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mini_neuropsychiatric_interview [2020/05/19 17:38] trynke |
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====== Mini International Neuropsychiatric Interview ====== | ====== Mini International Neuropsychiatric Interview ====== | ||
- | The Mini International Neuropsychiatric Interview (MINI) ([[sections|section]]: [[mental health]]) was measured in all adult [[start|Lifelines]] participants during: | + | The Mini International Neuropsychiatric Interview (MINI) ([[sections|section]]: [[mental health]]) was performed in all adult [[start|Lifelines]] participants during: |
* [[1A Visit 1]] (as interview, n = ~149.000, 65+ participants only with [[mini mental state examination|MMSE]] score of 26 or more) | * [[1A Visit 1]] (as interview, n = ~149.000, 65+ participants only with [[mini mental state examination|MMSE]] score of 26 or more) | ||
* [[2A Visit 1]] (as a digital questionnaire on location, n = ~119.000) | * [[2A Visit 1]] (as a digital questionnaire on location, n = ~119.000) | ||
- | * [[3A Visit 1]] (as a digital questionnaire at home) | + | * [[3A]] (as a digital questionnaire at home) |
+ | * [[4A]] (as a digital questionnaire at home) | ||
+ | Note that [[MINI derivatives]] were calculated to assess whether participants meet the criteria for certain psychiatric diagnoses | ||
===== Background ===== | ===== Background ===== | ||
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The MINI was performed in adult and elderly [[start|Lifelines]] participants as a face-to-face interview with a nurse practitioner on [[location]] during [[1A Visit 1]], and as a digital questionnaire on location during [[2A Visit 1]]. In general assessment [[3A]], the MINI is implemented as a digital questionnaire to be filled in at home.\\ | The MINI was performed in adult and elderly [[start|Lifelines]] participants as a face-to-face interview with a nurse practitioner on [[location]] during [[1A Visit 1]], and as a digital questionnaire on location during [[2A Visit 1]]. In general assessment [[3A]], the MINI is implemented as a digital questionnaire to be filled in at home.\\ | ||
The MINI should not be confused with the [[Mini Mental State Examination]] which is also used in Lifelines, but measures cognitive impairments.\\ | The MINI should not be confused with the [[Mini Mental State Examination]] which is also used in Lifelines, but measures cognitive impairments.\\ | ||
- | In addition to the MINI, which asks questions on altered mood during various time intervals, the [[start|additional assessment]] [[BIOQ]] was performed to assess lifetime mood-related episodes (LIDAS). | + | In addition to the MINI, which asks questions on altered mood during various time intervals, the [[additional assessments]] [[BIONIC|DEPQ]] and [[BIONIC|DEAQ]] were performed to assess lifetime mood-related episodes (using the [[Depression (LIDAS)|LIDAS]]). |
The MINI used in the Lifelines cohort ([[sections|section]]: [[mental health]]) is restricted to the following therapeutic indications: | The MINI used in the Lifelines cohort ([[sections|section]]: [[mental health]]) is restricted to the following therapeutic indications: | ||
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=====Covid-19===== | =====Covid-19===== | ||
- | In April 2020, an [[additional assessments|additional assessment]] was started to measure the effects of the 2020 Corona crisis on (amongst others) the mental health and wellbeing of [[start|Lifelines]] [[cohort|participants]]. The following questions were adapted from the MINI and used in the assessment: | + | In April 2020, an [[additional assessments|additional assessment]] ([[COVQ]]) was started to measure the effects of the 2020 Corona crisis on (amongst others) the [[mental health (covid-19)|mental health]] of [[start|Lifelines]] [[cohort|participants]] using items adapted from the MINI. |
- | + | ||
- | | **Questions English** | **Questions Dutch** | **Variable** | **Assessment** | **Age** | | + | |
- | | In the last 7/14 days have you felt low or depressed for much of the day, every day? | Hebt u zich tijdens de afgelopen 7/14 dagen voortdurend somber of depressief gevoeld gedurende het grootste gedeelte van de dag, en dit bijna elke dag? | COVID25 | [[COVQ]] | 18+ | | + | |
- | | In the last 7/14 days have you had the feeling that you've lost interest in or the will to do things you are normally interested in? | Hebt u tijdens de afgelopen 7/14 dagen voortdurend het gevoel gehad nergens meer zin in te hebben of geen interesse meer te hebben voor dingen die u normaal wel interesseren? | COVID26 | [[COVQ]] | 18+ | | + | |
- | | Did your appetite change noticeably, or did your weight increase or decrease without this being intended? (in the last 7/14 days) | Was uw eetlust merkbaar veranderd, of is uw gewicht toegenomen of afgenomen, zonder dat dit de bedoeling was? (in de afgelopen 7-14 dagen) | COVID27A | [[COVQ]] | 18+ | | + | |
- | | Have you had problems sleeping almost every night (difficulty falling asleep, waking up in the night or too early in the morning, or actually sleeping too much)? (in the last 7/14 days) | Hebt u bijna elke nacht slaapproblemen gehad (moeilijk inslapen, wakker worden tijdens de nacht of te vroeg in de ochtend, of juist teveel slapen)? (in de afgelopen 7-14 dagen) | COVID27B | [[COVQ]] | 18+ | | + | |
- | | Did you speak or move more slowly than normal? Or did you feel restless, jittery and could barely sit still? Nearly every day? (in the last 7/14 days) | Praatte of bewoog u trager dan gewoonlijk, of voelde u zich juist rusteloos, gejaagd en kon u moeilijk stil blijven zitten? Bijna elke dag? (in de afgelopen 7-14 dagen) | COVID27C | [[COVQ]] | 18+ | | + | |
- | | Did you feel worthless or guilty almost every day? (in the last 7/14 days) | Voelde u zich bijna elke dag waardeloos of schuldig? (in de afgelopen 7-14 dagen) | COVID27D | [[COVQ]] | 18+ | | + | |
- | | Was it difficult to concentrate or make decisions almost every day? (in the last 7/14 days) | Kon u zich bijna elke dag moeilijk concentreren of moeilijk beslissingen nemen? (in de afgelopen 7-14 dagen) | COVID27E | [[COVQ]] | 18+ | | + | |
- | | Have you considered hurting yourself, wished you were dead, or had suicidal thoughts? (in the last 7/14 days) | Hebt u overwogen zichzelf iets aan te doen, wenste u dat u dood was, of had u zelfmoordgedachten? (in de afgelopen 7-14 dagen) | COVID27F | [[COVQ]] | 18+ | | + | |
- | | In the last 7/14 days, have you been worrying excessively and worrying about multiple problems of every day life, at work, at home, in your immediate environment? | Hebt u in de afgelopen 7/14 dagen buitensporig gepiekerd en zich zorgen gemaakt over meerdere problemen van het dagelijks leven, op het werk, thuis, in uw naaste omgeving? (in de afgelopen 7-14 dagen) | COVID28 | [[COVQ]] | 18+ | | + | |
- | | Were these worries present almost every day in the last 7/14 days? | Zijn deze zorgen bijna elke dag aanwezig in de afgelopen 7/14 dagen? | COVID28A | [[COVQ]] | 18+ | | + | |
- | | In the last 7/14 days did you find it hard to set these worries aside or did they prevent you from concentrating? | Vindt u het moeilijk om deze bezorgdheid in de hand te houden of belemmert dit u om zich te concentreren de afgelopen 7/14 dagen? | COVID28B | [[COVQ]] | 18+ | | + | |
- | | You felt restless, jittery or nervous? / In the last 7/14 days did it often happen that… | U zich rusteloos, geladen of zenuwachtig voelde? / Gebeurde het in de afgelopen 7/14 dagen vaak dat... | COVID29A | [[COVQ]] | 18+ | | + | |
- | | You felt tense? / In the last 7/14 days did it often happen that… | U zich gespannen voelde? / Gebeurde het in de afgelopen 7/14 dagen vaak dat... | COVID29B | [[COVQ]] | 18+ | | + | |
- | | You were particularly irritable? / In the last 7/14 days did it often happen that… | U bijzonder prikkelbaar was? / Gebeurde het in de afgelopen 7/14 dagen vaak dat... | COVID29C | [[COVQ]] | 18+ | | + | |
===== Validity of the MINI ===== | ===== Validity of the MINI ===== | ||
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===== Rationale for use in Lifelines ===== | ===== Rationale for use in Lifelines ===== | ||
Available structured diagnostic interviews for diagnosing psychiatric disorders can be divided into very long interviews developed for research purposes and very short screening tests designed for primary care. The first usually require a trained clinician as an interviewer, whereas the latter require clinician evaluations to follow up on the positive responses. The MINI is in between these types of interviews: it is a relatively short interview that does not require a clinician as an interviewer. It has an appropriate balance between brevity and simplicity on one hand and accuracy on the other. | Available structured diagnostic interviews for diagnosing psychiatric disorders can be divided into very long interviews developed for research purposes and very short screening tests designed for primary care. The first usually require a trained clinician as an interviewer, whereas the latter require clinician evaluations to follow up on the positive responses. The MINI is in between these types of interviews: it is a relatively short interview that does not require a clinician as an interviewer. It has an appropriate balance between brevity and simplicity on one hand and accuracy on the other. | ||
- | |||
- | ===== Derivates ===== | ||
- | |||
- | Based on the manual of the MINI (version 5.0.0) derivates are calculated for each diagnosis | ||
- | . The derivates define whether a participant meets the criteria for a certain diagnosis.\\ | ||
- | Derivates are available for all Lifelines versions of the MINI. Note that MINI v1 differs significantly from the other versions in that the available derivates pertain to 'last year' instead of 'current' diagnoses and were made in [[https://www.r-project.org/|R]]. For all other versions derivates have been calculated using SPSS syntax.\\ | ||
- | For the MINI D/v4, items that have been subdivided from the original MINI were rejoined, which made calculations of derivates and comparison with the other versions possible.\\ | ||
- | Derivates that have been calculated are: | ||
- | * Current depressive episode | ||
- | * Lifetime depressive episode | ||
- | * Current dysthymia | ||
- | * Current panic disorder without agoraphobia | ||
- | * Current panic disorder with agoraphobia | ||
- | * Current agoraphobia without panic disorder | ||
- | * Lifetime panic disorder | ||
- | * Current social phobia | ||
- | * Current generalized anxiety disorder | ||
- | |||
- | These derivates should be used to define if a participant meets the criteria (according to the manual of the MINI) for a certain diagnosis. | ||
===== Publications with Lifelines MINI data ===== | ===== Publications with Lifelines MINI data ===== |