Abstract
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.
| Original language | English |
|---|---|
| Article number | e1803 |
| Journal | International Journal of Methods in Psychiatric Research |
| Volume | 28 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Dec 2019 |
Funding
All authors have completed the ICMJE uniform disclosure form and declare no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous 3 years with the following exceptions: Dr. Patten reports grants from Hotchkiss Brain Institute/Pfizer Competition, outside the submitted work. Dr. Tonelli declares that he has received a grant from Merck Canada, outside the submitted work. Dr. Vigod declares that she receives royalties from UpToDate, outside the submitted work. Dr. Beck declares that she receives royalties for her Postpartum Depression Screening Scale published by Western Psychological Services. Dr. Boyce declares that he receives grants and personal fees from Servier, grants from Lundbeck, and personal fees from AstraZeneca, all outside the submitted work. Dr. Howard declares that she has received personal fees from NICE Scientific Advice, outside the submitted work. Dr. Nishi declares that he has received personal fees from Sumitomo Dainippon Pharma Co., Ltd., outside the submitted work. Dr. Sundström‐Poromaa declares that she has served on advisory boards and acted as invited speaker at scientific meetings for MSD, Novo Nordisk, Bayer Health Care, and Lundbeck A/S. Dr. Yonkers declares that she receives royalties from UpToDate, outside the submitted work. This study was funded by the Canadian Institutes of Health Research (CIHR, KRS‐140994). Ms. Levis was supported by a CIHR Frederick Banting and Charles Best Canada Graduate Scholarship Doctoral Awards. Ms. Rice was supported by a Vanier Canada Graduate Scholarship. Dr. Wu was supported by an Utting Postdoctoral Fellowship from the Jewish General Hospital, Montreal, Quebec, Canada. Ms. Azar was supported by a Fonds de recherche du Québec ‐ Santé (FRQS) Masters Training Award. Mr. Bhandari was supported by a studentship from the Research Institute of the McGill University Health Centre. The primary study by Alvarado et al. was supported by the Ministry of Health of Chile. The primary study by Barnes et al. was supported by a grant from the Health Foundation (1665/608). The primary study by Beck et al. was supported by the Patrick and Catherine Weldon Donaghue Medical Research Foundation and the University of Connecticut Research Foundation. The primary study by Helle et al. was supported by the Werner Otto Foundation, the Kroschke Foundation, and the Feindt Foundation. Prof. Robertas Bunevicius, MD, PhD (1958–2016) was principal investigator of the primary study by Bunevicius et al. but passed away and was unable to participate in this project. The primary study by Couto et al. was supported by the National Counsel of Technological and Scientific Development (CNPq; Grant 444254/2014‐5) and the Minas Gerais State Research Foundation (FAPEMIG; Grant APQ‐01954‐14). The primary study by Chaudron et al. was supported by a grant from the National Institute of Mental Health (Grant K23 MH64476). The primary study by Figueira et al. was supported by the Brazilian Ministry of Health and by the National Counsel of Technological and Scientific Development (CNPq; Grant 403433/2004‐5). The primary study by de Figueiredo et al. was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo. The primary study by Tissot et al. was supported by the Swiss National Science Foundation (Grant 32003B 125493). The primary study by Fernandes et al. was supported by grants from the Child: Care Health and Development Trust and the Department of Psychiatry, University of Oxford, Oxford, UK, and by the Ashok Ranganathan Bursary from Exeter College, University of Oxford. Dr. Fernandes was supported by a National Institute for Health Research (NIHR) academic clinical fellowship. The primary study by Tendais et al. was supported under the project POCI/SAU‐ESP/56397/2004 by the Operational Program Science and Innovation 2010 (POCI 2010) of the Community Support Board III and by the European Community Fund FEDER. The primary study by Fisher et al. was supported by a grant under the Invest to Grow Scheme from the Australian Government Department of Families, Housing, Community Services and Indigenous Affairs. The primary study by Garcia‐Esteve et al. was supported by Grant 7/98 from the Ministerio de Trabajo y Asuntos Sociales, Women's Institute, Spain. The primary study by Howard et al. was supported by the NIHR under its Programme Grants for Applied Research Programme (Grants RP‐PG‐1210‐12002 and RP‐DG‐1108‐10012) and by the South London Clinical Research Network. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care. The primary study by Phillips et al. was supported by a scholarship from the National Health and Medical and Research Council (NHMRC). The primary study by Roomruangwong et al. was supported by the Ratchadaphiseksomphot Endowment Fund 2013 of Chulalongkorn University (CU‐56‐457‐HR). The primary study by Nakić Radoš et al. was supported by the Croatian Ministry of Science, Education, and Sports. The primary study by Navarro et al. was supported by Grant 13/00 from the Ministry of Work and Social Affairs, Institute of Women, Spain. The primary study by Usuda et al. was supported by Grants‐in‐Aid for Young Scientists (A) from the Japan Society for the Promotion of Science (primary investigator: Daisuke Nishi, MD, PhD) and by an Intramural Research Grant for Neurological and Psychiatric Disorders from the National Center of Neurology and Psychiatry, Japan. Dr. Robertson‐Blackmore was supported by a Young Investigator Award from the Brain and Behavior Research Foundation and NIMH Grant K23MH080290. The primary study by Rochat et al. was supported by grants from University of Oxford (HQ5035), the Tuixen Foundation (9940), the Wellcome Trust (082384/Z/07/Z and 071571), and the American Psychological Association. Dr. Rochat receives salary support from a Wellcome Trust Intermediate Fellowship (211374/Z/18/Z). The primary study by Rowe et al. was supported by the diamond Consortium, beyondblue Victorian Centre of Excellence in Depression and Related Disorders. The primary study by Comasco et al. was supported by funds from the Swedish Research Council (VR: 521‐2013‐2339, VR: 523‐2014‐2342), the Swedish Council for Working Life and Social Research (FAS: 2011‐0627), the Marta Lundqvist Foundation (2013, 2014), and the Swedish Society of Medicine (SLS‐331991). The primary study by Prenoveau et al. was supported by the Wellcome Trust (Grant 071571). The primary study by Stewart et al. was supported by Professor Francis Creed's Journal of Psychosomatic Research Editorship fund (BA00457) administered through University of Manchester. The primary study by Su et al. was supported by grants from the Department of Health (DOH94F044 and DOH95F022) and the China Medical University and Hospital (CMU94‐105, DMR‐92‐92, and DMR94‐46). The primary study by Tandon et al. was supported by the Thomas Wilson Sanitarium. The primary study by Tran et al. was supported by the Myer Foundation who funded the study under its Beyond Australia scheme. Dr. Tran was supported by an early career fellowship from the Australian National Health and Medical Research Council. The primary study by Vega‐Dienstmaier et al. was supported by Tejada Family Foundation, Inc. and Peruvian‐American Endowment, Inc. The primary study by Yonkers et al. was supported by a National Institute of Child Health and Human Development grant (5 R01HD045735). Drs. Benedetti and Thombs were supported by FRQS researcher salary awards.
| Funders | Funder number |
|---|---|
| Care Health and Development Trust | |
| Community Support Board III | |
| Croatian Ministry of Science, Education, and Sports | 13/00 |
| European Community Fund FEDER | |
| Exeter College, University of Oxford | |
| Feindt Foundation | |
| Kroschke Foundation | |
| Marta Lundqvist Foundation | |
| Ministerio de Trabajo y Asuntos Sociales | |
| Ministry of Health of Chile | |
| Ministry of Work and Social Affairs, Institute of Women, Spain | |
| Tejada Family Foundation, Inc. | |
| Thomas Wilson Sanitarium | |
| Tuixen Foundation | 9940 |
| University of Connecticut Research Foundation | |
| Vanier Canada Graduate Scholarship | |
| Victorian Centre of Excellence in Depression and Related Disorders | |
| Werner Otto Foundation | |
| Women's Institute | RP‐PG‐1210‐12002, RP‐DG‐1108‐10012 |
| National Institute of Mental Health | K23MH080290, K23MH064476 |
| National Institute of Child Health and Human Development | 5 R01HD045735 |
| Brain and Behavior Research Foundation | |
| Patrick and Catherine Weldon Donaghue Medical Research Foundation | |
| American Psychological Association | 211374/Z/18/Z |
| University of Connecticut | |
| Wellcome Trust | 071571, 082384/Z/07/Z |
| McGill University Health Centre | |
| Canadian Institutes of Health Research | KRS‐140994 |
| Fonds de Recherche du Québec - Santé | |
| National Institute for Health Research | POCI/SAU‐ESP/56397/2004 |
| Department of Health and Social Care | DOH95F022, DOH94F044 |
| Health Foundation | 1665/608 |
| University of Oxford | HQ5035 |
| University of Manchester | |
| National Health and Medical Research Council | |
| Myer Foundation | |
| Japan Society for the Promotion of Science | |
| Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung | 32003B 125493 |
| Fundação de Amparo à Pesquisa do Estado de São Paulo | |
| Forskningsrådet för Arbetsliv och Socialvetenskap | 2011‐0627 |
| Chulalongkorn University | CU‐56‐457‐HR |
| Conselho Nacional de Desenvolvimento Científico e Tecnológico | 444254/2014‐5 |
| Vetenskapsrådet | 521‐2013‐2339, 523‐2014‐2342 |
| China Medical University Hospital | DMR‐92‐92, CMU94‐105, DMR94‐46 |
| Jewish General Hospital | |
| Fundação de Amparo à Pesquisa do Estado de Minas Gerais | APQ‐01954‐14 |
| Ministry of Health of the People's Republic of China | |
| Department of Families, Housing, Community Services and Indigenous Affairs | 7/98 |
| Ministério da Saúde | 403433/2004‐5 |
| Svenska Läkaresällskapet | BA00457, SLS‐331991 |
| National Center of Neurology and Psychiatry | |
| Werner Otto Stiftung |
Keywords
- depressive disorders
- diagnostic interviews
- Edinburgh Postnatal Depression Scale
- individual participant data meta-analysis
- major depression
