Validity and reliability of the Mini International Neuropsychiatric Interview in Sub-Saharan Africa: a cross-country comparison study.

IF 5.5 2区医学 Q1 PSYCHIATRY

Psychological Medicine Pub Date : 2025-08-29 DOI:10.1017/S0033291725100573

Kristina J Korte, Kimberly Hook, Rocky Stroud, Amantia Ametaj, Manasi Sharma, Hayden Mountcastle, Biruh Alemayehu, Beakal Amare, Azeb Asaminew Alemu, Ribka Birhanu, Engida Girma, Barkot Milkias, Mahlet Yared, Florence Jaguga, Jackline Mmochi, Felitcita Omari, Edgar Guma, Hillary Kutessa, Claire Kwagala, Harriet Nakuya, Molly Naisanga, Dickens Akena, Lukoye Atwoli, Symon Kariuki, Charles R J C Newton, Zukiswa Zingela, Dan J Stein, Teferra Solomon, Karestan C Koenen, Bizu Gelaye

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引用次数: 0

Abstract

Background: Diagnostic tools, such as the Mini International Neuropsychiatric Interview (MINI) 7.0.2 and the Structured Clinical Interview for the DSM-5 (SCID), aim to increase the validity and reliability of diagnostic assessment. However, these tools were created in high-income countries (HICs) with limited investigation of the psychometrics of these tools when used in low- and middle-income countries (LMICs). Thus, there is a need to examine the psychometric properties of these measures in LMICs. The present investigation aimed to examine the use of the MINI in Ethiopia, Kenya, and Uganda.

Methods: A multicountry comparison of the validity and reliability of the MINI was conducted in a study of 954 participants (n = 667 cases; n = 287 controls) with and without a psychotic spectrum disorder, defined as any psychotic or bipolar spectrum disorder for the NeuroGAP - Psychosis study. Test-retest reliability of the MINI was examined in a subset of 303 participants (n = 164 cases; n = 139 controls) from the overall sample.

Results: Results revealed the MINI and SCID provided excellent diagnostic accuracy with area under the curve (AUC) values of .91 (SE = .01) for the MINI and .95 (SE = .01) for the SCID. Positive predictive values (PPV) were the highest for the SCID (93.8%) and slightly lower for the MINI (88.7%). Reliability analyses revealed substantial agreement for psychotic and bipolar diagnostic groups.

Conclusions: Similar patterns of results were observed at the country level with a few notable differences. Limitations and future directions are discussed.

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撒哈拉以南非洲迷你国际神经精神病学访谈的效度和信度：一项跨国比较研究。

背景：诊断工具，如迷你国际神经精神病学访谈（Mini） 7.0.2和DSM-5 （SCID）的结构化临床访谈，旨在提高诊断评估的效度和可靠性。然而，这些工具是在高收入国家（HICs）创建的，在低收入和中等收入国家（LMICs）使用这些工具时，对这些工具的心理测量学研究有限。因此，有必要检查这些措施在中低收入国家的心理测量特性。目前的调查旨在检查MINI在埃塞俄比亚、肯尼亚和乌干达的使用情况。方法：在一项954名参与者（n = 667例；n = 287例对照）的研究中，对MINI的效度和可靠性进行了多国比较，这些参与者有和没有精神谱系障碍，在NeuroGAP -精神病研究中定义为任何精神或双相谱系障碍。从总体样本中选取303名参与者（n = 164例；n = 139例对照），对MINI的重测可靠性进行了检验。结果：结果显示，MINI和SCID具有良好的诊断准确性，曲线下面积（AUC）值为。91 （SE = 0.01）。SCID为95 （SE = 0.01）。阳性预测值（PPV）在SCID中最高（93.8%），在MINI中略低（88.7%）。可靠性分析显示，精神病和双相情感障碍诊断组的结果基本一致。结论：在国家层面上观察到类似的结果模式，但存在一些显著差异。讨论了局限性和未来发展方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychological Medicine 医学-精神病学

CiteScore

11.30

自引率

4.30%

发文量

711

审稿时长

3-6 weeks

期刊介绍： Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.