Robins L N, Wing J, Wittchen H U, Helzer J E, Babor T F, Burke J, Farmer A, Jablenski A, Pickens R, Regier D A
Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110.
Arch Gen Psychiatry. 1988 Dec;45(12):1069-77. doi: 10.1001/archpsyc.1988.01800360017003.
The Composite International Diagnostic Interview (CIDI), written at the request of the World Health Organization/US Alcohol, Drug Abuse, and Mental Health Administration Task Force on Psychiatric Assessment Instruments, combines questions from the Diagnostic Interview Schedule with questions designed to elicit Present State Examination items. It is fully structured to allow administration by lay interviewers and scoring of diagnoses by computer. A special Substance Abuse Module covers tobacco, alcohol, and other drug abuse in considerable detail, allowing the assessment of the quality and severity of dependence and its course. This article describes the design and development of the CIDI and the current field testing of a slightly reduced "core" version. The field test is being conducted in 19 centers around the world to assess the interviews' reliability and its acceptability to clinicians and the general populace in different cultures and to provide data on which to base revisions that may be found necessary. In addition, questions to assess International Classification of Diseases, ninth revision, and the revised DSM-III diagnoses are being written. If all goes well, the CIDI will allow investigators reliably to assess mental disorders according to the most widely accepted nomenclatures in many different populations and cultures.
综合国际诊断访谈（CIDI）是应世界卫生组织/美国酒精、药物滥用和精神健康管理局精神病评估工具特别工作组的要求编写的，它将诊断访谈表中的问题与旨在引出当前状态检查项目的问题结合在一起。它结构完整，允许外行访谈员进行访谈，并通过计算机对诊断进行评分。一个特殊的药物滥用模块详细涵盖了烟草、酒精和其他药物滥用问题，从而能够评估依赖的性质和严重程度及其发展过程。本文介绍了CIDI的设计与开发以及一个略有简化的“核心”版本目前正在进行的现场测试。该现场测试正在全球19个中心进行，以评估访谈的可靠性以及不同文化背景下临床医生和普通民众对它的接受程度，并提供数据以便进行可能必要的修订。此外，正在编写用于评估《国际疾病分类》第九版和修订后的《精神疾病诊断与统计手册》第三版诊断的问题。如果一切顺利，CIDI将使研究人员能够根据许多不同人群和文化中最广泛接受的命名法可靠地评估精神障碍。
