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

Missing 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 ch...

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Bibliographic Details
Published in:	BMC psychiatry Vol. 19; no. 1; p. 142
Main Authors:	Högberg, Camilla, Billstedt, Eva, Björck, Caroline, Björck, Per-Olof, Ehlers, Stephan, Gustle, Lars-Henry, Hellner, Clara, Höök, Henrik, Serlachius, Eva, Svensson, Mats A, Larsson, Jan-Olov
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 09-05-2019 BioMed Central BMC
Subjects:	Adolescent Adolescent psychiatry Adolescents agreement Agreements Ambulatory care Ambulatory care facilities Ambulatory Care Facilities - standards Child Child & adolescent psychiatry Child and adolescent psychiatry Child Development Disorders, Pervasive - diagnosis Child Development Disorders, Pervasive - epidemiology Child Development Disorders, Pervasive - psychology Child psychiatry Child, Preschool Childhood mental disorders Children Children & youth Community Mental Health Services - standards depression Developmental disabilities Diagnosis Diagnostic equipment (Medical) Diagnostic tests dsm-iv Eating disorders eating-disorder expert Female Humans Identification and classification Information processing instrument international neuropsychiatric interview Interviews LEAD Male Medical diagnosis Medical research Medicin och hälsovetenskap Medicine - standards Mental disorders Mental health Mental health services Methods MINI-KID Obsessive compulsive disorder Obsessive-Compulsive Disorder - diagnosis Obsessive-Compulsive Disorder - epidemiology Obsessive-Compulsive Disorder - psychology Parents - psychology Pediatric research Personality disorders personality-disorder Prevalence Psychiatric interviewing Psychiatric Status Rating Scales - standards Psychiatry Psykiatri reliability Reproducibility of Results Standardized interview Sweden - epidemiology Teenagers Tic disorders validation Validity Sweden United States > US Standardized interview Validity Child and adolescent psychiatry MINI-KID LEAD
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Summary:	Missing 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. MINI-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. The 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. Overall, 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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1471-244X 1471-244X
DOI:	10.1186/s12888-019-2121-8