Structured interview

In order to design the entire Development Program, the MIDAS team carried out initial research, part of which involved conducting semi-structured interviews with general managers, directors, and chief executives to ascertain what competencies were crucial for, for example ... 

Option one is to consider each criterion an indicator, score it either dichotomously or using a short scale—for example, the Structured Interview... 

Pfohl, B., Blum, N., Zimmerman, M. (1997). Structured interview for DSM-/V personality (SIDP-1V). Washington, DC American Psychiatric Press. 

Miller, W. R. (1996). Form 90 A structured interview for drinking and related behaviors. In M. E. Mattson (Ed.), Project MATCH Monograph Series, 5. Bethesda, MD National Institute on Alcohol Abuse and Alcoholism. 

Highly structured (usually just called structured) interviews are designed for administration by a nonclinician research assistant or office assistant. They require clinician review for validity (mainly specificity), but make the clinician s time more efficient. They are gen-... 

In a research setting, structured interviews need to be done in conjunction with a comprehensive psychiatric evaluation and mental status examination, given the following ... 

Most structured interviews do not ascertain information about conditions that used to be on axis II or axis III pervasive developmental disorders, learning and language disorders, or medical or neurological disorders. 

If one strictly follows the structured interview, some children may have some symptoms of many disorders but not meet criteria for any of them. 

Although designers of structured interviews have tried hard to operationalize and detail symptom questions (see Angold and Fisher, 1999, for a review), interviews for mood disorders are only as good as the... 

Irritability is a particularly vexing symptom to ascertain and, interestingly, one generally asked in the depression section of structured interviews. In the DICA, irritability is asked in the context of being in a crabby or bad mood. In the K-SADS, irritability is more general Was there ever a time you got annoyed, irritated or cranky at little things ... 

Biederman, J., Wozniak, J., Kiely, K., Ablon, S., Faraone, S., Mick, E., Mundy, E., and Kraus, I. (1995) CBCL Clinical Scales discriminate prepubertal children with structured-interview-derived diagnosis of mania from those with ADHD. / Am Acad Child Adolesc Psychiatry 34 133-140. 

Rapee, R.M., Barret, P.M., Dadds, M.R., and Evans, L. (1994) Reliability of the DSM-III-R childhood anxiety disorders using structured interview interrater and parent-child agreement. / Am Acad Child Adolesc Psychiatry 33 984-992. 

Diagnostic Interview for Children and Adolecents (DICA) (Herjanic and Reich, 1982) Highly structured interview designed to assess DMS-III and III-R diagnoses Available in computerized version Parent Child 6-17... 

The most commonly used instruments are listed in table 41.2 and can be subdivided into two groups first, semi-structured interviews such as the Kiddie Schedule for Affective Disorders, and Schizophrenia, Epidemiologic version (K-SADS-E), the Interview for Childhood Disorders and Schizophrenia (ICDS) and the Children and Adolescent Psychiatric Assessment (CAPA). These... 

Perhaps the oldest and most widely used instrument is the Pynoos version of the PTSD Reaction Index. This semistructured interview instrument is also useful for making a categorical diagnosis of PTSD and has been used in a variety of studies, including those on natural disasters, criminal assault, and war trauma (Pynoos and Nader, 1987 Pynoos, 1994). It is a 20-item Likert-scale instrument that is straightforward, can be used as a self-report instrument in addition to its use as a structured interview, is time efficient, and provides useful cutoff scores for severity. 

These are instruments developed to identify specific psychiatric disorders. Most of these scales are based on a structured or semi-structured interview lasting some 60 90 min. Structured interviews contain a mix of open-ended and closed questions. Open-ended questions are essential for the validity of a diagnostic procedure closed questions support the reliability and the standardization of diagnostic tools. The primary goal for the use of diagnostic scales is to reduce the variance within samples caused by diagnostic differences, i.e. to create homogeneous patient populations included in clinical trials. 

The Treatment Outcome PTSD Scale (TOP-8) is a clinician-rated instrument that measures the presence and severity of eight PTSD symptoms that occur frequently in PTSD patients and are sensitive to treatment. The scale was developed from the Structured Interview for PTSD (SI-PTSD Davidson et at., 1997), an alternative to the SCID. The TOP-8 questions are representative of the three major PTSD symptom dimensions (intrusive, avoidant and hyperarousal symptoms). Each symptom is rated on a defined step scale (0 4), with a high numeric rating indicating greater symptom severity (Davidson and Colket, 1997). The TOP-8 has proved sensitive to changes of PTSD symptoms in studies with antidepressants. 

The 1 ale Brown Obsessive Compulsive Scale (YBOCS) is an OCD-specific instrument in which ratings are based mainly on patients self-report in a semi-structured interview. Five items are addressed to rate the severity of obsessive symptoms and five items to assess the compulsive symptoms (Goodmann et al., 1989). The YBOCS is the best-established and standard instrument to diagnose OCD it has been used in most of the clinical trials in this area. 

Like other assessment instillments, the QLS was developed using patient interviews and factor analysis to derive those dimensions and questions that are most relevant to the patient s experience (Heinrichs et al., 1984). The QLS scale contains 21 items and is intended to be administered as a semi-structured interview. Each item consists of three parts a brief statement is provided to help the interviewee understand and focus on the parameter to be assessed a number of suggested questions are provided that may help the interviewer begin his exploration with the subject and a seven-point scale is provided for each item, with a brief description at four points to help the interviewee make... 

Williams, J.B.W. A structured interview guide for the Hamilton Depression Rating Scale. Arch. Gen. Psychiatry 45, 742-747, 1988. 

Rosen and colleagues (48) administered a structured interview, based on the Schedule for Affective Disorders and Schizophrenia (SADS) to 89 bipolar I patients, to compare psychotic and nonpsychotic manic patients on a number of clinical outcome and demographic variables (i.e., age, age at first treatment, and duration of illness). Overall, the psychotic manic group had a significantly poorer outcome in terms of social functioning. 

The mainstay of our outcome measures. A relatively brief structured interview designed to provide information about aspects of the person s life which may contribute to their drug problem. This was developed in the USA (McClellan et al. 1980) and has been widely used there. It covers medical status, education, employment, finance and support, drug and alcohol use, legal, family, social, and psychological history. We have also added information about syringe sharing. 

Structured interviews to elicit this information about patients most important behaviours are now being developed. 

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