Open AccessTo what degree does the Composite International Diagnostic Interview (CIDI) correctly identify DSM‐IV disorders? Testing validity issues in a clinical sample
Author(s) -
Reed Victoria,
Gander Franz,
Pfister Hildegard,
Steiger Axel,
Sonntag Holger,
Trenkwalder Claudia,
Sonntag Annette,
Hundt Wolfgang,
Wittchen HansUlrich
Publication year - 1998
Publication title -
international journal of methods in psychiatric research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.275
H-Index - 73
eISSN - 1557-0657
pISSN - 1049-8931
DOI - 10.1002/mpr.44
Subject(s) - cidi , medical diagnosis , concordance , psychiatry , kappa , generalized anxiety disorder , anxiety , panic disorder , psychology , medicine , clinical psychology , anxiety disorder , pathology , linguistics , philosophy
This paper compares diagnoses of the DSM‐IV algorithms of the computer‐assisted version of the Munich‐Composite International Diagnostic Interview (M‐CIDI) with clinical diagnoses made by treating physicians using the standard LEAD procedure. A random sample of 68 patients being treated in three psychiatric and one neurological ward of the Max Planck Institute of Psychiatry were first examined with the CIDI, using the M‐CIDI/DSM‐IV algorithms. Diagnostic findings were then compared with lifetime and cross‐sectional diagnoses assigned by the treating physician, who was blind to the CIDI findings, taking into account all available symptom and diagnostic information from current and previous charts as well as his own assessments. Clinicians were encouraged to use the DSM‐IV manual to assign multiple lifetime diagnoses and not to focus exclusively on primary diagnoses. To explore agreements and disagreements further, all discrepant cases were subsequently discussed with the treating physicians. There was generally good concordance between clinicians and interview DSM‐IV diagnoses, with the exception of psychotic disorders (kappa: 0.21), dysthymia (0.54) and somatoform disorders (0.50), with kappa values for the remaining categories ranging from 0.63 (any panic disorder) to 0.96 (any depressive episode). It is concluded that the M‐CIDI, in clinical cases, provides valid diagnoses for almost all non‐psychotic disorders and is sensitive for all disorders but might have reduced specificity and predictive value in some anxiety and somatoform disorders. Copyright © 1998 Whurr Publishers Ltd.