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Composite International Diagnostic Interview (CIDI) « Mental Health « Surveys/Scales « Downloads

Date postedFebruary 7, 2012
Downloaded1417 times
CategoriesMental Health, Surveys/Scales, Health Assessment


The World Health Organization (WHO) first developed the CIDI in 1990 ( The CIDI (CIDI V2.1) was an expansion of the Diagnostic Interview Schedule developed by Lee Robins et. al with the support from the National Institute of Health (DIS; Robins, Helzer, Croughan and Ratcliff, 1981.The WHO World Mental Health (WMH) Survey Initiative was created in 1998 ( Scientists from participating countries from around the world came together to create measurements for risk factors, consequences, treatment, etc. and, in addition, the diagnostic sections of the CIDI were expanded to make it more operational. Thus, the WMH-CIDI was born.

The WMH-CIDI is a comprehensive, fully-structured interview designed to be used by trained lay interviewers for the assessment of mental disorders according to the definitions and criteria of ICD-10 and DSM-IV. It is intended for use in epidemiological and cross-cultural studies as well as for clinical and research purposes. The diagnostic section of the interview is based on the World Health Organization’s Composite International Diagnostic Interview (WHO CIDI, 1990).

The WMH-CIDI allows the investigator to:
- Measure the prevalence of mental disorders
- Measure the severity of these disorders
- Determine the burden of these disorders
- Assess service use
- Assess the use of medications in treating these disorders
- Assess who is treated, who

Despite the acceptable reliability and validity of the paper-and-pencil version of the CIDI, the extensive training required, its lengthy administration time (an average of 75 minutes in a general population sample), and the clerical time required for data entry and scoring are barriers to its use in routine clinical practice.

World Health Organization (WHO)

Robins, L.N., Wing, J., Wittchen, H. U., Helzer, J. E., Babor, T. F., Burke, J., et al.

American Psychiatric Press, Inc. 1990

Robins, L.N.; Wing, J., Wittchen, H.U., Helzer, J.E., Babor, T.F., Burke, J., Farmer, A., Jablensky, A., Pickens, R., Regier, D.A., Sartorius, N., and Towle, L.H. (1989). The Composite International Diagnostic Interview: An epidemilogic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Archives of General Psychiatry 45,1069-1077.

Robins LN (1989) Diagnostic grammar and assessment: translating criteria into questions. Psychol Med 19: 57±68

Robins LN, Regier DA (1991) Psychiatric disorders in America. MacMillan, New York

Robins LN, Helzer JE, Croughan J, Ratcli€ S (1981) National Institute of Mental Health Diagnostic Interview Schedule. Arch
Gen Psychiatry 38: 381±390

World Health Organization (1993a) Composite International Diagnostic Interview, version 1.1. WHO, Geneva

World Health Organization (1993a) The ICD-10 classi®cation of mental and behavioural disorders. WHO, Geneva

World Health Organization (1997) Composite International Diagnostic Interview, version 2.1. WHO, Geneva

The paper-and-pencil versions of the CIDI have been shown to be reliable in a large international field trial (Cottler et al. 1991; Wittchen et al. 1991). Given the highly structured nature of the CIDI, it is not surprising that only 3 out of 20 diagnoses generated by the CIDI had Kappas for the inter-rater reliability of less than 0.9 (Wittchen et al. 1991) and that the inter-rater reliability for substance-use symptoms were similarly high …j > 0:94; Cottler et al. 1991). Wittchen (1994) reviewed all the reliability studies of versions 1.0 and 1.1 up to 1993 and concluded that the CIDI had acceptable reliability.