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.

References

1. Korea Hana Foundation [homepage on internet]. Seoul: Korea;updated 2014 Dec 1. cited 2014 Dec 15. Available from: http://www.dongposarang.com/.
2. Jeon WT, Min SK, Lee MH, Lee ES. Adjustment of North Korean defectors in South Korea. J Korean Neuropsychiatr Assoc. 1997; 36:145–161.
3. Kim BC. Mental health of North Korean defectors. Ment Health Policy Forum. 2010; 4:19–37.
4. Freedman DX. Psychiatric epidemiology counts. Arch Gen Psychiatry. 1984; 41:931–933.
crossref
5. Robins LN, Helzer JE, Croughan J, Ratcliff KS. National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. Arch Gen Psychiatry. 1981; 38:381–389.
crossref
6. Regier DA, Myers JK, Kramer M, Robins LN, Blazer DG, Hough RL, et al. The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics. Arch Gen Psychiatry. 1984; 41:934–941.
7. Robins LN. Psychiatric epidemiology--a historic review. Soc Psychiatry Psychiatr Epidemiol. 1990; 25:16–26.
crossref
8. Aderibigbe YA. Psychiatric epidemiology in cross-cultural perspective: a review. Eur Arch Psychiatry Clin Neurosci. 1995; 246:37–46.
crossref
9. Robins LN, Wing J, Wittchen HU, Helzer JE, Babor TF, Burke J, et al. The Composite International Diagnostic Interview. An epidemiologic Instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch Gen Psychiatry. 1988; 45:1069–1077.
10. Wittchen HU, Robins LN, Cottler LB, Sartorius N, Burke JD, Regier D. Cross-cultural feasibility, reliability and sources of variance of the Composite International Diagnostic Interview (CIDI). The Multicentre WHO/ADAMHA Field Trials. Br J Psychiatry. 1991; 159:645–653. 658
crossref
11. Wittchen HU. Reliability and validity studies of the WHO--Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res. 1994; 28:57–84.
crossref
12. Cho MJ, Hahm BJ, Suh DW, Hong JP, Bae JN, Kim JK, et al. Development of a Korean Version of the Composite International Diagnostic Interview (K-CIDI). J Korean Neuropsychiatr Assoc. 2002; 41:123–137.
13. LEE DW. Validity of the Korean version of the composite International diagnostic interview [dissertation]. Seoul: Seoul National University;2003.
14. Ha JH. Understanding of Emotional Communication Pattern of North Korea Defectors. Konkuk Univ Humanit Res Inst. 2012; 5:303–329.
15. Prince M. Measurement validity in cross-cultural comparative research. Epidemiol Psichiatr Soc. 2008; 17:211–220.
crossref
16. Ghimire DJ, Chardoul S, Kessler RC, Axinn WG, Adhikari BP. Modifying and validating the Composite International Diagnostic Interview (CIDI) for use in Nepal. Int J Methods Psychiatr Res. 2013; 22:71–81.
crossref
17. Composite International Diagnostic Interview (CIDI core) Version 2.1. Geneva, Switzerland: World Health Organization;1997.
18. Tsuang MT, Tohen M, Jones P. Textbook of psychiatric epidemiology. 3rd ed. Hoboken, NJ: Wiley-Blackwell;2011.
19. Helzer JE, Robins LN, Taibleson M, Woodruff RA Jr, Reich T, Wish ED. Reliability of psychiatric diagnosis. I. A methodological review. Arch Gen Psychiatry. 1977; 34:129–133.
20. Spitzer RL, Cohen J, Fleiss JL, Endicott J. Quantification of agreement in psychiatric diagnosis. A new approach. Arch Gen Psychiatry. 1967; 17:83–87.
crossref
21. Fleis JL. Statistical Methods for Rates and Proportions. 2nd ed. New York: John Wiley and Sons, Inc;1981.
22. Robins LN. Epidemiology: reflections on testing the validity of psychiatric interviews. Arch Gen Psychiatry. 1985; 42:918–924.
crossref
23. Anthony JC, Folstein M, Romanoski AJ, Von Korff MR, Nestadt GR, Chahal R, et al. Comparison of the lay Diagnostic Interview Schedule and a standardized psychiatric diagnosis. Experience in eastern Baltimore. Arch Gen Psychiatry. 1985; 42:667–675.
crossref
24. Helzer JE, Robins LN, McEvoy LT, Spitznagel EL, Stoltzman RK, Farmer A, et al. A comparison of clinical and diagnostic interview schedule diagnoses. Physician reexamination of lay-interviewed cases in the general population. Arch Gen Psychiatry. 1985; 42:657–666.
crossref
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