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Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews
- Brooke Levis, Andrea Benedetti, Kira E. Riehm, Nazanin Saadat, Alexander W. Levis, Marleine Azar, Danielle B. Rice, Matthew J. Chiovitti, Tatiana A. Sanchez, Pim Cuijpers, Simon Gilbody, John P. A. Ioannidis, Lorie A. Kloda, Dean McMillan, Scott B. Patten, Ian Shrier, Russell J. Steele, Roy C. Ziegelstein, Dickens H. Akena, Bruce Arroll, Liat Ayalon, Hamid R. Baradaran, Murray Baron, Anna Beraldi, Charles H. Bombardier, Peter Butterworth, Gregory Carter, Marcos H. Chagas, Juliana C. N. Chan, Rushina Cholera, Neerja Chowdhary, Kerrie Clover, Yeates Conwell, Janneke M. de Man-van Ginkel, Jaime Delgadillo, Jesse R. Fann, Felix H. Fischer, Benjamin Fischler, Daniel Fung, Bizu Gelaye, Felicity Goodyear-Smith, Catherine G. Greeno, Brian J. Hall, John Hambridge, Patricia A. Harrison, Ulrich Hegerl, Leanne Hides, Stevan E. Hobfoll, Marie Hudson, Thomas Hyphantis, Masatoshi Inagaki, Khalida Ismail, Nathalie Jetté, Mohammad E. Khamseh, Kim M. Kiely, Femke Lamers, Shen-Ing Liu, Manote Lotrakul, Sonia R. Loureiro, Bernd Löwe, Laura Marsh, Anthony McGuire, Sherina Mohd Sidik, Tiago N. Munhoz, Kumiko Muramatsu, Flávia L. Osório, Vikram Patel, Brian W. Pence, Philippe Persoons, Angelo Picardi, Alasdair G. Rooney, Iná S. Santos, Juwita Shaaban, Abbey Sidebottom, Adam Simning, Lesley Stafford, Sharon Sung, Pei Lin Lynnette Tan, Alyna Turner, Christina M. van der Feltz-Cornelis, Henk C. van Weert, Paul A. Vöhringer, Jennifer White, Mary A. Whooley, Kirsty Winkley, Mitsuhiko Yamada, Yuying Zhang, Brett D. Thombs
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- Journal:
- The British Journal of Psychiatry / Volume 212 / Issue 6 / June 2018
- Published online by Cambridge University Press:
- 02 May 2018, pp. 377-385
- Print publication:
- June 2018
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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.
AimsTo evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics.
MethodData collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analysed and binomial generalised linear mixed models were fit.
ResultsA total of 17 158 participants (2287 with major depression) from 57 primary studies were analysed. Among fully structured interviews, odds of major depression were higher for the MINI compared with the Composite International Diagnostic Interview (CIDI) (odds ratio (OR) = 2.10; 95% CI = 1.15–3.87). Compared with 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 = 3.13; 95% CI = 0.98–10.00), similarly likely for moderate-level symptoms (PHQ-9 scores 7–15) (OR = 0.96; 95% CI = 0.56–1.66) and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) (OR = 0.50; 95% CI = 0.26–0.97).
ConclusionsThe MINI may identify more people as depressed than the CIDI, and semi-structured and fully structured interviews may not be interchangeable methods, but these results should be replicated.
Declaration of interestDrs Jetté and Patten declare that they received a grant, outside the submitted work, from the Hotchkiss Brain Institute, which was jointly funded by the Institute and Pfizer. Pfizer was the original sponsor of the development of the PHQ-9, which is now in the public domain. Dr Chan is a steering committee member or consultant of Astra Zeneca, Bayer, Lilly, MSD and Pfizer. She has received sponsorships and honorarium for giving lectures and providing consultancy and her affiliated institution has received research grants from these companies. Dr Hegerl declares that within the past 3 years, he was an advisory board member for Lundbeck, Servier and Otsuka Pharma; a consultant for Bayer Pharma; and a speaker for Medice Arzneimittel, Novartis, and Roche Pharma, all outside the submitted work. Dr Inagaki declares that he has received grants from Novartis Pharma, lecture fees from Pfizer, Mochida, Shionogi, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Meiji Seika and Takeda, and royalties from Nippon Hyoron Sha, Nanzando, Seiwa Shoten, Igaku-shoin and Technomics, all outside of the submitted work. Dr Yamada reports personal fees from Meiji Seika Pharma Co., Ltd., MSD K.K., Asahi Kasei Pharma Corporation, Seishin Shobo, Seiwa Shoten Co., Ltd., Igaku-shoin Ltd., Chugai Igakusha and Sentan Igakusha, all outside the submitted work. All other authors declare no competing interests. No funder had any role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.
The use of radiation interception and transpiration to predict the yield of healthy, droughted and virus-infected sugar beet
- G. R. G. CLOVER, K. W. JAGGARD, H. G. SMITH, S. N. AZAM-ALI
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- Journal:
- The Journal of Agricultural Science / Volume 136 / Issue 2 / March 2001
- Published online by Cambridge University Press:
- 25 April 2001, pp. 169-178
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This paper reports an analysis of the yield of sugar beet crops grown under experimental conditions between 1993 and 1995 in the UK. Crops were either healthy (unstressed) or subjected to drought, infection with Beet yellows virus (BYV) or a combination of both. The study investigated whether the large differences in yield between the crops grown in different seasons and subjected to different stresses could be accounted for by simple relationships between total biomass and radiation interception (εs), transpiration (εw) or εs and εw adjusted for mean saturation deficit (Ωs and Ωw respectively). Mean values of εs, εw, Ωs and Ωw in healthy crops were 1·42 g/MJ, 0·89 g/kg, 6·76 g/kPa/MJ and 4·29 g/kPa/kg respectively. Variations in the dry matter yield between seasons were best accounted for by Ωw and less well by εw or εs. Ωs accounted for least variation in yield between seasons. None of these relationships remained constant in stressed plants; both drought and BYV-infection decreased εs (and Ωs) but Ωw was increased by drought and decreased by BYV-infection. However, in common with healthy crops, seasonal variation in yields was best accounted for by Ωw. Mean values of εs, Ωs, εw and Ωw for all healthy, infected and droughted crops accounted for 61, 50, 88 and 97% of the variation in dry matter yield between experiments respectively. Accurate prediction of the yield of stressed plants requires a knowledge of their infection and drought status. If this information is unavailable then the mean value of Ωw for healthy, infected and droughted crops will provide a reasonable prediction of the yield of such crops.
The effects of drought on sugar beet growth in isolation and in combination with beet yellows virus infection
- G. R. G. CLOVER, H. G. SMITH, S. N. AZAM-ALI, K. W. JAGGARD
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- The Journal of Agricultural Science / Volume 133 / Issue 3 / November 1999
- Published online by Cambridge University Press:
- 01 November 1999, pp. 251-261
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The effect of drought stress in isolation, or in combination with beet yellows virus infection, on sugar beet growth was studied in the field and glasshouse. Drought reduced total plant weight by 26%, due to 20 and 29% reductions in foliage and storage root yields respectively. Sugar extraction efficiency was depressed by an increase in amino-nitrogen impurities. Drought did not limit water extraction depth, despite decreasing lateral root growth in proportion to total weight. During the field experiments, total crop cover was decreased in all the droughted treatments (halved in some cases) for at least part of the season. Consequently, these treatments intercepted 12% less light, which in combination with a 16% decrease in the dry matter/light conversion coefficient, led to the decrease in growth. The decrease in conversion coefficient was due to temporary closure of the stomata rather than a function of drought-induced damage to the photosynthetic mechanism. The absolute effect of drought remained the same irrespective of whether the plants were infected with beet yellows virus, i.e. there was no interaction between the two stresses. The reasons for this lack of interaction are discussed but it is likely that the stress effects were mediated at different times of the day and season.