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Cited by 25Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSurvey Methodology and Nonresponse

Concordance between telephone survey classification and face-to-face interview diagnosis of one-year major depressive episode in Hong Kong

Lee, Sing, Tsang, Adley, Mak, Arthur, Lee, Athene, Lau, Lisa, Ng, K.L.·2010·Journal of Affective Disorders
DOI 10.1016/j.jad.2010.03.024
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Abstract

Background Community-based telephone surveys of depression have generated reliable findings but their concordance with standardized clinical diagnostic interviews is uncommonly examined, especially in non-western populations.Method 106 consenting participants from a previous telephone-based population survey of major depressive episode (MDE) using a structured questionnaire were re-assessed face-to-face by clinical interviewers using the Structured Clinical Interview for DSM-IV Axis I Disorder (SCID-I). Receiver operating characteristic and other predictive indicators were used to investigate the concordance between the telephone survey instrument and SCID interview.Result The telephone survey instrument adequately classified MDE when the DSM-IV symptom number standard was fulfilled at moderate to severe levels of distress and impairment. It performed best when the cut-off was set at a severe level of distress or impairment in any one of four domains of functioning (AUC=0.76). Feeling useless, fatigue, loss of motivation and difficulty in concentration were the most prominent items for increasing the certainty of SCID-MDE diagnosis.Conclusion Classification of MDE by telephone-based structured interview of MDE exhibited generally good agreement with face-to-face clinical interview diagnosis in the Chinese population of Hong Kong. Further research on the telephone-based methodology should address inter-rater reliability, specificity of diagnosis, and variability of concordance across different mental disorder diagnoses and criteria of clinically significant impairment.

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Authors
Lee, S., Tsang, A., Mak, A., Lee, A., Lau, L., & Ng, K. L.
Affiliations
  • Chinese University of Hong Kong (HK)
  • Shatin Hospital (CN)
  • Suffolk University (US)
  • Hospital Authority (HK)
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2010-10
Volume
126
Issue
1-2
Pages
155-160
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2010.03.024
OpenAlex
W2078841712
Cited by
25
References
25
Citations by year
2024: 2 · 2022: 1 · 2021: 2 · 2019: 4 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 2 · 2012: 3
FWCI
3.50
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
Keywords
major depressive episode, telephone surveys, diagnostic agreement, SCID-I, Chinese population, Hong Kong, cut-off values, symptom severity, functional disability, inter-rater reliability
MeSH terms
Depressive Disorder, Major, Major Depressive Disorder, Fatigue, Health Surveys, Hong Kong, Humans, Interviews as Topic, Surveys and Questionnaires, ROC Curve, Stress, Psychological, Reproducibility of Results, Prevalence

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