Hostname: page-component-7c8c6479df-xxrs7 Total loading time: 0 Render date: 2024-03-28T13:22:51.419Z Has data issue: false hasContentIssue false

Major depressive episode among young adults: CIDI-SF versus SCAN consensus diagnoses

Published online by Cambridge University Press:  24 October 2002

T. AALTO-SETÄLÄ
Affiliation:
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie; Helsinki-Uusimaa Hospital District, Department of Adolescent Psychiatry, Peijas Hospital, Vantaa; and the Finnish Foundation for Alcohol Studies, Helsinki, Finland
L. HAARASILTA
Affiliation:
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie; Helsinki-Uusimaa Hospital District, Department of Adolescent Psychiatry, Peijas Hospital, Vantaa; and the Finnish Foundation for Alcohol Studies, Helsinki, Finland
M. MARTTUNEN
Affiliation:
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie; Helsinki-Uusimaa Hospital District, Department of Adolescent Psychiatry, Peijas Hospital, Vantaa; and the Finnish Foundation for Alcohol Studies, Helsinki, Finland
A. TUULIO-HENRIKSSON
Affiliation:
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie; Helsinki-Uusimaa Hospital District, Department of Adolescent Psychiatry, Peijas Hospital, Vantaa; and the Finnish Foundation for Alcohol Studies, Helsinki, Finland
K. POIKOLAINEN
Affiliation:
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie; Helsinki-Uusimaa Hospital District, Department of Adolescent Psychiatry, Peijas Hospital, Vantaa; and the Finnish Foundation for Alcohol Studies, Helsinki, Finland
H. ARO
Affiliation:
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie; Helsinki-Uusimaa Hospital District, Department of Adolescent Psychiatry, Peijas Hospital, Vantaa; and the Finnish Foundation for Alcohol Studies, Helsinki, Finland
J. LÖNNQVIST
Affiliation:
National Public Health Institute, Department of Mental Health and Alcohol Research, Mannerheimintie; Helsinki-Uusimaa Hospital District, Department of Adolescent Psychiatry, Peijas Hospital, Vantaa; and the Finnish Foundation for Alcohol Studies, Helsinki, Finland

Abstract

Background. We aimed to evaluate the diagnostic accuracy of a highly structured diagnostic interview in relation to a semi-structured diagnostic procedure. We compared the World Health Organization Composite International Diagnostic Interview Short Form (CIDI-SF) in diagnosing major depressive episode (MDE) to consensus diagnoses based on the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry).

Method. Subjects comprised a follow-up sample of 239 20–24-year-old former high-school students who were administered the SCAN and immediately thereafter the CIDI-SF. Concordance was estimated for 12-month MDE, using different cut-points of the CIDI-SF and for any affective disorders.

Results. Correspondence between instruments was moderate for MDE (κ = 0.43, sensitivity 0.71, specificity 0.82), but better for any affective disorder (κ = 0.60, sensitivity 0.70, specificity 0.90). Most false negatives suffered from their depression as much as those correctly identified by the CIDI-SF. False negativity was mainly due to not endorsing the stem questions of the CIDI-SF. Of the false positives almost half had an affective disorder other than MDE.

Conclusions. The CIDI-SF seems to function best in identifying a broader category of affective disorders. It could be useful in large-scale community surveys where more extensive psychiatric interviews are not feasible.

Type
BRIEF COMMUNICATION
Copyright
© 2002 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)