Brief screening of psychiatric disorders among a national sample of HIV‐positive adults: concordance between the Composite International Diagnostic Interview (CIDI) and the CIDI Short Form (CIDI‐SF)

Abstract

AbstractObjective:to evaluate the validity of the short form of the Composite International Diagnostic Interview (CIDI‐SF) in a nationally representative sample of persons in care for HIV disease in the US.Methods:in separate interviews, we administered four components of the CIDI‐SF and the full UM CIDI to 1,489 persons ages 18 to 74 receiving ongoing medical care for HIV, and examined the concordance between the two.Results:the CIDI‐SF had lower concordance rates than expected. Results suggest that estimates of mental health disorder based on the CIDI‐SF may be confounded by HIV symptomology.Conclusions:in this population, the CIDI‐SF provided useful information about general mental health but was less accurate for providing disorder‐specific diagnoses than anticipated. The confounding of HIV symptomology and CIDI‐SF disorder raises questions about the accuracy of the CIDI‐SF for studies conducted in HIV and other clinical and specialized subpopulations. Copyright © 2001 Whurr Publishers Ltd.