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Ronald C. Kessler, and T. Bedirhan Ustun answers a
few questions about this month's fast breaking paper in the field of
Psychiatry/Psychology.
From
•>>December 2005
Field:
Psychiatry/Psychology
Article Title: The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview
(CIDI)
Authors: Kessler,
RC;Ustun, TB
Journal: INT J METH PSYCHIATR RES
Volume: 13 (2)
Page:
Year: 2004
* Harvard Univ, Sch Med, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA.
* Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA.
* WHO, Global Programme Evidence Hlth Policy, Geneva, Switzerland.
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March
1, 2007:
This paper has also been named the Fast Moving Front
paper in Psychiatry/Psychology for March
2007. |
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Why
do you think your paper is highly cited?
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Photo: copyright 2004 Joshua Touster
“Mental disorders are among the most commonly occurring and seriously disabling of all health problems.” |
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The paper describes a newly developed structured diagnostic
interview that was designed to be used by trained lay
interviewers without clinical experience to generate valid
diagnoses of mental disorders based on both the ICD-10 and the
DSM-IV diagnostic systems. There is considerable interest in an
interview of this sort, especially as the instrument was
developed by experts who were assembled by the World Health
Organization (WHO) and the instrument is being used throughout
the world in the WHO World Mental Health Survey Initiative.
Does
it describe a new discovery or a new methodology that's useful to
others?
The paper describes a new methodology that can be useful to
researchers and clinicians around the world. The instrument is
being used in national surveys in thirty countries and is
translated into many languages. Special software programs that
generate diagnoses and that facilitate data entry are also
available along with a computerized data collection system,
adding to the usefulness of the instrument.
Could
you summarize the significance of your paper in layman's terms?
Mental disorders are among the most commonly occurring and
seriously disabling of all health problems. Yet much less
community epidemiological research has been carried out on
mental disorders than most physical disorders because of
difficulties associated with accurately assessing mental
disorders. The WHO Composite International Diagnostic Interview
(CIDI) was designed to address this problem by making available
a reliable and valid interview schedule and training materials
that can be used by researchers to assess the prevalence and
correlates of mental disorders.
How
did you become involved in this research?
One of us (Kessler) is the Chair of the WHO CIDI Advisory
Committee, the group that is responsible for developing and
maintaining the CIDI. The other of us (Ustun) is the Head of the
Classification, Assessments and Terminology Group at WHO, the
group within WHO responsible for the CIDI.
What
are the social or political implications of your research?
The CIDI is designed to be used in general population surveys
aimed at estimating the prevalence and correlates of mental
disorders. The WHO WMH surveys are being carried out to provide
basic descriptive information to government health policy
planners throughout the world that will call their attention to
the high prevalence, high societal costs, and high unmet need
for treatment of this devastating class of disorders. Our hope
in carrying out the WMH surveys is that these results will have
positive effects on the political process that shapes the health
policy agenda of governments.
Ronald C. Kessler, Ph.D.
Professor
Department of Health Care Policy
Harvard Medical School
Boston, MA, USA
T. Bedirhan Ustun, M.D.
Coordinator
Classifications, Assessment and Terminology
World Health Organization
Geneva, Switzerland
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ESI Special Topics,
December 2005
Citing URL - http://www.esi-topics.com/fbp/2005/december05-Ustun_Kessler.html
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