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Fast Breaking Comments

By Ronald C. Kessler, and T. Bedirhan Ustun

ESI Special Topics, December 2005
Citing URL - http://www.esi-topics.com/fbp/2005/december05-Ustun_Kessler.html

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.

March 1, 2007: This paper has also been named the Fast Moving Front paper in Psychiatry/Psychology for March 2007.

ST:  Why do you think your paper is highly cited?

Kessler
Photo: copyright 2004 Joshua Touster



“Mental disorders are among the most commonly occurring and seriously disabling of all health problems.”

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.

ST:  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.

ST:  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.

ST:  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.

ST:  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.End

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


Related Links:

http://hcp.med.harvard.edu/wmhcidi
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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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