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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

Measuring symptoms and diagnosing mental disorders in the elderly community: the test–retest reliability of the CIDI65+

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  • Medientyp: E-Artikel
  • Titel: Measuring symptoms and diagnosing mental disorders in the elderly community: the test–retest reliability of the CIDI65+
  • Beteiligte: 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
  • Erschienen: Wiley, 2015
  • Erschienen in: International Journal of Methods in Psychiatric Research
  • Sprache: Englisch
  • DOI: 10.1002/mpr.1455
  • ISSN: 1049-8931; 1557-0657
  • Schlagwörter: Psychiatry and Mental health
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec><jats:label /><jats:p>Prevalence findings for the elderly are artificially low, most likely due to insufficient consideration of age‐related cognitive abilities in diagnostic interviews.</jats:p></jats:sec><jats:sec><jats:title>Aims</jats:title><jats:p>(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.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>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 <jats:italic>N</jats:italic> = 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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Test–retest reliability was good for any mental disorder (<jats:italic>κ</jats:italic> = 0.63), major depression (<jats:italic>κ</jats:italic> = 0.55), anxiety (<jats:italic>κ</jats:italic> = 0.62, range = 0.30–0.78), substance (<jats:italic>κ</jats:italic> = 0.77, range = 0.71–0.82), obsessive‐compulsive disorder (<jats:italic>κ</jats:italic> = 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 <jats:italic>κ</jats:italic> = 0.60–0.90. Dimensional agreement measures were not consistently higher.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The age‐adapted CIDI65<jats:italic>+</jats:italic> is reliable for assessing most mental disorders, distress, impairment and time‐related information in the elderly, prompting the need to examine validity. Copyright © 2014 John Wiley &amp; Sons, Ltd.</jats:p></jats:sec>
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