International journal of methods in psychiatric research · 2014
Measuring symptoms and diagnosing mental disorders in the elderly community: the test-retest reliability of the CIDI65.
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Wittchen Hans-Ulrich, Strehle Jens, Gerschler Anja, Volkert Jana, Dehoust Maria Christina, Sehner Susanne, Wegscheider Karl, Ausìn Berta, Canuto Alessandra, Crawford Mike, Da Ronch Chiara, Grassi Luigi, Hershkovitz Yael, Munoz Manuel, Quirk Alan, Rotenstein Ora, Santos-Olmo Ana Belén, Shalev Arieh, Weber Kerstin, Schulz Holger, Härter Martin, Andreas Sylke
Аннотация
UNLABELLED: Prevalence findings for the elderly are artificially low, most likely due to insufficient consideration of age-related cognitive abilities in diagnostic interviews.
AIMS: (1) To describe the rationale for the development of an age-adapted Composite International Diagnostic Interview (CIDI65+) for use in a European project (MentDis_ICF65+). (2) To examine its test-retest reliability.
METHODS: Based on substantive pilot work the CIDI standard questions were shortened, broken down into shorter subsets and combined with sensitization questions and dimensional measures. Test-retest was determined in N = 68 subjects aged 60-79 years via two independent examinations by clinical interviewers using kappa (sensitivity, specificity) for categorical and intraclass correlation (ICC) coefficients for dimensional measures.
RESULTS: Test-retest reliability was good for any mental disorder (κ = 0.63), major depression (κ = 0.55), anxiety (κ = 0.62, range = 0.30-0.78), substance (κ = 0.77, range = 0.71-0.82), obsessive-compulsive disorder (κ = 1.00) and most core symptoms/syndromes (κ range = 0.48-1.00). Agreement for some disorders (i.e. somatoform/pain) attenuated, partly due to time lapse effects. ICC for age of onset, recency, quantity, frequency and duration questions ranged between κ = 0.60-0.90. Dimensional agreement measures were not consistently higher.
CONCLUSION: The age-adapted CIDI65+ is reliable for assessing most mental disorders, distress, impairment and time-related information in the elderly, prompting the need to examine validity.
AIMS: (1) To describe the rationale for the development of an age-adapted Composite International Diagnostic Interview (CIDI65+) for use in a European project (MentDis_ICF65+). (2) To examine its test-retest reliability.
METHODS: Based on substantive pilot work the CIDI standard questions were shortened, broken down into shorter subsets and combined with sensitization questions and dimensional measures. Test-retest was determined in N = 68 subjects aged 60-79 years via two independent examinations by clinical interviewers using kappa (sensitivity, specificity) for categorical and intraclass correlation (ICC) coefficients for dimensional measures.
RESULTS: Test-retest reliability was good for any mental disorder (κ = 0.63), major depression (κ = 0.55), anxiety (κ = 0.62, range = 0.30-0.78), substance (κ = 0.77, range = 0.71-0.82), obsessive-compulsive disorder (κ = 1.00) and most core symptoms/syndromes (κ range = 0.48-1.00). Agreement for some disorders (i.e. somatoform/pain) attenuated, partly due to time lapse effects. ICC for age of onset, recency, quantity, frequency and duration questions ranged between κ = 0.60-0.90. Dimensional agreement measures were not consistently higher.
CONCLUSION: The age-adapted CIDI65+ is reliable for assessing most mental disorders, distress, impairment and time-related information in the elderly, prompting the need to examine validity.