Probability of major depression diagnostic classification using semi-structured vs. fully structured diagnostic interviews

Details

• Alternative Title:
  Br J Psychiatry
• Personal Author:
  Levis, Brooke ; Benedetti, Andrea ; Riehm, Kira E. ; Saadat, Nazanin ; Levis, Alexander W. ; Azar, Marleine ; Rice, Danielle B. ; Chiovitti, Matthew J. ; Sanchez, Tatiana A. ; Cuijpers, Pim ; Gilbody, Simon ; Ioannidis, John P. A. ; Kloda, Lorie A. ; McMillan, Dean ; Patten, Scott B. ; Shrier, Ian ; Steele, Russell J. ; Ziegelstein, Roy C. ; Akena, Dickens H. ; Arroll, Bruce ; Ayalon, Liat ; Baradaran, Hamid R. ; Baron, Murray ; Beraldi, Anna ; Bombardier, Charles H. ; Butterworth, Peter ; Carter, Gregory ; Chagas, Marcos H. ; Chan, Juliana C. N. ; Cholera, Rushina ; Chowdhary, Neerja ; Clover, Kerrie ; Conwell, Yeates ; de Man-van Ginkel, Janneke M. ; Delgadillo, Jaime ; Fann, Jesse R. ; Fischer, Felix H. ; Fischler, Benjamin ; Fung, Daniel ; Gelaye, Bizu ; Goodyear-Smith, Felicity ; Greeno, Catherine G. ; Hall, Brian J. ; Hambridge, John ; Harrison, Patricia A. ; Hegerl, Ulrich ; Hides, Leanne ; Hobfoll, Stevan E. ; Hudson, Marie ; Hyphantis, Thomas ; Inagaki, Masatoshi ; Isamail, Khalida ; Jetté, Nathalie ; Khamseh, Mohammad E. ; Kiely, Kim M. ; Lamers, Femke ; Liu, Shen-Ing ; Lotrakul, Manote ; Loureiro, Sonia R. ; Löwe, Bernd ; Marsh, Laura ; McGuire, Anthony ; Sidik, Sherina Mohd ; Munhoz, Tiago N. ; Muramatsu, Kumiko ; Osório, Flávia L. ; Patel, Vikram ; Pence, Brian W. ; Persoons, Philippe ; Picardi, Angelo ; Rooney, Alasdair G. ; Santos, Iná S. ; Shaaban, Juwita ; Sidebottom, Abbey ; Simning, Adam ; Stafford, Lesley ; Sung, Sharon ; Tan, Pei Lin Lynnette ; Turner, Alyna ; van der Feltz-Cornelis, Christina M. ; van Weert, Henk C. ; Vöhringer, Paul A. ; White, Jennifer ; Whooley, Mary A. ; Winkley, Kirsty ; Yamada, Mitsuhiko ; Zhang, Yuying ; Thombs, Brett D.
• Description:
  Background:
  
  Different diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini International Neuropsychiatric Interview (MINI), a brief fully structured interview, is also sometimes used. It is not known whether interview method is associated with probability of major depression classification.
  
  Aims:
  
  To evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics.
  
  Method:
  
  Data collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analyzed. Binomial Generalized Linear Mixed Models were fit.
  
  Results:
  
  17,158 participants (2,287 major depression cases) from 57 primary studies were analyzed. Among fully structured interviews, odds of major depression were higher for the MINI compared to the Composite International Diagnostic Interview (CIDI) [OR (95% CI) = 2.10 (1.15–3.87)]. Compared to semi-structured interviews, fully structured interviews (MINI excluded) were non-significantly more likely to classify participants with low-level depressive symptoms (PHQ-9 scores ≤6) as having major depression [OR (95% CI) = 3.13 (0.98–10.00)], similarly likely for moderate-level symptoms (PHQ-9 scores 7–15) [OR (95% CI) = 0.96 (0.56–1.66)], and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) [OR (95% CI) = 0.50 (0.26–0.97)].
  
  Conclusions:
  
  The MINI may identify more depressed cases than the CIDI, and semi- and fully structured interviews may not be interchangeable methods, but these results should be replicated.
  
  
• Subjects:
  Adult Depression Depressive Disorder, Major Female Humans Interview, Psychological Male Meta-Analysis As Topic Probability Psychiatric Status Rating Scales
• Keywords:
  Chlorination Household Water Treatment Safe Water Storage
• Source:
  Br J Psychiatry. 212(6):377-385
• Pubmed ID:
  29717691
• Pubmed Central ID:
  PMC6415695
• Document Type:
  Journal Article
• Funding:
  R36 HS018246/HS/AHRQ HHSUnited States/ ; R34 MH072925/MH/NIMH NIH HHSUnited States/ ; R01 MH069666/MH/NIMH NIH HHSUnited States/ ; R01 MH073687/MH/NIMH NIH HHSUnited States/ ; TL1 RR024135/RR/NCRR NIH HHSUnited States/ ; MR/J000914/1/MRC_/Medical Research CouncilUnited Kingdom/ ; F30 MH096664/MH/NIMH NIH HHSUnited States/ ; R01 HD039415/HD/NICHD NIH HHSUnited States/ ; MRF_C0396/MRF/MRFUnited Kingdom/ ; KRS-134297/CIHRCanada/ ; R01 HL079235/HL/NHLBI NIH HHSUnited States/ ; R49 CE002093/CE/NCIPC CDC HHSUnited States/ ; R34 MH084673/MH/NIMH NIH HHSUnited States/ ; R25 TW009340/TW/FIC NIH HHSUnited States/ ; P30 DK050456/DK/NIDDK NIH HHSUnited States/ ; T37 MD001449/MD/NIMHD NIH HHSUnited States/ ; T32 GM007356/GM/NIGMS NIH HHSUnited States/ ; K02 MH065919/MH/NIMH NIH HHSUnited States/ ; R24 MH071604/MH/NIMH NIH HHSUnited States/
• Volume:
  212
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:91a63214ef3e01064b0b4d21019157dd586ec990aee01d6522f20d2519ba93c2
• Download URL:
  https://stacks.cdc.gov/view/cdc/76932/cdc_76932_DS1.pdf
• File Type:
  [PDF - 233.24 KB ]