Hostname: page-component-76fb5796d-45l2p Total loading time: 0 Render date: 2024-04-30T06:49:45.683Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychometric Properties of the Mini International Neuropsychiatric Interview (MINI) Psychosis Module: A Sub-Saharan Africa Cross Country Comparison

Published online by Cambridge University Press:  10 March 2023

Kristina J. Korte Open the ORCID record for Kristina J. Korte [Opens in a new window] ,
Florence Jaguga ,
Hannah H. Kim ,
Rocky E. Stroud ,
Anne Stevenson ,
Dickens Akena ,
Lukoye Atwoli ,
Stella Gichuru ,
Roxanne James  and
Edith Kwobah
...Show all authors
Kristina J. Korte*
Affiliation:
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
Florence Jaguga
Affiliation:
Department of Mental Health, Moi Teaching and Referral Hospital, Eldoret, Kenya
Hannah H. Kim
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
Rocky E. Stroud
Affiliation:
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
Anne Stevenson
Affiliation:
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
Dickens Akena
Affiliation:
Department of Psychiatry, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda
Lukoye Atwoli
Affiliation:
Department of Mental Health, School of Medicine, Moi University College of Health Sciences, Eldoret, Kenya
Stella Gichuru
Affiliation:
Department of Mental Health, Moi Teaching and Referral Hospital, Eldoret, Kenya
Roxanne James
Affiliation:
SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
Edith Kwobah
Affiliation:
Department of Mental Health, School of Medicine, Moi University College of Health Sciences, Eldoret, Kenya
Symon M. Kariuki
Affiliation:
Neurosciences Unit, Clinical Department, KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya
Joseph Kyebuzibwa
Affiliation:
Department of Psychiatry, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda
Rehema M. Mwema
Affiliation:
Neurosciences Unit, Clinical Department, KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya
Charles R. J. C. Newton
Affiliation:
Neurosciences Unit, Clinical Department, KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya
Zukiswa Zingela
Affiliation:
Psychiatry and Behavioural Sciences, Walter Sisulu University and Nelson Mandela Academic Hospital, Port Elizabeth, South Africa
Dan J. Stein
Affiliation:
SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
Melkam Alemayehu
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
Solomon Teferra
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
Karestan C. Koenen
Affiliation:
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
Bizu Gelaye
Affiliation:
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA
*
Author for correspondence: Kristina J. Korte, E-mail: kkorte@mgh.harvard.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

The Mini International Neuropsychiatric Interview 7.0.2 (MINI-7) is a widely used tool and known to have sound psychometric properties; but very little is known about its use in low and middle-income countries (LMICs). This study aimed to examine the psychometric properties of the MINI-7 psychosis items in a sample of 8609 participants across four countries in Sub-Saharan Africa.

Methods

We examined the latent factor structure and the item difficulty of the MINI-7 psychosis items in the full sample and across four countries.

Results

Multiple group confirmatory factor analyses (CFAs) revealed an adequate fitting unidimensional model for the full sample; however, single group CFAs at the country level revealed that the underlying latent structure of psychosis was not invariant. Specifically, although the unidimensional structure was an adequate model fit for Ethiopia, Kenya, and South Africa, it was a poor fit for Uganda. Instead, a 2-factor latent structure of the MINI-7 psychosis items provided the optimal fit for Uganda. Examination of item difficulties revealed that MINI-7 item K7, measuring visual hallucinations, had the lowest difficulty across the four countries. In contrast, the items with the highest difficulty were different across the four countries, suggesting that MINI-7 items that are the most predictive of being high on the latent factor of psychosis are different for each country.

Conclusions

The present study is the first to provide evidence that the factor structure and item functioning of the MINI-7 psychosis vary across different settings and populations in Africa.

Keywords

Item responselatent structuremeasurementMINI-7psychometricspsychosisSub-Saharan Africa
Type
Original Article
Information
Psychological Medicine , Volume 53 , Issue 15 , November 2023 , pp. 7042 - 7052
Check for updates
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

This article has been updated since its original publication. A notice detailing this change can be found here: https://doi.org/10.1017/S0033291723003835

References

American Psychological Association (2013). American Psychiatric Association: Diagnostic and statistical manual of mental disorders (5th edition). Arlington, VA: American Psychiatric Association.Google Scholar
Anderson, K. K. (2019). Towards a public health approach to psychotic disorders. Lancet Public Health, 4, e212–e213.10.1016/S2468-2667(19)30054-4CrossRefGoogle ScholarPubMed
Andreasen, N. C. (1983). The scale of the assessment of negative symptoms (SANS). Iowa City, IA: University of Iowa.Google Scholar
Andreasen, N. C. (1984). The scale for the assessment of positive symptoms (SAPS). Iowa City, IA: University of Iowa.Google Scholar
Ayano, G., Demelash, S., Yohannes, Z., Haile, K., Tulu, K., Assefa, D., … Tsegay, L. (2021). Misdiagnosis, detection rate, and associated factors of severe psychiatric disorders in specialized psychiatry centers in Ethiopia. Archives of General Psychiatry, 20, 10.10.1186/s12991-021-00333-7CrossRefGoogle ScholarPubMed
Bebbington, P., & Nayani, T. (1995). The Psychosis Screening Questionnaire. International Journal of Methods in Psychiatric Research, 5(1), 11–19.Google Scholar
Bitta, M. A., Thungana, Y., Kim, H. H., Denckla, C. A., Ametaj, A., Yared, M., Kwagala, C., … Gelaye, B. (2022). Cross-country variations in the reporting of psychotic symptoms among sub-Saharan African adults: A psychometric evaluation of the Psychosis Screening Questionnaire. Journal of Affective Disorders, 304, 85–92.10.1016/j.jad.2022.02.048CrossRefGoogle ScholarPubMed
Brennan, R. L. (2011). Generalizability theory and clinical test theory. Applied Measurement in Education, 24, 1–21.10.1080/08957347.2011.532417CrossRefGoogle Scholar
Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.Google Scholar
Chong, H. Y., Teoh, S. L., Wu, D. B. C., Kotirum, S., Chiou, C. F., & Chaiyakunapruk, N. (2016). Global economic burden of schizophrenia: A systematic review. Neuropsychiatric Disease and Treatment, 12, 357–373.Google ScholarPubMed
De Ayala, R. (2009). The theory and practice of item response theory. New York, NY: Guilford Press.Google Scholar
De Azevedo Marques, J. M., & Zuardi, A. W. (2008). Validity and applicability of the Mini International Neuropsychiatric Interview administered by family medicine residents in primary health care in Brazil. General Hospital Psychiatry, 30, 303–310.10.1016/j.genhosppsych.2008.02.001CrossRefGoogle ScholarPubMed
De Oliveira, C., Cheng, J., Rehm, J., & Kurdyak, P. (2016). The economic burden of chronic psychotic disorders in Ontario. Journal of Mental Health Policy Economics, 19, 181–192.Google ScholarPubMed
DiStefano, C., & Motl, R. W. (2006). Further investigating method effects associated with negatively worded items in self-report surveys. Structural Equation Modeling, 13, 440–464.10.1207/s15328007sem1303_6CrossRefGoogle Scholar
Emsley, R., Rabinowitz, J., & Torreman, M., & RIS-INT-35 Early Psychosis Global Working Group. (2003). The factor structure for the Positive and Negative Syndrome Scale (PANSS) in recent-onset psychosis. Schizophrenia Research, 61, 47–57..10.1016/S0920-9964(02)00302-XCrossRefGoogle ScholarPubMed
Emsley, R. A., Niehaus, D. J., Mbanga, N. I., Oosthuizen, P. P., Stein, D. J., Maritz, J. S., Pimstone, S. N., … Mallet, J. (2001). The factor structure for positive and negative symptoms in South African Xhosa patients with schizophrenia. Schizophrenia Research, 47, 149–157.10.1016/S0920-9964(00)00010-4CrossRefGoogle ScholarPubMed
Higuchi, C. H., Ortiz, B., Berberian, A. A., Noto, C., Cordeiro, Q., Belangero, S. I., … Bressan, R. A. (2014). Factor structure of the Positive and Negative Syndrome Scale (PANSS) in Brazil: Convergent validation of the Brazilian version. Brazilian Journal of Psychiatry, 36, 336–339.10.1590/1516-4446-2013-1330CrossRefGoogle ScholarPubMed
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.10.1080/10705519909540118CrossRefGoogle Scholar
Jeste, D. V., Palmer, B. W., Appelbaum, P. S., Golshan, S., Glorioso, D., Dunn, L. B., … Kraemer, H. C. (2007). A new brief instrument for assessing decisional capacity for clinical research. Archives of General Psychiatry, 64, 966–974.10.1001/archpsyc.64.8.966CrossRefGoogle ScholarPubMed
Johns, L. C., & van Os, J. (2001). The continuity of psychotic experiences in the general population. Clinical Psychology Review, 21, 1125–1141.10.1016/S0272-7358(01)00103-9CrossRefGoogle ScholarPubMed
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.10.1093/schbul/13.2.261CrossRefGoogle ScholarPubMed
Kim, E. S., & Yoon, M. (2011). Testing measurement invariance: A comparison of multiple-group categorical CFA and IRT. Structural Equation Modeling, 18, 212–228.10.1080/10705511.2011.557337CrossRefGoogle Scholar
Kittirattanapaiboon, P., & Khamwongpin, M. (2005). The validity and reliability of the Mini International Neuropsychiatric Interview (MINI) - Thai version 126. Journal of Mental Health of Thailand, 13, 126–136.Google Scholar
Kleinman, A. (1988). Do psychiatric disorders differ in different cultures? In Rethinking psychiatry: From cultural category to personal experience (pp. 18–33). New York: Free Press.Google Scholar
Lecrubier, Y., Sheehan, D. V., Weiller, E., Amorim, P., Bonora, I., Harnett Sheehan, K., … Dunbar, G. C. (1997). The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12, 224–231.10.1016/S0924-9338(97)83296-8CrossRefGoogle Scholar
Linszen, M. M. J., de Boer, J. N., Schutte, M. J. L., Begemann, M. J. H., de Vries, J., Koops, S., … Sommer, I. E. C. (2022). Occurrence and phenomenology of hallucinations in the general population: A large online survey. Schizophrenia, 8, 41.10.1038/s41537-022-00229-9CrossRefGoogle ScholarPubMed
MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 12, 130–149.10.1037/1082-989X.1.2.130CrossRefGoogle Scholar
Mordal, J., Gundersen, O., & Bramness, J. G. (2010). Norwegian Version of the mini-international neuropsychiatric interview: Feasibility, acceptability and test-retest reliability in an acute psychiatric ward. European Psychiatry: The Journal of the Association of European Psychiatrists, 25, 172–177.10.1016/j.eurpsy.2009.02.004CrossRefGoogle Scholar
Muthen, L. K., & Muthen, B. O. (1998–2017). Mplus user's guide. Seventh. Los Angeles, CA: Muthen & Muthen.Google Scholar
Otsubo, T., Tanaka, K., Koda, R., Shinoda, J., Sano, N., Tanaka, S., … Kamijima, K. (2005). Reliability and validity of Japanese version of the mini-international neuropsychiatric interview. Psychiatry and Clinical Neurosciences, 59, 517–526.10.1111/j.1440-1819.2005.01408.xCrossRefGoogle ScholarPubMed
Paek, I., Cui, M., Öztürk Gübeş, N., & Yang, Y. (2018). Estimation of an IRT model by Mplus for dichotomously scored responses under different estimation methods. Educational and Psychological Measurement, 78, 569–588.10.1177/0013164417715738CrossRefGoogle ScholarPubMed
Peralta, V., & Cuesta, M. J. (2001). How many and which are the psychopathological dimensions in schizophrenia? Issues influencing their ascertainment. Schizophrenia Research, 49, 269–285.10.1016/S0920-9964(00)00071-2CrossRefGoogle ScholarPubMed
Peralta, V., Moreno-Izco, L., Calvo-Barrena, L., & Cuesta, M. J. (2013). The low and higher-order factor structure of symptoms in patients with a first episode of psychosis. Schizophrenia Research, 147, 116–124.10.1016/j.schres.2013.03.018CrossRefGoogle ScholarPubMed
Poulton, R., Caspi, A., Moffitt, T. E., Cannon, M., Murray, R., & Harrington, H. (2000). Children's self-reported psychotic symptoms and adult schizophreniform disorder: A 15-year longitudinal study. Archives of General Psychiatry, 57, 1053–1058.10.1001/archpsyc.57.11.1053CrossRefGoogle ScholarPubMed
Raykov, T., & Marcoulides, G. A. (2016). On the relationship between classical test theory and item response theory: From one to the other and back. Measurement, 76, 325–338.Google Scholar
Rossi, A., Alberio, R., Porta, A., Sandri, M., Tansella, M., & Amaddeo, F. (2004). The reliability of the mini-international neuropsychiatric interview – Italian version. Journal of Clinical Psychopharmacology, 24, 561–563.10.1097/01.jcp.0000139758.03834.adCrossRefGoogle ScholarPubMed
Serretti, A., & Olgiati, P. (2004). Dimensions of major psychoses: A confirmatory factor analysis of six competing models. Psychiatry Research, 127, 101–109.10.1016/j.psychres.2003.07.005CrossRefGoogle ScholarPubMed
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., … Dunbar, D. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(20), 22–33.Google ScholarPubMed
Smith, E. A., Bolinskey, P. K., Guidi, J. P., Meyers, K. R., Schuder, K. M., James, A. V., … Sheets, V. (2016). Further examination of the factors structure of the Chapman Psychosis Proneness Scales (CPPS). Psychiatry Research, 238, 257–263.10.1016/j.psychres.2016.02.057CrossRefGoogle ScholarPubMed
Stefanis, N. C., Hanssen, M., Smirnis, N. K., Avramopoulos, D. A., Evdokimidis, I. K., Stefanis, C. N., … Van Os, J. (2002). Evidence that three dimensions of psychosis have a distribution in the general population. Psychological Medicine, 32, 347–358.10.1017/S0033291701005141CrossRefGoogle ScholarPubMed
Stevenson, A., Akena, D., Stroud, R. E., Atwoli, L., Campbell, M. M., Chibnik, L. B., … Koenen, K. C. (2019). Neuropsychiatric genetics of African populations-psychosis (NeuroGAP-psychosis): A case–control study protocol and GWAS in Ethiopia, Kenya, South Africa and Uganda. BMJ Open, 9, e025469.10.1136/bmjopen-2018-025469CrossRefGoogle ScholarPubMed
van Os, J., Hanssen, M., Bijl, R. V., & Ravelli, A. (2000). Strauss (1969) revisited: A psychosis continuum in the general population? Schizophrenia Research, 45, 11–20.10.1016/S0920-9964(99)00224-8CrossRefGoogle ScholarPubMed
van Os, J., Verdoux, H., & Hanssen, M. (1999). CAPE-42 [Internet]. Maastricht: University of Maastricht; Available from: http://cape42.homestead.com.Google Scholar
Vermeiden, M., Janssens, M., Thewissen, V., Akinsola, E., Peeters, S., Reijnders, J., … Lataster, J. (2019). Cultural differences in positive psychotic experiences assessed with the Community Assessment of Psychic Experiences-42 (CAPE-42): A comparison of student populations in the Netherlands, Nigeria and Norway. BMC Psychiatry, 19, 244.10.1186/s12888-019-2210-8CrossRefGoogle ScholarPubMed
World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.Google Scholar
Yen, W. M., & Fitzpatrick, A. R. (2006). Item response theory. In Brennan, R. L. (Ed.), Educational measurement (4th ed., pp. 11–154). Westport, CT: American Council on Education/Praeger.Google Scholar