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Diagnostic interviews
Requires clinical training: MINI MINI-plus or SCID Schedule for Clinical Assessment in Neuropsychiatry (SCAN) Does not require clinical training Diagnostic Interview Schedule (DIS)- DSM-IV Composite International Diagnostic Interview (CIDI)
ICD-10 research criteria or DSM-IV
MINI-suites
Primary care:
Special versions: MINI Kid-Parent MINI for Bipolar Disorder studies
(adults or kids/adolescents version)
MINI plus
Hypomania/mania: 2 Panic 1
Agoraphobia
Social phobia GAD OCD
1
1 1 2
GAD
Social phobia PTSD
OCD
Alcohol abuse and dependence Drug abuse and dependence Antisocial personlity disorder
Psychosis
MINI-plus
Additional diagnostic modules Interview focuses on both current and life-time diagnosis More detailed information (e.g. psychosis, duration, number of
episodes)
Simple phobia
Mixed depression and anxiety Adjustment disorder <17 years of age
ADHD
adolescents
adults
MINI plus
Structured interview 35 60 minutes
Semistructured interview
Mood disorders
DSM-IV vs ICD-10:
Severity grading of the depressive episode
ICD-10: mild, moderat or severe
DSM-IV: major
Follow up assessments:
+ MINI-track or MADRS or HAM-D or IDS or..
After Dale
Mania / hypomania
Anxiety disorders
Lifetime prevalence estimates of DSM-IV panic attacks (PAs) and panic disorder (PD) with and without agoraphobia (AG) [Data from National comorbidity study i USA].
Diagnostic challenges:
Panic disorder vs Non-fearful panic disorder
GAD: MINI suggests skip it if another disorder accounting for symptoms is more likely
Psychosis
Psychosis in MINI
No separate modules for specific types of psychosis (e.g. Schizophrenia, Delusional disorder)
Classification requires decision trees from MINIplus
Simple schizophrenia, Schizotypal disorder or induced delusion (Folie deux) not included in MINI or MINI-plus
Caution
MINI requires clinical skills to detect false skip responses
MINI focuses on current diagnosis: risk of false diagnosis due to lack of longitudinal perspective, e.g. Borderline personality disorder versus bipolar disorder with subsequent behavioural changes, substance abuse and inability to feel
Clinical use
Choose modules covering the major disorders and add modules for specific disorders of interest
Continous training is mandatory (inter rater reliability, validity) One person should be responsible for continous education and updates including teaching treatment implications of positive findings
eMINI
For notebook, laptop etc Touch-screen or voice-prompt
Br J Psychiatry
Canad J Psychiatry, Eur Psychiatry Gen Hosp Psychiatry, Int Clin Psychopharmacol Int J Neuropsychopharmacol
Neurology
Neuropsychobiology, Neurosci Lett, Psychol Med Psychol Rep. Psychother Psychosom
National contacts: Denmark: Per Bech Finland: M. Heikkinen France: Yves Lecrubier Germany: G. Stotz Iceland: J.G. Stefansson Norway: Ulrik Fr Malt Sweden: Christer Allgulander US / UK: David Sheehan