《儿童和青少年迷你国际神经精神访谈（MINI-KID）的信度和效度》。

Reliability and validity of the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID).

机构信息

Depression & Anxiety Disorders Research Institute, University of South Florida College of Medicine, 3515 East Fletcher Ave, Tampa, FL 33613-4706, USA.

出版信息

J Clin Psychiatry. 2010 Mar;71(3):313-26. doi: 10.4088/JCP.09m05305whi.

DOI:10.4088/JCP.09m05305whi

PMID:20331933

Abstract

OBJECTIVE

To investigate the concurrent validity and reliability of the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID), a short structured diagnostic interview for DSM-IV and ICD-10 psychiatric disorders in children and adolescents.

METHOD

Participants were 226 children and adolescents (190 outpatients and 36 controls) aged 6 to 17 years. To assess the concurrent validity of the MINI-KID, participants were administered the MINI-KID and the Schedule for Affective Disorders and Schizophrenia for School Aged Children-Present and Lifetime Version (K-SADS-PL) by blinded interviewers in a counterbalanced order on the same day. Participants also completed a self-rated measure of disability. In addition, interrater (n = 57) and test-retest (n = 83) reliability data (retest interval, 1-5 days) were collected, and agreement between the parent version of the MINI-KID and the standard MINI-KID (n = 140) was assessed. Data were collected between March 2004 and January 2008.

RESULTS

Substantial to excellent MINI-KID to K-SADS-PL concordance was found for syndromal diagnoses of any mood disorder, any anxiety disorder, any substance use disorder, any ADHD or behavioral disorder, and any eating disorder (area under curve [AUC] = 0.81-0.96, kappa = 0.56-0.87). Results were more variable for psychotic disorder (AUC = 0.94, kappa = 0.41). Sensitivity was substantial (0.61-1.00) for 15/20 individual DSM-IV disorders. Specificity was excellent (0.81-1.00) for 18 disorders and substantial (> 0.73) for the remaining 2. The MINI-KID identified a median of 3 disorders per subject compared to 2 on the K-SADS-PL and took two-thirds less time to administer (34 vs 103 minutes). Interrater and test-retest kappas were substantial to almost perfect (0.64-1.00) for all individual MINI-KID disorders except dysthymia. Concordance of the parent version (MINI-KID-P) with the standard MINI-KID was good.

CONCLUSIONS

The MINI-KID generates reliable and valid psychiatric diagnoses for children and adolescents and does so in a third of the time as the K-SADS-PL.

摘要

目的

研究儿童青少年短式诊断定式访谈（MINI-KID）的同时效度和信度。MINI-KID 是一种用于诊断 DSM-IV 和 ICD-10 精神障碍的简短结构化诊断访谈，适用于儿童和青少年。

方法

参与者为 226 名 6 至 17 岁的儿童和青少年（190 名门诊患者和 36 名对照者）。为了评估 MINI-KID 的同时效度，将 MINI-KID 和儿童青少年情感障碍和精神分裂症定式访谈（K-SADS-PL）以盲法在同一天按相反顺序对参与者进行评估。参与者还完成了残疾自评量表。此外，还收集了评估者间（n = 57）和重测信度（n = 83；重测间隔为 1-5 天）的数据，并评估了 MINI-KID 家长版与标准 MINI-KID（n = 140）之间的一致性。数据收集于 2004 年 3 月至 2008 年 1 月。

结果

MINI-KID 与 K-SADS-PL 对任何心境障碍、任何焦虑障碍、任何物质使用障碍、任何注意缺陷多动障碍或行为障碍和任何饮食障碍的综合征诊断均有显著至极好的一致性（曲线下面积[AUC]为 0.81-0.96，kappa 为 0.56-0.87）。精神病性障碍的结果更为多变（AUC = 0.94，kappa = 0.41）。15/20 种 DSM-IV 疾病的敏感性为中等（0.61-1.00）。18 种疾病的特异性为极好（0.81-1.00），2 种疾病的特异性为中等（>0.73）。MINI-KID 为每位患者确定的中位数为 3 种疾病，而 K-SADS-PL 为 2 种疾病，MINI-KID 的用时为其三分之二（34 分钟比 103 分钟）。除心境恶劣障碍外，所有 MINI-KID 疾病的评估者间和重测kappa 均为中等至极好（0.64-1.00）。MINI-KID-P 与标准 MINI-KID 的一致性良好。