The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI

European Psychiatry - Tập 12 Số 5 - Trang 224-231 - 1997
Y. Lecrubier1,2, David V. Sheehan3, Emmanuelle Weiller1,2, Patrícia Brandão Amorim1,2, I. Bonora1,2, Kathy H. Sheehan3, Juris Janavs3, G. C. Dunbar4
175651Paris Cedex 13, France
2INSERM U302, Hôpital de la Salpêtrière, 47, boulevard de l'Hôpital
3University of South Florida College of Medicine, 3515 E Fletcher Avenue, Tampa, FL, USA
4SmithKline Beecham Pharmaceuticals, Reigate, Surrey, UK

Tóm tắt

SummaryThe Mini International Neuropsychiatric Interview (MINI) is a short diagnostic structured interview (DSI) developed in France and the United States to explore 17 disorders according to Diagnostic and Statistical Manual (DSM)-III-R diagnostic criteria. It is fully structured to allow administration by non-specialized interviewers. In order to keep it short it focuses on the existence of current disorders. For each disorder, one or two screening questions rule out the diagnosis when answered negatively. Probes for severity, disability or medically explained symptoms are not explored symptom-by-symptom. Two joint papers present the inter-rater and test-retest reliability of the MINI the validity versus the Composite International Diagnostic Interview (CIDI) (this paper) and the Structured Clinical Interview for DSM-III-R patients (SCID) (joint paper). Three-hundred and forty-six patients (296 psychiatric and 50 non-psychiatric) were administered the MINI and the CIDI ‘gold standard’. Forty two were interviewed by two investigators and 42 interviewed subsequently within two days. Interviewers were trained to use both instruments. The mean duration of the interview was 21 min with the MINI and 92 for corresponding sections of the CIDI. Kappa coefficient, sensitivity and specificity were good or very good for all diagnoses with the exception of generalized anxiety disorder (GAD) (kappa = 0.36), agoraphobia (sensitivity = 0.59) and bulimia (kappa = 0.53). Interrater and test-retest reliability were good. The main reasons for discrepancies were identified. The MINI provided reliable DSM-III-R diagnoses within a short time frame, The study permitted improvements in the formulations for GAD and agoraphobia in the current DSM-IV version of the MINI.

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Tài liệu tham khảo

10.1001/archpsyc.1987.01800210065010

Zung, 1983, Recognition and treatment of depression in a family medical practice, J Clin Psychiatry, 44, 3

World Health Organization, WHO The composite international diagnostic interview (CIDI) Geneva: WHO, 1990

Üstün, 1995, Mental Illness in General Health Care. An International Study, 345

10.1016/S0924-9338(97)83297-X

10.1001/archpsyc.1993.01820140037004

Robins, 1989, American Psychopathological Association Series, 263

Regier, 1987, One month prevalence of psychiatrie disorders in five epidemiologic catchment area sites, Arch Gen Psychiatry, 44, 817

10.1001/archpsyc.1991.01810320024004

10.1001/jama.272.22.1749

10.1192/bjp.126.4.346

10.1001/archpsyc.1989.01810120035007

10.1001/archpsyc.1992.01820080032005

Wittchen, 1992, Cross-cultural feasibility, reliability and sources of variance of the Composite International Diagnostic Interview (CIDI), Br J Psychiatry, 259, 645

10.1001/archpsyc.1993.01820220075008

Goldberg, 1995, Mental Illness in General Health Care. An International Study, 323

10.1001/archpsyc.1978.01770310043002

1992, Schedules for clinical assessment in neuropsychiatry (SCAN)

Spitzer, 1979, DSM III field trials. itial interrater diagnostic reliability, Am J Psychiatry, 136, 815, 10.1176/ajp.136.6.815

10.1016/0165-0327(86)90033-9

10.1001/archfami.4.3.211

Goldberg, 1972, The Detection of Psychiatric Illness by Questionnaire

Goldberg, 1988, A Users Guide to the General Health Questionnaire: GHQ

Heizer, 1988, Alcoholism: Origins and Outcome

10.1001/archpsyc.1980.01780220037003

10.1093/swra/22.4.3

10.1001/archfami.4.3.220

10.1097/00005650-199003000-00004

10.1001/archpsyc.1992.01820080038006

Spitzer, 1988, Structured clinical interview for DSM-III-R-Patient Version (SCIP-P 6/1/88)

10.1001/archpsyc.1985.01790290065007