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Cross-cultural Feasibility, Reliability and Sources of Variance of the Composite International Diagnostic Interview (CIDI)

  • H.-U. Wittchen, L. N. Robins, L. B. Cottler, N. Sartorius, J. D. Burke, D. Regier and Participants In The Multicentre Who/Adamha Field Trials...
Abstract

The CIDI is a fully standardised diagnostic interview designed for assessing mental disorders based on the definitions and criteria of ICD–10 and DSM–III–R. Field trials with the CIDI have been conducted in 18 centres around the world, to test the feasibility and reliability of the CIDI in different cultures and settings, as well as to test the inter-rater agreement for the different types of questions used. Of 590 subjects interviewed across all sites and rated by an interviewer and observer, 575 were eligible for analysis. The CIDI was judged to be acceptable for most subjects and was appropriate for use in different kinds of settings. Many subjects fulfilled criteria for more than one diagnosis (lifetime and six-month). The most frequent lifetime disorders were generalised anxiety, major depression, tobacco use disorders, and agoraphobia. Percentage agreements for all diagnoses were above 90% and the kappa values were all highly significant. No significant numbers of diagnostic disconcordances were found with lifetime, six-month, and four-week time frames.

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Corresponding author
Professor Dr Hans-Ulrich Wittchen, Head, Clinical Psychology, Max-Planck-Institut für Psychiatric Kraepelinstrasse 10, 8000 München 40, Germany
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These results were collected as part of a multicentre study sponsored by the World Health Organization (WHO) and the US Alcohol, Drug Abuse and Mental Health Administration (ADAMHA). Also involved in the preparation of this paper were: A. C. Almatura, G. Andrews, R. Dingemans, A. Droux, C. A. Essau, A. Farmer, J. Halikas, G. Ingebrigsten, M. Isaac, P. Jenkins, G. E. Kuehne, J. Krause, J. P. Lepine, G. Lyketsos, W. Maier, C. T. Miranda, H. Pfister, C. Pull, M. Rubio-Stipec, I. Sandanger, R. Smeets, G. Tacchini, M. Tehrani, You Xu.

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These results were collected as part of a multicentre study sponsored by the World Health Organization (WHO) and the US Alcohol, Drug Abuse and Mental Health Administration (ADAMHA). Also involved in the preparation of this paper were: A. C. Almatura, G. Andrews, R. Dingemans, A. Droux, C. A. Essau, A. Farmer, J. Halikas, G. Ingebrigsten, M. Isaac, P. Jenkins, G. E. Kuehne, J. Krause, J. P. Lepine, G. Lyketsos, W. Maier, C. T. Miranda, H. Pfister, C. Pull, M. Rubio-Stipec, I. Sandanger, R. Smeets, G. Tacchini, M. Tehrani, You Xu.

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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Cross-cultural Feasibility, Reliability and Sources of Variance of the Composite International Diagnostic Interview (CIDI)

  • H.-U. Wittchen, L. N. Robins, L. B. Cottler, N. Sartorius, J. D. Burke, D. Regier and Participants In The Multicentre Who/Adamha Field Trials...
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