Journal List > J Korean Neuropsychiatr Assoc > v.54(2) > 1017735

Lee, Ahn, Jun, Han, Lee, Hahm, Cho, and Hong: Development of North Korean Version of the Composite International Diagnostic Interview

Abstract

Objectives

The aim of the study was to develop a North Korean version of the Composite International Diagnostic Interview (NK-CIDI) and to evaluate the reliability and validity of NK-CIDI.

Methods

Subjects were 100 North Korean defectors, aged 18 to 65, who were recruited in a center for defectors in the National Medical Center or who were on an education curriculum in the defector settlement support center. NK-CIDI was developed based on the Korean version of CIDI considering the sociocultural background of North Korea. Inter-rater reliability, test/retest reliability, and validity of NK-CIDI were evaluated and kappa value was calculated.

Results

Different vocabularies and awkward expressions were adjusted, and additional explanations were supplemented for difficult phases. The target for development of NK-CIDI was early defectors who entered South Korea less than 3 months ago. Inter-rater reliability (n=30, kappa value 0.35-1.00), test/retest reliability (n=30, kappa value 0-0.86), and diagnostic validity (n=100, kappa value -0.02-0.42) were evaluated.

Conclusion

Compared to the general population, defectors experience more psychiatric issues, and a standardized tool for diagnosis is needed. In this study, NK-CIDI was developed and the results suggest that reliability is acceptable but validity needs further verification. NK-CIDI could be utilized in future epidemiologic studies.

Figures and Tables

Table 1

Demographic characteristics of the NK-CIDI study participants (n=100)

jkna-54-228-i001

NK-CIDI : North Korean version of the Composite International Diagnostic Interview

Table 2

Inter-rater reliability of the NK-CIDI (n=30)

jkna-54-228-i002

*: Diagnosis indeterminate, : Diagnosis negative, : Diagnosis positive except exclusion criteria, §: Diagnosis positive. NK-CIDI : North Korean version of the Composite International Diagnostic Interview, PTSD : Posttraumatic stress disorder

Table 3

Test-retest reliability of the NK-CIDI (n=30)

jkna-54-228-i003

*: Diagnosis indeterminate, : Diagnosis negative, : Diagnosis positive except exclusion criteria, §: Diagnosis positive. NK-CIDI : North Korean version of the Composite International Diagnostic Interview, PTSD : Posttraumatic stress disorder

Table 4

Diagnostic validity of the NK-CIDI (n=100)

jkna-54-228-i004

*: Diagnosis negative, : Diagnosis positive. NK-CIDI : North Korean version of the Composite International Diagnostic Interview, PTSD : Posttraumatic stress disorder

Notes

Conflicts of Interest The authors have no financial conflicts of interest.

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