Comparison of major depression diagnostic classification probability using the SCID, CIDI, and MINI diagnostic interviews among women in pregnancy or postpartum: An individual participant data meta‐analysis
Levis B., McMillan D., Sun Y., He C., Rice DB., Krishnan A., Wu Y., Azar M., Sanchez TA., Chiovitti MJ., Bhandari PM., Neupane D., Saadat N., Riehm KE., Imran M., Boruff JT., Cuijpers P., Gilbody S., Ioannidis JPA., Kloda LA., Patten SB., Shrier I., Ziegelstein RC., Comeau L., Mitchell ND., Tonelli M., Vigod SN., Aceti F., Alvarado R., Alvarado‐Esquivel C., Bakare MO., Barnes J., Beck CT., Bindt C., Boyce PM., Bunevicius A., Couto TCE., Chaudron LH., Correa H., de Figueiredo FP., Eapen V., Fernandes M., Figueiredo B., Fisher JRW., Garcia‐Esteve L., Giardinelli L., Helle N., Howard LM., Khalifa DS., Kohlhoff J., Kusminskas L., Kozinszky Z., Lelli L., Leonardou AA., Lewis BA., Maes M., Meuti V., Nakić Radoš S., Navarro García P., Nishi D., Okitundu Luwa E‐Andjafono D., Robertson‐Blackmore E., Rochat TJ., Rowe HJ., Siu BWM., Skalkidou A., Stein A., Stewart RC., Su K., Sundström‐Poromaa I., Tadinac M., Tandon SD., Tendais I., Thiagayson P., Töreki A., Torres‐Giménez A., Tran TD., Trevillion K., Turner K., Vega‐Dienstmaier JM., Wynter K., Yonkers KA., Benedetti A., Thombs BD.
AbstractObjectivesA previous individual participant data meta‐analysis (IPDMA) identified differences in major depression classification rates between different diagnostic interviews, controlling for depressive symptoms on the basis of the Patient Health Questionnaire‐9. We aimed to determine whether similar results would be seen in a different population, using studies that administered the Edinburgh Postnatal Depression Scale (EPDS) in pregnancy or postpartum.MethodsData accrued for an EPDS diagnostic accuracy IPDMA were analysed. Binomial generalised linear mixed models were fit to compare depression classification odds for the Mini International Neuropsychiatric Interview (MINI), Composite International Diagnostic Interview (CIDI), and Structured Clinical Interview for DSM (SCID), controlling for EPDS scores and participant characteristics.ResultsAmong fully structured interviews, the MINI (15 studies, 2,532 participants, 342 major depression cases) classified depression more often than the CIDI (3 studies, 2,948 participants, 194 major depression cases; adjusted odds ratio [aOR] = 3.72, 95% confidence interval [CI] [1.21, 11.43]). Compared with the semistructured SCID (28 studies, 7,403 participants, 1,027 major depression cases), odds with the CIDI (interaction aOR = 0.88, 95% CI [0.85, 0.92]) and MINI (interaction aOR = 0.95, 95% CI [0.92, 0.99]) increased less as EPDS scores increased.ConclusionDifferent interviews may not classify major depression equivalently.