Mental HealthBucharest 39Romania
  4. 4.Division of Psychiatry, Department of Public HealthUniversity of CagliariCagliariItaly
  5. 5.Faculty of Medicine Santiago de CompostelaSantiago de CompostelaSpain
  6. 6.Centre for Public Mental Health, Institute of PsychiatryKing’s College of LondonLondonUK
  7. 7.Section of Epidemiology, Institute of PsychiatryKing’s College of LondonLondonUK
  8. 8.Faculty of PsychologyUniversity of Grenoble, Pierre-Mendès-France, U.F.R. Sciences de l’Homme et de la SociétéGrenobleFrance

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