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The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI

Published online by Cambridge University Press:  16 April 2020

Y Lecrubier
Affiliation:
INSERM U302, Hôpital de la Salpêtrière, 47, boulevard de l'Hôpital; 75651Paris Cedex 13, France
DV Sheehan
Affiliation:
University of South Florida College of Medicine, 3515 E Fletcher Avenue, Tampa, FL, USA
E Weiller
Affiliation:
INSERM U302, Hôpital de la Salpêtrière, 47, boulevard de l'Hôpital; 75651Paris Cedex 13, France
P Amorim
Affiliation:
INSERM U302, Hôpital de la Salpêtrière, 47, boulevard de l'Hôpital; 75651Paris Cedex 13, France
I Bonora
Affiliation:
INSERM U302, Hôpital de la Salpêtrière, 47, boulevard de l'Hôpital; 75651Paris Cedex 13, France
K Harnett Sheehan
Affiliation:
University of South Florida College of Medicine, 3515 E Fletcher Avenue, Tampa, FL, USA
J Janavs
Affiliation:
University of South Florida College of Medicine, 3515 E Fletcher Avenue, Tampa, FL, USA
GC Dunbar*
Affiliation:
SmithKline Beecham Pharmaceuticals, Reigate, Surrey, UK
*
*Current affiliation: Bristol-Myers Squibb, Wallingford, CT, USA.
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Summary

The Mini International Neuropsychiatric Interview (MINI) is a short diagnostic structured interview (DSI) developed in France and the United States to explore 17 disorders according to Diagnostic and Statistical Manual (DSM)-III-R diagnostic criteria. It is fully structured to allow administration by non-specialized interviewers. In order to keep it short it focuses on the existence of current disorders. For each disorder, one or two screening questions rule out the diagnosis when answered negatively. Probes for severity, disability or medically explained symptoms are not explored symptom-by-symptom. Two joint papers present the inter-rater and test-retest reliability of the MINI the validity versus the Composite International Diagnostic Interview (CIDI) (this paper) and the Structured Clinical Interview for DSM-III-R patients (SCID) (joint paper). Three-hundred and forty-six patients (296 psychiatric and 50 non-psychiatric) were administered the MINI and the CIDI ‘gold standard’. Forty two were interviewed by two investigators and 42 interviewed subsequently within two days. Interviewers were trained to use both instruments. The mean duration of the interview was 21 min with the MINI and 92 for corresponding sections of the CIDI. Kappa coefficient, sensitivity and specificity were good or very good for all diagnoses with the exception of generalized anxiety disorder (GAD) (kappa = 0.36), agoraphobia (sensitivity = 0.59) and bulimia (kappa = 0.53). Interrater and test-retest reliability were good. The main reasons for discrepancies were identified. The MINI provided reliable DSM-III-R diagnoses within a short time frame, The study permitted improvements in the formulations for GAD and agoraphobia in the current DSM-IV version of the MINI.

Type
Original articles
Copyright
Copyright © European Psychiatric Association 1997

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References

Broadhead, WE, Leon, AC, Weissman, MM, Barret, JE, et al.. Development and validation of the SDDS-PC screen for multiple mental disorders in primary care. Arch Fam Med 1995; 4: 211219CrossRefGoogle ScholarPubMed
Endicott, J, Spitzer, RL. A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 1978; 35: 837844CrossRefGoogle Scholar
Goldberg, DPThe Detection of Psychiatric Illness by Questionnaire London: Oxford University Press, 1972Google Scholar
Goldberg, DP, Williams, PA Users Guide to the General Health Questionnaire: GHQ Windsor: NFER-Nelson, 1988Google Scholar
Goldberg, DP, Lecrubier, YForm and frequency of mental disorders across centres In: Form, TBSartorius, N eds. Mental Illness in General Health Care. An International Study Chichester: Wiley Publishers, 1995; 323334Google Scholar
Heizer, JE, Canino, GJ, Hwu, HG, Bland, RC, et al.Alcoholism: a cross-national comparison of population surveys with the diagnostic interview schedule In: Rose, RMBarrett, JE eds. Alcoholism: Origins and Outcome New York: Raven Press, 1988Google Scholar
Kessler, IG, Cleary, PD, Burke, JJ. Psychiatric disorders in primary care: results of a follow-up study. Arch Gen Psychiatry 1985; 42: 583587CrossRefGoogle ScholarPubMed
Kutchins, H, Kirk, SA. The reliability of DSM-III: a critical review. Soc Work Res Abstr 1986; 4: 312CrossRefGoogle Scholar
Magruder-Habib, K, Zung, WWK, Feussner, JR. Improving physicians' recognition and treatment of depression in general medical care: results of randomized clinical trial. Med Care 1990; 28: 239250CrossRefGoogle ScholarPubMed
Mannuzza, S, Fyer, AJ, Martin, LY, Gallops, MS, et al.. Reliability of anxiety assessment: diagnostic agreement. Arch Gen Psychiatry 1989; 46: 10931101CrossRefGoogle ScholarPubMed
Moffic, H, Paykel, ES. Depression in medical in-patients. Brit J Psychiatry 1975; 126: 346353CrossRefGoogle ScholarPubMed
Nielsen, AC, Williams, TA. Depression in ambulatory medical patients: prevalence by self-report questionnaire and recognition by nonpsychiatric physicians. Arch Gen Psychiatry 1989; 37: 9991004CrossRefGoogle Scholar
Ormel, J, Koeter, MW, van den Brink, W, van de Willige, G. Recognition management and course of anxiety and depression in general practice. Arch Gen Psychiatry 1991; 48: 700706CrossRefGoogle ScholarPubMed
Regier, DA, Boyd, JH, Rae, DS, Burke, JD, et al.. One month prevalence of psychiatrie disorders in five epidemiologic catchment area sites. Arch Gen Psychiatry 1987; 44: 817820Google Scholar
Riskind, JH, Beck, AT, Berchick, RJ, Brown, G, Steer, RA. Reliability of DSM-HI diagnoses for major depression and generalized anxiety disorder using the structured clinical interview for DSM-JH. Arch Gen Psychiatry 1987; 44: 817820CrossRefGoogle Scholar
Robins, LNThe validity of psychiatric diagnosis In: American Psychopathological Association Series New York: Raven Press, 1989; 263278Google Scholar
Sartorius, N, Kaelber, CT, Cooper, JE, Roper, MT, et al.. on behalf of all participating investigtors: Progress toward achieving a common language in psychiatry. Results from the field trial of the clinical guidelines accompanying the WHO Classfication of mental and behavioral disorders in ICD-10. Arch Gen Psychiatry 1993; 50: 115124CrossRefGoogle Scholar
Sartorius, N, Üstün, TB, Costa e Silva, JA, Goldberg, Y, et al.. An international study of psychological problems in primary care. Preliminary report from the World Health Organization. Collaborative project on psychological problems in general health care. Arch Gen Psychiatry 1993; 50: 814824CrossRefGoogle Scholar
Sheehan, DV, Lecrubier, Y, Sheehan, H, et al.. The Validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. Eur Psychiatry 1997; 5: 232241CrossRefGoogle Scholar
Spitzer, RL, Forman, JBW, Nee, J. DSM III field trials. itial interrater diagnostic reliability. Am J Psychiatry 1979; 136: 815817Google Scholar
Spitzer, RL, Williams, JBW, Gibbon, M, First, MBStructured clinical interview for DSM-III-R-Patient Version (SCIP-P 6/1/88) New York: Biometrics Research Department, New York State Psychiatric Institute, 1988Google Scholar
Spitzer, RL, Williams, JBW, Gibbon, M, First, MB. The structured clinical interview for DSM-UI-R, I. History, rationale and description. Arch Gen Psychiatry 1992; 49: 624629CrossRefGoogle ScholarPubMed
Spitzer, RL, Williams, JBW, Kroenke, K, et al. The PRIME-MD 1000 study: validation of a new system for diagnosing mental disorders in primary care Presented at the Seventh Annual NIMH International Research Conference On Mental Health Problems in the General Health Section McLean VASept. 21, 1993CrossRefGoogle Scholar
Surtees, PG, Sashidharen, SP. Psychiatric morbidity in two matched community samples: a comparison of rates and risks in Edinburgh and St. Louis. J Affective Disorders 1986; 10: 101113CrossRefGoogle ScholarPubMed
Üstün, TB, von Korff, MPrimary mental health services: access and provision of care In: Üstün, TBSartorius, N eds. Mental Illness in General Health Care. An International Study 1995 Wiley 345360Google Scholar
Weissman, MM, Ofson, M, Leon, AC, Broadhead, WE, et al.. Brief Diagnostic Interviews (SDDS-PFC) for multiple mental disorders in primary care. A pilot study. Arch Fam Med 1995; 4: 220227CrossRefGoogle Scholar
Williams, JBW, Gibbon, M, First, MB, Spitzer, RL, et al.. The structured clinical interview for DSM-III-R (SCID). II: Multisite test-retest reliability. Arch Gen Psychiatry 1992; 49: 630636CrossRefGoogle ScholarPubMed
Wittchen, HU, Robins, LN, Cottier, LB, et al.. Cross-cultural feasibility, reliability and sources of variance of the Composite International Diagnostic Interview (CIDI). Br J Psychiatry 1992; 259: 645653Google Scholar
World Health Organization, WHO The composite international diagnostic interview (CIDI) Geneva: WHO, 1990Google Scholar
World Health Organization, WHO Schedules for clinical assessment in neuropsychiatry (SCAN) Geneva: WHO, 1992Google Scholar
Zung, WWK, Magill, M, Moore, JT, et al.. Recognition and treatment of depression in a family medical practice. J Clin Psychiatry 1983; 44: 36Google Scholar
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