Literature DB >> 29717691

Probability of major depression diagnostic classification using semi-structured versus fully structured diagnostic interviews.

Brooke Levis1, Andrea Benedetti2, Kira E Riehm3, Nazanin Saadat3, Alexander W Levis1, Marleine Azar1, Danielle B Rice4, Matthew J Chiovitti3, Tatiana A Sanchez3, Pim Cuijpers5, Simon Gilbody6, John P A Ioannidis7, Lorie A Kloda8, Dean McMillan6, Scott B Patten9, Ian Shrier1, Russell J Steele10, Roy C Ziegelstein11, Dickens H Akena12, Bruce Arroll13, Liat Ayalon14, Hamid R Baradaran15, Murray Baron16, Anna Beraldi17, Charles H Bombardier18, Peter Butterworth19, Gregory Carter20, Marcos H Chagas21, Juliana C N Chan22, Rushina Cholera23, Neerja Chowdhary24, Kerrie Clover25, Yeates Conwell26, Janneke M de Man-van Ginkel27, Jaime Delgadillo28, Jesse R Fann29, Felix H Fischer30, Benjamin Fischler31, Daniel Fung32, Bizu Gelaye33, Felicity Goodyear-Smith13, Catherine G Greeno34, Brian J Hall35, John Hambridge36, Patricia A Harrison37, Ulrich Hegerl38, Leanne Hides39, Stevan E Hobfoll40, Marie Hudson16, Thomas Hyphantis41, Masatoshi Inagaki42, Khalida Ismail43, Nathalie Jetté44, Mohammad E Khamseh15, Kim M Kiely45, Femke Lamers46, Shen-Ing Liu47, Manote Lotrakul48, Sonia R Loureiro21, Bernd Löwe49, Laura Marsh50, Anthony McGuire51, Sherina Mohd Sidik52, Tiago N Munhoz53, Kumiko Muramatsu54, Flávia L Osório55, Vikram Patel56, Brian W Pence57, Philippe Persoons58, Angelo Picardi59, Alasdair G Rooney60, Iná S Santos53, Juwita Shaaban61, Abbey Sidebottom62, Adam Simning26, Lesley Stafford63, Sharon Sung64, Pei Lin Lynnette Tan65, Alyna Turner66, Christina M van der Feltz-Cornelis67, Henk C van Weert68, Paul A Vöhringer69, Jennifer White70, Mary A Whooley71, Kirsty Winkley43, Mitsuhiko Yamada72, Yuying Zhang73, Brett D Thombs74.   

Abstract

BACKGROUND: Different diagnostic interviews are used as reference standards for major depression classification in research. Semi-structured interviews involve clinical judgement, whereas fully structured interviews are completely scripted. The Mini International Neuropsychiatric Interview (MINI), a brief fully structured interview, is also sometimes used. It is not known whether interview method is associated with probability of major depression classification.AimsTo evaluate the association between interview method and odds of major depression classification, controlling for depressive symptom scores and participant characteristics.
METHOD: Data collected for an individual participant data meta-analysis of Patient Health Questionnaire-9 (PHQ-9) diagnostic accuracy were analysed and binomial generalised linear mixed models were fit.
RESULTS: A total of 17 158 participants (2287 with major depression) from 57 primary studies were analysed. Among fully structured interviews, odds of major depression were higher for the MINI compared with the Composite International Diagnostic Interview (CIDI) (odds ratio (OR) = 2.10; 95% CI = 1.15-3.87). Compared with semi-structured interviews, fully structured interviews (MINI excluded) were non-significantly more likely to classify participants with low-level depressive symptoms (PHQ-9 scores ≤6) as having major depression (OR = 3.13; 95% CI = 0.98-10.00), similarly likely for moderate-level symptoms (PHQ-9 scores 7-15) (OR = 0.96; 95% CI = 0.56-1.66) and significantly less likely for high-level symptoms (PHQ-9 scores ≥16) (OR = 0.50; 95% CI = 0.26-0.97).
CONCLUSIONS: The MINI may identify more people as depressed than the CIDI, and semi-structured and fully structured interviews may not be interchangeable methods, but these results should be replicated.Declaration of interestDrs Jetté and Patten declare that they received a grant, outside the submitted work, from the Hotchkiss Brain Institute, which was jointly funded by the Institute and Pfizer. Pfizer was the original sponsor of the development of the PHQ-9, which is now in the public domain. Dr Chan is a steering committee member or consultant of Astra Zeneca, Bayer, Lilly, MSD and Pfizer. She has received sponsorships and honorarium for giving lectures and providing consultancy and her affiliated institution has received research grants from these companies. Dr Hegerl declares that within the past 3 years, he was an advisory board member for Lundbeck, Servier and Otsuka Pharma; a consultant for Bayer Pharma; and a speaker for Medice Arzneimittel, Novartis, and Roche Pharma, all outside the submitted work. Dr Inagaki declares that he has received grants from Novartis Pharma, lecture fees from Pfizer, Mochida, Shionogi, Sumitomo Dainippon Pharma, Daiichi-Sankyo, Meiji Seika and Takeda, and royalties from Nippon Hyoron Sha, Nanzando, Seiwa Shoten, Igaku-shoin and Technomics, all outside of the submitted work. Dr Yamada reports personal fees from Meiji Seika Pharma Co., Ltd., MSD K.K., Asahi Kasei Pharma Corporation, Seishin Shobo, Seiwa Shoten Co., Ltd., Igaku-shoin Ltd., Chugai Igakusha and Sentan Igakusha, all outside the submitted work. All other authors declare no competing interests. No funder had any role in the design and conduct of the study; collection, management, analysis and interpretation of the data; preparation, review or approval of the manuscript; and decision to submit the manuscript for publication.

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Year:  2018        PMID: 29717691      PMCID: PMC6415695          DOI: 10.1192/bjp.2018.54

Source DB:  PubMed          Journal:  Br J Psychiatry        ISSN: 0007-1250            Impact factor:   10.671


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