Validation of the Chinese version of the revised clinical interview schedule: Findings from Hong Kong mental morbidity survey

• Published in: East Asian archives of psychiatry Vol. 27; no. 1; pp. 3 - 10
• Main Authors: Chan, W C, Wong, C Sm, Chen, E Yh, Ng, R Mk, Hung, S F, Cheung, E Fc, Sham, P C, Chiu, H Fk, Lam, M, Chang, W C, Lee, E Hm, Chiang, T P, Lau, J Tf, van Os, J, Lewis, G, Bebbington, P, Lam, L Cw
• Format: Journal Article
• Language: English
• Published: Hong Kong Hong Kong College of Psychiatrists 01-03-2017; Hong Kong Academy of Medicine
• Subjects: Adolescent; Adult; Aged; Anxiety disorders; Asian Continental Ancestry Group - psychology; Bilingualism; Case-Control Studies; Depression, Mental; Diagnosis; Diagnostic and Statistical Manual of Mental Disorders; Evaluation; Fear & phobias; Female; Hong Kong; Hospitals; Humans; Interviews; Male; Mental depression; Mental disorders; Mental Disorders - diagnosis; Mental health; Mental illness; Middle Aged; Morbidity; Mortality; Patients; Psychiatric Status Rating Scales - standards; Psychiatrists; Psychometrics; Psychosis; Questionnaires; Validity; Young Adult; Hong Kong China; China; Depression; Anxiety; Interview, psychological
• ISSN: 2078-9947; 2224-7041

This study aimed to assess the psychometric properties of the Chinese version of the Revised Clinical Interview Schedule (C-CIS-R), and explore its applicability as a diagnostic instrument for common mental disorders (CMDs) in Hong Kong. Its psychometric properties were evaluated among 140 patients and 161 healthy controls. In comparison to the diagnoses made by the Structured Clinical Interview for the DSM-IV, the C-CIS-R showed good criterion validity in diagnosing CMDs. The correlation of the total score of C-CIS-R with the 12-item General Health Questionnaire and Hospital Anxiety and Depression Scale was satisfactory, indicating favourable convergent validity as well. The inter-rater and test-retest reliability were also satisfactory. Receiver operating characteristic analyses suggested an optimal cut-off point of 11/12 for detecting diagnosable CMDs (sensitivity: 0.69; specificity: 0.93) and 17/18 for identifying a need for treatment (sensitivity: 0.70; specificity: 0.95). In conclusion, C-CIS-R is a valid diagnostic instrument for CMDs in a Chinese community. Its cut-off points for clinically significant symptoms and treatment needs among Chinese are identical to those adopted in the original English version.