Case Ascertainment: The Composite International Diagnostic Interview
Australian & New Zealand Journal of PsychiatryPublished 1 December 2000
Gavin Andrews
Citations10
SJR quartileQ1
SJR score1.71
SNIP1.58
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TL;DR
The utility of the Composite International Diagnostic Interview (CIDI) in the diagnosis of psychosis is outlined to reduce false positive diagnoses in community surveys and false negative diagnoses in psychiatric settings.
Abstract
The diagnosis of psychosis by fully structured diagnostic interviews is difficult.
Keywords
PsychologyMedicineArts and Humanities
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The prevalence of psychiatric disorders is greater than previously thought to be the case, and morbidity is more highly concentrated than previously recognized in roughly one sixth of the population who have a history of three or more comorbid disorders.
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The Composite International Diagnostic Interview, or CIDI, is a fully structured interview that maps the symptoms elicited during the interview onto DSM-IV and ICD-10 diagnostic criteria and reports whether the diagnostic criteria are satisfied – nothing more, nothing less.
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Although results using computer algorithms were similar in the National Comorbidity Survey and Epidemiologic Catchment Area studies, diagnoses so obtained agreed poorly with clinical diagnoses.
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The CIDI showed good agreement with clinician checklist diagnoses when the criteria were based on questions asked of the subjects, but when the interviewer was required to make judgement of behaviours, the agreement between the C IDI and the clinician checklists was lower, resulting in overall poor agreement.
