Diagnostic validity of the MINI-KID disorder classifications in specialized child and adolescent psychiatric outpatient clinics in Sweden

BMC Psychiatry

Clara Hellner¹  Eva Serlachius¹  Lars-Henry Gustle²  Mats A. Svensson²  Stephan Ehlers³  Camilla Högberg⁴  Per-Olof Björck⁴  Henrik Höök⁴  Jan-Olov Larsson⁵  Caroline Björck⁶  Eva Billstedt⁷ 

[1] Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden;Child and Adolescent Psychiatry, Region of Skåne, Lund, Sweden;Child and Adolescent Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden;Child and Adolescent Psychiatry, Stockholm County Council, Stockholm, Sweden;Department of Women’s and Children’s Health, Karolinska Institutet, Widerströmska huset, Tomtebodavägen 18A, S-171 77, Stockholm, Sweden;Function Allied Health professionals, Stockholm County Council, Karolinska University hospital, Solna, Sweden;Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden;

关键词: Validity;    Standardized interview;    Child and adolescent psychiatry;    LEAD;    MINI-KID;   

DOI  :  10.1186/s12888-019-2121-8

来源: Springer

【 摘 要 】

BackgroundMissing diagnostic information often results poor accuracy of the clinical diagnostic decision process. The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) is a short standardized diagnostic interview and covers a rather broad range of diagnoses applicable to children and adolescents. MINI-KID disorder classifications have shown test-retest reliability and validity comparable to other standardized diagnostic interviews and is claimed to be a useful tool for diagnostic screening in Child and Adolescent Psychiatric care. The concordance between the Swedish language version of the MINI-KID Interview and LEAD (Longitudinal, Expert, All Data) research diagnoses was studied in secondary child and adolescent psychiatric outpatient care.MethodsMINI-KID interviews were performed for 101 patients, boys n = 50, girls n = 51, aged 4 to 18 years. The duration of the interview was on average 46 min, the child/adolescent participating together with the parent(s) in most cases. The seven most prevalent diagnoses were included in the analyses.ResultsThe average overall percent agreement (OPA) between MINI-KID and LEAD was 79.5%, the average percent positive agreement (PPA) 35.4 and the average percent negative agreement (NPA) 92.7. OPA was highest for Obsessive-Compulsive Disorder (OCD) (0.89), Tic disorders (0.88) and Pervasive developmental disorders (0.81). There were similar results in diagnostic agreement comparing the two versions: the standard MINI-KID and MINI-KID for parents. The specific screening questions in MINI-KID resulted in additional preliminary diagnoses compared with the regular initial clinical assessment.ConclusionsOverall, there was an acceptable agreement between MINI-KID disorder classifications and research diagnoses according to LEAD. The standardized interview MINI-KID could be considered as a tool with the possibility to give valuable information in the diagnostic process in child and adolescent care which is similar to the setting in the present study.

【 授权许可】

CC BY