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Norwegian version of the Mini-International Neuropsychiatric Interview: Feasibility, acceptability and test-retest reliability in an acute psychiatric ward

Published online by Cambridge University Press:  16 April 2020

J. Mordal*
Affiliation:
Psychiatric Department, Lovisenberg Deaconal Hospital, N-0440Oslo, Norway
Ø. Gundersen
Affiliation:
University Hospital of North Norway, Pb 84, N-9038Tromsø, Norway
J.G. Bramness
Affiliation:
Norwegian Centre for Addiction Research, Kirkeveien 166, N-0407Oslo, Norway Division of Epidemiology, Norwegian Institute of Public Health, N-0403Oslo, Norway
*
*Corresponding author. E-mail address: jon.mordal@medisin.uio.no (J. Mordal).
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Abstract

Objective

To assess the feasibility, patient and clinician acceptability and test-retest reliability of the Mini-International Neuropsychiatric Interview (MINI) used by non-psychiatrists in an acute psychiatric ward.

Method

Of 268 consecutive patients included in a cross-sectional study, 176 (66%) completed MINI, and were compared to patients not interviewed. Patients and clinicians were questioned about the interview, using Visual Analogue Scales (VAS). For 38 patients, test-retest reliability was assessed with Cohen's kappa and observed agreement.

Results

MINI was not feasible for all patients. Among factors associated with not being interviewed were early discharge, psychosis, substance use and involuntary admissions. Although evaluations by patients and clinicians completing the postinterview questionnaire varied, MINI was generally perceived as being useful and feasible. Psychotic symptoms were associated with a less positive experience with MINI for both patients and clinicians. In the test-retest analyses, kappa values indicated excellent agreement for six diagnoses, fair to good for six and poor for seven, whereas observed agreement was 75% or above for all disorders.

Conclusion

Among patients admitted to an acute psychiatric ward willing and able to complete the interview, MINI was well accepted by patients and clinicians, and has moderately good test-retest reliability.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2009

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