Clinical reappraisal of the composite international diagnostic interview version 3.3 in Qatar's National Mental Health Study

Clinical reappraisal of the composite international diagnostic interview version 3.3 in Qatar's National Mental Health Study

<h3>Objectives</h3><p dir="ltr">Lifetime DSM‐5 diagnoses generated by the lay‐administered Composite International Diagnostic Interview for DSM‐5 (CIDI) in the World Mental Health Qatar (WMHQ) study were compared to diagnoses based on blinded clinician‐administered reappr...

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Main Author: Salma M. Khaled (13847737) (author)
Other Authors: Iman Amro (13996378) (author), Menatalla Abdelkader (21397940) (author), Dalia Al Bahari (21397919) (author), Mahmoud Al Shawwaf (21397916) (author), Majid Alabdulla (12051430) (author), Ahmed Alhassan (9707426) (author), Amal Ali (11940224) (author), Sheeren Aly (21397928) (author), Asmaa Amin (21397931) (author), Wai Tat Chiu (11252408) (author), James Currie (16079431) (author), Hana El Fakki (21397922) (author), Michael B. First (21632858) (author), Mohammed H. O. Hassan (21632861) (author), Zainab Hijawi (21397925) (author), Rumaisa Mohammed (21397934) (author), Marwa Nofal (21397937) (author), Salma Salman (21397943) (author), Nancy A. Sampson (7616513) (author), Peter W. Woodruff (14778967) (author), Ronald C. Kessler (7348619) (author)
Published: 2024
Subjects:
Health sciences
Epidemiology
Health services and systems
Psychology
Clinical and health psychology
clinical reappraisal
composite international diagnostic interview (CIDI)
diagnostic and statistical manual version 5 (DSM‐5)
diagnostic assessment
epidemiology
validity
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Summary:<h3>Objectives</h3><p dir="ltr">Lifetime DSM‐5 diagnoses generated by the lay‐administered Composite International Diagnostic Interview for DSM‐5 (CIDI) in the World Mental Health Qatar (WMHQ) study were compared to diagnoses based on blinded clinician‐administered reappraisal interviews.</p><h3>Methods</h3><p dir="ltr">Telephone follow‐up interviews used the non‐patient edition of the Structured Clinician Interview for DSM‐5 (SCID) oversampling respondents who screened positive for five diagnoses in the CIDI: major depressive episode, mania/hypomania, panic disorder, generalized anxiety disorder, and obsessive‐compulsive disorder. Concordance was also examined for a diagnoses of post‐traumatic stress disorder based on a short‐form versus full version of the PTSD Checklist for DSM‐5 (PCL‐5).</p><h3>Results</h3><p dir="ltr">Initial CIDI prevalence estimates differed significantly from the SCID for most diagnoses ( X<sup>2</sup><sub>1</sub>= 6.6–31.4, p = 0.010 < 0.001), but recalibration reduced most of these differences and led to consistent increases in individual‐level concordance (AU‐ROC) from 0.53–0.76 to 0.67–0.81. Recalibration of the short‐form PCL‐5 removed an initially significant difference in PTSD prevalence with the full PCL‐5 (from X<sup>2</sup><sub>1</sub>= 610.5, <i>p</i> < 0.001 to X<sup>2</sup><sub>1</sub>= 2.5, <i>p</i> = 0.110) while also increasing AU‐ROC from 0.76 to 0.81.</p><h3>Conclusions</h3><p dir="ltr">Recalibration resulted in valid diagnoses of common mental disorders in the Qatar National Mental Health Survey, but with inflated prevalence estimates for some disorders that need to be considered when interpreting results.</p><h2>Other Information</h2><p dir="ltr">Published in: International Journal of Methods in Psychiatric Research<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/mpr.2013" target="_blank">https://dx.doi.org/10.1002/mpr.2013</a></p>

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