Measuring symptoms and diagnosing mental disorders in the elderly community: the test-retest reliability of the CIDI65+
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Measuring symptoms and diagnosing mental disorders in the elderly community: the test-retest reliability of the CIDI65+. / 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.
In: INT J METH PSYCH RES, Vol. 24, No. 2, 06.2015, p. 116-29.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Measuring symptoms and diagnosing mental disorders in the elderly community: the test-retest reliability of the CIDI65+
AU - Wittchen, Hans-Ulrich
AU - Strehle, Jens
AU - Gerschler, Anja
AU - Volkert, Jana
AU - Dehoust, Maria Christina
AU - Sehner, Susanne
AU - Wegscheider, Karl
AU - Ausìn, Berta
AU - Canuto, Alessandra
AU - Crawford, Mike
AU - Da Ronch, Chiara
AU - Grassi, Luigi
AU - Hershkovitz, Yael
AU - Munoz, Manuel
AU - Quirk, Alan
AU - Rotenstein, Ora
AU - Santos-Olmo, Ana Belén
AU - Shalev, Arieh
AU - Weber, Kerstin
AU - Schulz, Holger
AU - Härter, Martin
AU - Andreas, Sylke
N1 - Copyright © 2014 John Wiley & Sons, Ltd.
PY - 2015/6
Y1 - 2015/6
N2 - Prevalence findings for the elderly are artificially low, most likely due to insufficient consideration of age-related cognitive abilities in diagnostic interviews. Aims: (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. Methods: 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 N = 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. Results: Test-retest reliability was good for any mental disorder (κ = 0.63), major depression (κ = 0.55), anxiety (κ = 0.62, range = 0.30-0.78), substance (κ = 0.77, range = 0.71-0.82), obsessive-compulsive disorder (κ = 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 κ = 0.60-0.90. Dimensional agreement measures were not consistently higher. Conclusion: The age-adapted CIDI65+ 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 & Sons, Ltd.
AB - Prevalence findings for the elderly are artificially low, most likely due to insufficient consideration of age-related cognitive abilities in diagnostic interviews. Aims: (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. Methods: 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 N = 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. Results: Test-retest reliability was good for any mental disorder (κ = 0.63), major depression (κ = 0.55), anxiety (κ = 0.62, range = 0.30-0.78), substance (κ = 0.77, range = 0.71-0.82), obsessive-compulsive disorder (κ = 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 κ = 0.60-0.90. Dimensional agreement measures were not consistently higher. Conclusion: The age-adapted CIDI65+ 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 & Sons, Ltd.
U2 - 10.1002/mpr.1455
DO - 10.1002/mpr.1455
M3 - SCORING: Journal article
C2 - 25308743
VL - 24
SP - 116
EP - 129
JO - INT J METH PSYCH RES
JF - INT J METH PSYCH RES
SN - 1049-8931
IS - 2
ER -