Probability of major depression diagnostic classification based on the SCID, CIDI and MINI diagnostic interviews controlling for Hospital Anxiety and Depression Scale – Depression subscale scores

an individual participant data meta-analysis of 73 primary studies

Yin Wu, Brooke Levis, Ying Sun, Ankur Krishnan, Chen He, Kira E. Riehm, Danielle B. Rice, Marleine Azar, Xin Wei Yan, Dipika Neupane, Parash Mani Bhandari, Mahrukh Imran, Matthew J. Chiovitti, Nazanin Saadat, Jill T. Boruff, Pim Cuijpers, Simon Gilbody, Dean McMillan, John P. A. Ioannidis, Lorie A. Kloda & 80 others Scott B. Patten, Ian Shrier, Roy C. Ziegelstein, Melissa Henry, Zahinoor Ismail, Carmen G. Loiselle, Nicholas D. Mitchell, Marcello Tonelli, Samir Al-Adawi, Anna Beraldi, Anna P. B. M. Braeken, Natalie Büel-Drabe, Adomas Bunevicius, Gregory Carter, Chih Ken Chen, Gary Cheung, Kerrie Clover, Ronán M. Conroy, Daniel Cukor, Carlos E. da Rocha e Silva, Eli Dabscheck, Federico M. Daray, Elles Douven, Marina G. Downing, Anthony Feinstein, Panagiotis P. Ferentinos, Felix H. Fischer, Alastair J. Flint, Maiko Fujimori, Pamela Gallagher, Milena Gandy, Simone Goebel, Luigi Grassi, Martin Härter, Josef Jenewein, Nathalie Jetté, Miguel Julião, Jae Min Kim, Sung Wan Kim, Marie Kjærgaard, Sebastian Köhler, Wim L. Loosman, Bernd Löwe, Rocio Martin-Santos, Loreto Massardo, Yutaka Matsuoka, Anja Mehnert, Ioannis Michopoulos, Laurent Misery, Ricard Navines, Meaghan L. O'Donnell, Ahmet Öztürk, Jurate Peceliuniene, Luis Pintor, Jennie L. Ponsford, Terence J. Quinn, Silje E. Reme, Katrin Reuter, Alasdair G. Rooney, Roberto Sánchez-González, Marcelo L. Schwarzbold, Vesile Senturk Cankorur, Juwita Shaaban, Louise Sharpe, Michael Sharpe, Sébastien Simard, Susanne Singer, Lesley Stafford, Jon Stone, Serge Sultan, Antonio L. Teixeira, Istvan Tiringer, Alyna Turner, Jane Walker, Mark Walterfang, Liang-Jen Wang, Jennifer White, Dana K. Wong, Andrea Benedetti*, Brett D. Thombs

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: Two previous individual participant data meta-analyses (IPDMAs) found that different diagnostic interviews classify different proportions of people as having major depression overall or by symptom levels. We compared the odds of major depression classification across diagnostic interviews among studies that administered the Depression subscale of the Hospital Anxiety and Depression Scale (HADS-D). Methods: Data accrued for an IPDMA on HADS-D diagnostic accuracy were analysed. We fit binomial generalized linear mixed models to compare odds of major depression classification for the Structured Clinical Interview for DSM (SCID), Composite International Diagnostic Interview (CIDI), and Mini International Neuropsychiatric Interview (MINI), controlling for HADS-D scores and participant characteristics with and without an interaction term between interview and HADS-D scores. Results: There were 15,856 participants (1942 [12%] with major depression) from 73 studies, including 15,335 (97%) non-psychiatric medical patients, 164 (1%) partners of medical patients, and 357 (2%) healthy adults. The MINI (27 studies, 7345 participants, 1066 major depression cases) classified participants as having major depression more often than the CIDI (10 studies, 3023 participants, 269 cases) (adjusted odds ratio [aOR] = 1.70 (0.84, 3.43)) and the semi-structured SCID (36 studies, 5488 participants, 607 cases) (aOR = 1.52 (1.01, 2.30)). The odds ratio for major depression classification with the CIDI was less likely to increase as HADS-D scores increased than for the SCID (interaction aOR = 0.92 (0.88, 0.96)). Conclusion: Compared to the SCID, the MINI may diagnose more participants as having major depression, and the CIDI may be less responsive to symptom severity.

Original languageEnglish
Article number109892
Pages (from-to)1-9
Number of pages9
JournalJournal of Psychosomatic Research
Volume129
DOIs
Publication statusPublished - Feb 2020

Keywords

  • depressive disorders
  • diagnostic interviews
  • Hospital Anxiety and Depression Scale
  • individual participant data meta-analysis
  • major depression

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