Kessler Ronald C, Ustün T Bedirhan
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA.
Int J Methods Psychiatr Res. 2004;13(2):93-121. doi: 10.1002/mpr.168.
This paper presents an overview of the World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and a discussion of the methodological research on which the development of the instrument was based. The WMH-CIDI includes a screening module and 40 sections that focus on diagnoses (22 sections), functioning (four sections), treatment (two sections), risk factors (four sections), socio-demographic correlates (seven sections), and methodological factors (two sections). Innovations compared to earlier versions of the CIDI include expansion of the diagnostic sections, a focus on 12-month as well as lifetime disorders in the same interview, detailed assessment of clinical severity, and inclusion of information on treatment, risk factors, and consequences. A computer-assisted version of the interview is available along with a direct data entry software system that can be used to keypunch responses to the paper-and-pencil version of the interview. Computer programs that generate diagnoses are also available based on both ICD-10 and DSM-IV criteria. Elaborate CD-ROM-based training materials are available to teach interviewers how to administer the interview as well as to teach supervisors how to monitor the quality of data collection.
本文概述了世界卫生组织(WHO)复合国际诊断访谈(CIDI)的世界心理健康(WMH)调查倡议版本,并讨论了该工具开发所基于的方法学研究。世界心理健康复合国际诊断访谈(WMH-CIDI)包括一个筛查模块和40个部分,重点关注诊断(22个部分)、功能(4个部分)、治疗(2个部分)、风险因素(4个部分)、社会人口统计学相关因素(7个部分)和方法学因素(2个部分)。与CIDI早期版本相比的创新之处包括诊断部分的扩展、在同一次访谈中关注12个月以及终生疾病、对临床严重程度的详细评估,以及纳入治疗、风险因素和后果方面的信息。访谈的计算机辅助版本以及直接数据录入软件系统可供使用,该软件系统可用于对纸质版访谈的回答进行键控录入。基于国际疾病分类第10版(ICD-10)和精神疾病诊断与统计手册第4版(DSM-IV)标准生成诊断的计算机程序也可供使用。有详尽的基于光盘的培训材料,用于教导访谈员如何进行访谈以及教导监督员如何监测数据收集的质量。