BishtRef
Articles Journals Publishers Authors Subjects Most Cited New Papers Year Stats Open Access
journal article Oct 18, 2012

Composite International Diagnostic Interview screening scales for DSM-IV anxiety and mood disorders

R. C. Kessler J. R. Calabrese P. A. Farley M. J. Gruber M. A. Jewell W. Katon P. E. Keck A. A. Nierenberg N. A. Sampson M. K. Shear A. C. Shillington M. B. Stein M. E. Thase H.-U. Wittchen
Psychological Medicine Vol. 43 No. 8 pp. 1625-1637 · Cambridge University Press (CUP)
View at Publisher Save 10.1017/s0033291712002334
Abstract
BackgroundLack of coordination between screening studies for common mental disorders in primary care and community epidemiological samples impedes progress in clinical epidemiology. Short screening scales based on the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI), the diagnostic interview used in community epidemiological surveys throughout the world, were developed to address this problem.MethodExpert reviews and cognitive interviews generated CIDI screening scale (CIDI-SC) item pools for 30-day DSM-IV-TR major depressive episode (MDE), generalized anxiety disorder (GAD), panic disorder (PD) and bipolar disorder (BPD). These items were administered to 3058 unselected patients in 29 US primary care offices. Blinded SCID clinical reinterviews were administered to 206 of these patients, oversampling screened positives.ResultsStepwise regression selected optimal screening items to predict clinical diagnoses. Excellent concordance [area under the receiver operating characteristic curve (AUC)] was found between continuous CIDI-SC and DSM-IV/SCID diagnoses of 30-day MDE (0.93), GAD (0.88), PD (0.90) and BPD (0.97), with only 9–38 questions needed to administer all scales. CIDI-SCversusSCID prevalence differences are insignificant at the optimal CIDI-SC diagnostic thresholds (χ21 = 0.0–2.9,p = 0.09–0.94). Individual-level diagnostic concordance at these thresholds is substantial (AUC 0.81–0.86, sensitivity 68.0–80.2%, specificity 90.1–98.8%). Likelihood ratio positive (LR+) exceeds 10 and LR− is 0.1 or less at informative thresholds for all diagnoses.ConclusionsCIDI-SC operating characteristics are equivalent (MDE, GAD) or superior (PD, BPD) to those of the best alternative screening scales. CIDI-SC results can be compared directly to general population CIDI survey results or used to target and streamline second-stage CIDIs.
Topics

No keywords indexed for this article. Browse by subject →

References
80
[1]
First (2002)
[4]
Wolter (1985)
[9]
The Hospital Anxiety and Depression Scale

A. S. Zigmond, R. P. Snaith

Acta Psychiatrica Scandinavica 10.1111/j.1600-0447.1983.tb09716.x
[13]
Cook (1998)
[14]
The CES-D Scale

Lenore Sawyer Radloff

Applied Psychological Measurement 10.1177/014662167700100306
[15]
Kraemer (1992)
[17]
Haynes (2006)
[22]
(2012)
[34]
Validity of the World Health Organization Adult ADHD Self‐Report Scale (ASRS) Screener in a representative sample of health plan members

Ronald C. Kessler, Lenard A. Adler, Michael J. Gruber et al.

International Journal of Methods in Psychiatric Re... 10.1002/mpr.208
[40]
Kessler (2008)
[41]
Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative

Ronald C. Kessler, Jennifer Greif Green, Michael J. Gruber et al.

International Journal of Methods in Psychiatric Re... 10.1002/mpr.310
[48]
Wittchen "Generalized anxiety and depression in primary care: prevalence, recognition, and management" Journal of Clinical Psychiatry (2002)

Showing 50 of 80 references

Cited By
191
Implementing a suicide risk management protocol as part of a multisite clinical trial: Findings and lessons learned

Erin Chase, Nicole Moreira · 2025

Clinical Trials
Boosting Empathy and Compassion Through Mindfulness-Based and Socioemotional Dyadic Practice: Randomized Controlled Trial With App-Delivered Trainings

Sarita Silveira, Malvika Godara · 2023

Journal of Medical Internet Researc...
Self‐injurious thoughts and behaviors that differentiate soldiers who attempt suicide from those with recent suicide ideation

James A. Naifeh, Matthew K. Nock · 2020

Depression and Anxiety
First-onset and persistence of suicidal ideation in university students: A one-year follow-up study

Maria Jesús Blasco, Gemma Vilagut · 2019

Journal of Affective Disorders
Transition to suicide attempt from recent suicide ideation in U.S. Army soldiers: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

James A. Naifeh, Robert J. Ursano · 2018

Depression and Anxiety
The associations between non-suicidal self-injury and first onset suicidal thoughts and behaviors

G. Kiekens, P. Hasking · 2018

Journal of Affective Disorders
Metrics
191
Citations
80
References
Details
Published
Oct 18, 2012
Vol/Issue
43(8)
Pages
1625-1637
License
View
Authors
R
R. C. Kessler
J
J. R. Calabrese
P
P. A. Farley
M
M. J. Gruber
M
M. A. Jewell
W
W. Katon
P
P. E. Keck
A
A. A. Nierenberg
N
N. A. Sampson
M
M. K. Shear
A
A. C. Shillington
M
M. B. Stein
M
M. E. Thase
H
H.-U. Wittchen
Cite This Article
R. C. Kessler, J. R. Calabrese, P. A. Farley, et al. (2012). Composite International Diagnostic Interview screening scales for DSM-IV anxiety and mood disorders. Psychological Medicine, 43(8), 1625-1637. https://doi.org/10.1017/s0033291712002334
Related

You May Also Like

Short screening scales to monitor population prevalences and trends in non-specific psychological distress

R. C. Kessler, G. ANDREWS · 2002

8,453 citations

The Brief Symptom Inventory: an introductory report

Leonard R. Derogatis, Nick Melisaratos · 1983

5,163 citations

The Eating Attitudes Test: psychometric features and clinical correlates

David M. Garner, Marion P. Olmsted · 1982

3,667 citations

The validity of two versions of the GHQ in the WHO study of mental illness in general health care

D. P. GOLDBERG, R. GATER · 1997

2,797 citations

The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population

Ronald C. Kessler, LENARD ADLER · 2005

2,711 citations