Validity across translations of short survey psychiatric diagnostic instruments: CIDI-SF and CIS-R versus SCID-I/NP in four European countries
- 430 Downloads
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.
KeywordsCross-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.
- 2.American Psychiatric Association (2002) Diagnostic and statistical manual of mental disorders (DSM-IV-TR), 4th edn. American Psychiatric Association, Washington, DCGoogle Scholar
- 4.Beaudet MP (1997) Dépression. Health Rep 7:171–185Google Scholar
- 10.Brugha TS, Weich S, Singleton N, Lewis G, Beddington PE, Jenkins R, Meltzer H (2005) Primary group size, social support, gender and future mental health status in a prospective study of people living in private households throughout Great Britain. Psychol Med 85:708–714Google Scholar
- 11.Burton JW, Singleton N, Melzer D (2004) The mental health of early retirees: national interview survey in Britain. Soc Psychiatry Psychiatr Epidemiol 40:99–105Google Scholar
- 17.First MB, Spitzer RL, Gibbon M, Williams JBW (2002) Structured clinical interview for DSM-IV Axis I Disorders, Research Version, Non-Patient Edition (SCID-I/NP). Biometrics Research, New York State Psychiatric Institute, New York. http://www.scid4.org/psychometric/scidI_validity.hml
- 19.Haro JM, Arbabzadeh-Bouchez S, Brugha TS, De Girolamo G, Guyer ME, Jin R, Lepine JP, Mazzi F, Reneses B, Vilagut G, Sampson NA, Kessler RC (2006) Concordance of the composite international diagnostic interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health Surveys. Int J Methods Psychiatr Res 15(4):167–180CrossRefPubMedGoogle Scholar
- 22.Kessler RC, Wittchen HU, Abelson J, Zhao S (2000) Methodological issues in assessing psychiatric disorder with self-reports. In: Stone AA, Turrkan JS, Bachrach CA, Jobe JB, Kurtzman HS, Cain VS (eds) The science of self-report: implications for research and practice. Lawrence Erlbaum Associates, Mahwah, pp 229–255Google Scholar
- 25.Kovess V, The State of Mental Health in The European Union Collaborators. (2004). The State of Mental Health in the European Union. European Communities. http://ec.europa.eu/health/ph_projects/2001/monitoring/fp_monitoring_2001_frep_06_en.pdf. Accessed 26 July 2007
- 26.Kovess V, Fournier L, Lesage A, Amiel-Lebigre F, Caria A (2001) Two validation studies of the CIDIS: a simplified version of the CIDI. Psychiatric Netw 4:10–24Google Scholar
- 28.Lewis G, Pelosi AJ (1990) Manual of the revised clinical interview schedule (CIS-R). Institute of Psychiatry, LondonGoogle Scholar
- 31.National population health survey- public use microdata files-household component. (1998). Statistics Canada, Ottawa. Cat no. 82M0009XCBGoogle Scholar
- 33.Patten SB, Wang JL, Beck CA, Maxwell CJ (2005) Measurement issues related to the evaluation and monitoring of major depression prevalence in Canada. Chronic Dis Can Fall 26(4):100–106Google Scholar
- 35.Walters EE, Kessler RC, Nelson CB, Mroczek D (2002) Scoring the World Health Organization’s composite international diagnostic interview short form (CIDI-SF). http://www.who.int/msa/cidi/cidisfscorint.pdf
- 39.World Health Organisation (1990) The composite international diagnostic interview (version 1.0). World Health Organisation, GenevaGoogle Scholar
- 40.World Health Organization (1992) The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. World Health Organisation, GenevaGoogle Scholar