Evaluatroh oF AnAmharrc Versron of Thb Crdr and Prevalencb Bstrmatron of Mental Drsorders Accordrng to Dsm-III- R Arada Drstrrct, Addrs Ababa
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Date
1993-05
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Addis Ababa University
Abstract
The feasibility, reliability, and acceptance of the Amharic
version of the CIDI (Composite International Diagnostic Interview)
was tested in Addis Ababa city using clinician and non clinician
interviewers. In the first part of the study total of 64 subjects
from three different sources (community, psychiatric inpatient and
outpatient) were interviewed. The CIDI was judged to be
acceptable by most clinician and non clinician interviewers. The
few concerns about it include, the length of the interview and
difficulties with a few of the items. For specific diagnoses made
with frequency of five or more time, percent agreement and kappa
ranged from 92.5%-100% and 0.78-0.92, respectively. The second
part of the study determined the life time prevalence of specific
DSM-III-R disorders using the Amharic CIDI modified after the
reliability study, 502 community subjects selected from Arada
district by systematic random sampling were interviewed. The most
frequent specific diagnoses found were; Organic brain syndrome
mil,d (14.1%), severe (4.4%), Agoraphobia without history of panic
disorder (3.0%) and dysthymia (3.0%). The very high rate found
for organic brain syndrome, compared to other studies, made the
reliability of the eIDI for that diagnoses questionable. It is
concluded that the Amharic version of eIDI is reliable,
acceptable, and feasible for use in the country. Thus similar
studies using CIOI with a better designs are recommended.
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Evaluatroh oF An Amharrc Versron of Thb Crdr