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
Authors: Levis Brooke , McMillan Dean , Sun Ying , He Chen , Rice Danielle B. , Krishnan Ankur , Wu Yin , Azar Marleine , Sanchez Tatiana A. , Chiovitti Matthew J. , Bhandari Parash Mani , Neupane Dipika , Saadat Nazanin , Riehm Kira E. , Imran Mahrukh , Boruff Jill T. , Cuijpers Pim , Gilbody Simon , Ioannidis John P.A. , Kloda Lorie A. , Patten Scott B. , Shrier Ian , Ziegelstein Roy C. , Comeau Liane , Mitchell Nicholas D. , Tonelli Marcello , Vigod Simone N. , Aceti Franca , Alvarado Rubén , Alvarado‐Esquivel Cosme , Bakare Muideen O. , Barnes Jacqueline , Beck Cheryl Tatano , Bindt Carola , Boyce Philip M. , Bunevicius Adomas , Couto Tiago Castro e , Chaudron Linda H. , Correa Humberto , de Figueiredo Felipe Pinheiro , Eapen Valsamma , Fernandes Michelle , Figueiredo Barbara , Fisher Jane R.W. , Garcia‐Esteve Lluïsa , Giardinelli Lisa , Helle Nadine , Howard Louise M. , Khalifa Dina Sami , Kohlhoff Jane , Kusminskas Laima , Kozinszky Zoltán , Lelli Lorenzo , Leonardou Angeliki A. , Lewis Beth A. , Maes Michael , Meuti Valentina , Nakić Radoš Sandra , Navarro García Purificación , Nishi Daisuke , Okitundu Luwa E‐Andjafono Daniel , Robertson‐Blackmore Emma , Rochat Tamsen J. , Rowe Heather J. , Siu Bonnie W.M. , Skalkidou Alkistis , Stein Alan , Stewart Robert C. , Su Kuan‐Pin , Sundström‐Poromaa Inger , Tadinac Meri , Tandon S. Darius , Tendais Iva , Thiagayson Pavaani , Töreki Annamária , Torres‐Giménez Anna , Tran Thach D. , Trevillion Kylee , Turner Katherine , Vega‐Dienstmaier Johann M. , Wynter Karen , Yonkers Kimberly A. , Benedetti Andrea , Thombs Brett D. 
Published: October 2019

Objectives

A 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.

Methods

Data 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.

Results

Among 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.

Conclusion

Different interviews may not classify major depression equivalently.