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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
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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 

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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.

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