Comparison of major depression diagnostic classification probability using the SCID, CIDI, and MINI diagnostic interviews among women in pregnancy or postpartum: An individual participant data meta‐analysis
Open accessAbstract
Objectives: A previous individual participant data meta‐analysis (IPDMA) identified differences in major depression classification rates between different diagnostic interviews, controlling for depressive symptoms on the basis of the Patient Health Questionnaire‐9. We aimed to determine whether similar results would be seen in a different population, using studies that administered the Edinburgh Postnatal Depression Scale (EPDS) in pregnancy or postpartum. Methods: Data accrued for an EPDS diagnostic accuracy IPDMA were analysed. Binomial generalised linear mixed models were fit to compare depression classification odds for the Mini International Neuropsychiatric Interview (MINI), Composite International Diagnostic Interview (CIDI), and Structured Clinical Interview for DSM (SCID), controlling for EPDS scores and participant characteristics. Results: Among fully structured interviews, the MINI (15 studies, 2,532 participants, 342 major depression cases) classified depression more often than the CIDI (3 studies, 2,948 participants, 194 major depression cases; adjusted odds ratio [aOR] = 3.72, 95% confidence interval [CI] [1.21, 11.43]). Compared with the semistructured SCID (28 studies, 7,403 participants, 1,027 major depression cases), odds with the CIDI (interaction aOR = 0.88, 95% CI [0.85, 0.92]) and MINI (interaction aOR = 0.95, 95% CI [0.92, 0.99]) increased less as EPDS scores increased. Conclusion: Different interviews may not classify major depression equivalently.
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Controlling for depressive symptom levels, the MINI might classify depression more than other diagnostic interviews.
“We analysed studies that used different types of reference standards separately because we previously found that, controlling for depressive symptom levels, the MINI might classify depression more than other diagnostic interviews, and the CIDI might classify more participants with low level symptoms as having depression but fewer with high level symptoms.16 17 18”
Controlling for depressive symptom levels, the CIDI might classify more participants with low level symptoms as having depression but fewer with high level symptoms.
“We analysed studies that used different types of reference standards separately because we previously found that, controlling for depressive symptom levels, the MINI might classify depression more than other diagnostic interviews, and the CIDI might classify more participants with low level symptoms as having depression but fewer with high level symptoms.16 17 18”
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References 19 · Cited by 49
Research works printed but not linked: 3
- American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders: DSM‐IV (4th ed.). Washington, DC: American Psychiatric Association.
- First, M. B. (1995). Structured clinical interview for the DSM (SCID). John Wiley & Sons, Inc.
- PRESS—Peer Review of Electronic Search Strategies (2016). 2015 guideline explanation and elaboration (PRESS E&E). Ottawa: CADTH.
- Authors
- Levis, B., McMillan, D., Sun, Y., He, C., Rice, D. B., Krishnan, A., Wu, Y., Azar, M., Sanchez, T. A., Chiovitti, M. J., Bhandari, P. M., Neupane, D., Saadat, N., Riehm, K. E., Imran, M., Boruff, J. T., Cuijpers, P., Gilbody, S., Ioannidis, J. P. A., Kloda, L. A., Patten, S. B., Shrier, I., Ziegelstein, R. C., Comeau, L., Mitchell, N. D., Tonelli, M., Vigod, S. N., Aceti, F., Alvarado, R., Alvarado‐Esquivel, C., Bakare, M. O., Barnes, J., Beck, C. T., Bindt, C., Boyce, P. M., Bunevicius, A., Couto, T. C. E., Chaudron, L. H., Correa, H., de Figueiredo, F. P., Eapen, V., Fernandes, M., Figueiredo, B., Fisher, J. R. W., Garcia‐Esteve, L., Giardinelli, L., Helle, N., Howard, L. M., Khalifa, D. S., Kohlhoff, J., Kusminskas, L., Kozinszky, Z., Lelli, L., Leonardou, A. A., Lewis, B. A., Maes, M., Meuti, V., Nakić Radoš, S., Navarro García, P., Nishi, D., Okitundu Luwa E‐Andjafono, D., Robertson‐Blackmore, E., Rochat, T. J., Rowe, H. J., Siu, B. W. M., Skalkidou, A., Stein, A., Stewart, R. C., Su, K., Sundström‐Poromaa, I., Tadinac, M., Tandon, S. D., Tendais, I., Thiagayson, P., Töreki, A., Torres‐Giménez, A., Tran, T. D., Trevillion, K., Turner, K., Vega‐Dienstmaier, J. M., Wynter, K., Yonkers, K. A., Benedetti, A., & Thombs, B. D.
- Affiliations
- Jewish General Hospital (CA)
- University of York (GB)
- Johns Hopkins University (US)
- McGill University (CA)
- Amsterdam Public Health (NL)
- Stanford University (US)
- Concordia University (CA)
- University of Calgary (CA)
- Université de Montréal (CA)
- Alberta Health Services (CA)
- University of Toronto (CA)
- Sapienza University of Rome (IT)
- University of Chile (CL)
- Laboratorio de Investigación Biomédica, Facultad de Medicina y Nutrición Avenida Universidad Durango Mexico
- Child and Adolescent Unit Federal Neuropsychiatric Hospital Enugu Nigeria
- Birkbeck, University of London (GB)
- University of Connecticut (US)
- University Medical Center Hamburg-Eppendorf (DE)
- The University of Sydney (AU)
- Neuroscience Institute Lithuanian University of Health Sciences Kaunas Lithuania
- Universidade Federal de Minas Gerais (BR)
- University of Rochester Medicine (US)
- Faculty of Medicine Universidade Federal de Minas Gerais Belo Horizonte Brazil
- Department of Neurosciences and Behavior Ribeirão Preto Medical School Ribeirão Preto Brazil
- UNSW Sydney (AU)
- John Radcliffe Hospital (GB)
- School of Psychology University of Minho Braga Portugal
- Monash University (AU)
- Perinatal Mental Health Unit CLINIC‐BCN Institut Clínic de Neurociències, Hospital Clínic Barcelona Spain
- University of Florence (IT)
- King's College London (GB)
- University of Oslo (NO)
- Private Practice Hamburg Germany
- Blekingesjukhuset (SE)
- National and Kapodistrian University of Athens (GR)
- University of Minnesota (US)
- Deakin University (AU)
- Department of Psychology Catholic University of Croatia Zagreb Croatia
- National Center of Neurology and Psychiatry (JP)
- Unité de Neuropsychologie, Département de Neurologie, Centre Neuro‐psycho‐pathologique, Faculté de Médecine Université de Kinshasa Kinshasa Democratic Republic of the Congo
- Halifax Health Medical Center (US)
- Human Sciences Research Council (ZA)
- Castle Peak Hospital (CN)
- Uppsala University (SE)
- University of the Witwatersrand (ZA)
- University of Malawi (MW)
- China Medical University (TW)
- Department of Women's and Children's Health Uppsala University Uppsala Sweden
- University of Zagreb (HR)
- Northwestern University (US)
- University of Minho (PT)
- KK Women's and Children's Hospital (SG)
- University of Szeged (HU)
- Ospedale San Paolo (IT)
- Universidad Peruana Cayetano Heredia (PE)
- Yale University (US)
- McGill University Health Centre (CA)
- Corresponding author
- Thombs, Brett D.
- ORCID
- Levis, Brooke
- McMillan, Dean
- Sun, Ying
- He, Chen
- Rice, Danielle B.
- Krishnan, Ankur
- Wu, Yin
- Sanchez, Tatiana A.
- Bhandari, Parash Mani
- Riehm, Kira E.
- Imran, Mahrukh
- Boruff, Jill T.
- Cuijpers, Pim
- Gilbody, Simon
- Ioannidis, John P.A.
- Kloda, Lorie A.
- Patten, Scott B.
- Shrier, Ian
- Ziegelstein, Roy C.
- Tonelli, Marcello
- Vigod, Simone N.
- Aceti, Franca
- Alvarado, Rubén
- Alvarado‐Esquivel, Cosme
- Bakare, Muideen O.
- Barnes, Jacqueline
- Beck, Cheryl Tatano
- Bindt, Carola
- Boyce, Philip M.
- Couto, Tiago Castro e
- Eapen, Valsamma
- Fernandes, Michelle
- Fisher, Jane R.W.
- Howard, Louise M.
- Khalifa, Dina Sami
- Kohlhoff, Jane
- Kozinszky, Zoltán
- Lewis, Beth A.
- Maes, Michael
- Meuti, Valentina
- Nishi, Daisuke
- Rochat, Tamsen J.
- Rowe, Heather J.
- Siu, Bonnie W.M.
- Skalkidou, Alkistis
- Stein, Alan
- Stewart, Robert C.
- Su, Kuan‐Pin
- Tadinac, Meri
- Tandon, S. Darius
- Tendais, Iva
- Töreki, Annamária
- Tran, Thach D.
- Trevillion, Kylee
- Turner, Katherine
- Vega‐Dienstmaier, Johann M.
- Wynter, Karen
- Yonkers, Kimberly A.
- Benedetti, Andrea
- Thombs, Brett D.
- Venue
- International Journal of Methods in Psychiatric Research
- Publisher
- Wiley
- Published
- 2019-09-30
- Volume
- 28
- Issue
- 4
- Pages
- e1803-e1803
- ISSN
- 1049-8931 (ISSN-L)
- 1557-0657
- PMC
- PMC7027670
- OpenAlex
- W2974359219
- Cited by
- 49
- References
- 19
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 11 · 2020: 15 · 2019: 3
- FWCI
- 8.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
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- International Journal of Methods in Psychiatric Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
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- SZTE Publicatio Repozitórium (University of Szeged) (acceptedVersion, other-oa)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
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- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- ODRAZ (University of Zagreb Faculty of Humanities and SocialSciences) (submittedVersion, cc-by)
- VU Research Portal (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Greater South Information System
- Funders
- Canadian Institutes of Health Research (KRS‐140994)
- Health Foundation (1665/608)
- Patrick and Catherine Weldon Donaghue Medical Research Foundation
- Arthur und Aenne Feindt Stiftung
- Fundação de Amparo à Pesquisa do Estado de Minas Gerais (APQ‐01954‐14)
- National Institute of Mental Health (K23MH080290, K23 MH64476)
- Ministério da Saúde
- Fundação de Amparo à Pesquisa do Estado de São Paulo
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (32003B 125493)
- National Institute for Health Research (RP‐DG‐1108‐10012, RP‐PG‐1210‐12002)
- Programme Grants for Applied Research (RP‐PG‐1210‐12002, RP‐DG‐1108‐10012)
- Department of Health & Social Care
- National Health and Medical Research Council
- Japan Society for the Promotion of Science
- National Center of Neurology and Psychiatry
- Brain and Behavior Research Foundation
- University of Oxford (HQ5035)
- Wellcome Trust (071571, 082384/Z/07/Z)
- American Psychological Association
- Vetenskapsrådet (523‐2014‐2342, 521‐2013‐2339)
- Forskningsrådet för Arbetsliv och Socialvetenskap (2011‐0627)
- Svenska Läkaresällskapet (SLS‐331991)
- Department of Health, Australian Government (DOH95F022, DOH94F044)
- Thomas Wilson Sanitarium For Children of Baltimore City
- Myer Foundation
- National Institute of Child Health and Human Development (5 R01HD045735)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- major depressive disorder, severe combined immunodeficiency, Composite International Diagnostic Interview, MINI, Edinburgh Postnatal Depression Scale, pregnancy, postpartum period, women, diagnostic classification, PHQ-9, diagnostic accuracy
- MeSH terms
- Adult, Major Depressive Disorder, Female, Humans, Interview, Psychological, Pregnancy, Pregnancy Complications, Psychiatric Status Rating Scales, Depression, Postpartum
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