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SIDAM – A Structured Interview for the diagnosis of Dementia of the Alzheimer type, Multi-infarct dementia and dementias of other aetiology according to ICD-10 and DSM-III-R

Published online by Cambridge University Press:  09 July 2009

M. Zaudig ,
J. Mittelhammer ,
W. Hiller ,
A. Pauls ,
C. Thora ,
A. Morinigo  and
W. Mombour
M. Zaudig*
Affiliation:
Max Planck Institute for Psychiatry, Psychiatric Out-patient Department, Munich, Germany.
J. Mittelhammer
Affiliation:
Max Planck Institute for Psychiatry, Psychiatric Out-patient Department, Munich, Germany.
W. Hiller
Affiliation:
Max Planck Institute for Psychiatry, Psychiatric Out-patient Department, Munich, Germany.
A. Pauls
Affiliation:
Max Planck Institute for Psychiatry, Psychiatric Out-patient Department, Munich, Germany.
C. Thora
Affiliation:
Max Planck Institute for Psychiatry, Psychiatric Out-patient Department, Munich, Germany.
A. Morinigo
Affiliation:
Max Planck Institute for Psychiatry, Psychiatric Out-patient Department, Munich, Germany.
W. Mombour
Affiliation:
Max Planck Institute for Psychiatry, Psychiatric Out-patient Department, Munich, Germany.
*
1Address for correspondence: Dr M. Zaudig, Max Planck Institute for Psychiatry, Kraepelinstrasse 10, D-8000 Munich 40, Germany.
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Synopsis

The SIDAM – a new instrument for the symptomatic diagnosis and measurement of dementia according to DSM-III-R and ICD-10 – is described. It comprises a brief structured clinical interview, a range of cognitive tests (e.g. including the Mini-Mental State (Folstein et al. 1975)) which constitute a short neuropsychological battery and a section for clinical judgement and third party information. All items rely on DSM-III-R and ICD-10 algorithms. The SIDAM has a high overall test–retest reliability which equally holds true on the diagnostic, criterion and item level. It is a brief (average of 28 min), practical and easily scored diagnostic instrument, which reliably separates subjects with DSM-III-R and ICD-10 dementia from those without such a disorder. Good congruence was found between SIDAM diagnoses and corresponding ICD-9 expert diagnoses. Furthermore, the SIDAM-Score (SISCO) allows a detailed measurement of even low levels of cognitive impairment and provides quantification of severity grading of cognitive dysfunction.

Type
Original Articles
Information
Psychological Medicine , Volume 21 , Issue 1 , February 1991 , pp. 225 - 236
Copyright
Copyright © Cambridge University Press 1991

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References

American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, (third edn). American Psychiatric Association: Washington, DC.Google Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, (third edn) Revised. American Psychiatric Association: Washington, DC.Google Scholar
Anthony, J. C., Le Resche, L. A., Niaz, U., von Korff, N. R. & Folstein, M. F. (1982). Limits of the Mini-Mental State as a screening test for dementia and delirium among hospital patients. Psychological Medicine 12, 397–408.CrossRefGoogle ScholarPubMed
Bartko, J. J. & Carpenter, W. T. (1976). On the methods and theory of reliability. Journal of Nervous and Mental Diseases 163, 307–317.CrossRefGoogle ScholarPubMed
Blessed, G., Tomlinson, B. E. & Roth, M. (1968). The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. British Journal of Psychiatry 114, 797–811.CrossRefGoogle ScholarPubMed
Burke, J. C. (1986). Diagnostic categorization by the Diagnostic Interview Schedule (DIS): a comparison with other methods of assessment. In Mental Disorders and the Community (ed. Berrett, J. and Rose, R. M.), pp. 255–285. Guilford Press: New York.Google Scholar
Burke, J. C. (1988). Diagnostic assessment. In An Annotated Bibliography of DSM-III, pp. 13–22. American Psychiatric Press: Washington, DC.Google Scholar
Cicchetti, D. H. & Prusoff, B. A. (1983). Reliability of depression and associated clinical symptoms. Archives of General Psychiatry 40, 987–990.CrossRefGoogle ScholarPubMed
Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational Psychological Measurement 20, 37–46.CrossRefGoogle Scholar
Copeland, J. R. M., Kelleher, N. J., Kellett, J. N., Gourlay, A. J., Gurland, B. J., Fleiss, J. E. & Sharpe, L. (1976). A semistructured clinical interview for the assessment of diagnosis and mental state in the elderly: the Geriatric Mental State Schedule I. Development and reliability. Psychological Medicine 6, 439–449.CrossRefGoogle Scholar
Copeland, J. R. M., Dewey, N. E., Henderson, A. S., Kay, D. W. K., Neal, C. D., Harrison, N. A. M., McWilliam, C., Forshaw, D. & Shiwach, R. (1988). The Geriatric Mental State (GMS) used in the community: replication studies on the computerized diagnoses AGECAT. Psychological Medicine 18, 219–223.CrossRefGoogle ScholarPubMed
Cummings, J. L. & Benson, B. F. (1986). Dementia of the Alzheimer type. An inventory of diagnostic clinical features. Journal of the American Geriatrics Society 34, 12–19.CrossRefGoogle ScholarPubMed
Farmer, A. & Helzer, J. A. (1990). Improving the sensitivity of the Mini-Mental State Examination. A test in a large sample of alcoholics. (In the press.)Google Scholar
Fleiss, J. L. (1981). Statistical Methods for Rates and Proportions, edn. 2. John Wiley: New York.Google Scholar
Folstein, N. F., Folstein, S. E. & McHugh, P. R. (1975). ‘Mini-Mental State’. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12, 189–198.CrossRefGoogle Scholar
Gurland, B. J. (1981). The borderlines of dementia: the influence of sociocultural characteristics on rates of dementia appearing in the senium. In Clinical Aspects of Alzheimer's Disease and Senile Dementia (Aging, Vol. 15) (ed. Miller, N. E. and Cohen, E. D.), pp. 61–84. Raven Press: New York.Google Scholar
Gurland, B. J., Kuriansky, J., Sharpe, L., Simon, R., Stiller, P. & Birkett, P. (1977). The comprehensive assessment and referral evaluation (CARE). Rationale, development and reliability. International Journal of Ageing and Human Development 8, 9–42.CrossRefGoogle ScholarPubMed
Gurland, B. J., Dean, L., Copeland, J., Gurland, B. & Golden, R. (1982). Criteria for diagnosis of dementia in the community elderly. Gerontologist 22, 180–186.CrossRefGoogle ScholarPubMed
Gurland, B. J., Copeland, L., Kelleher, J., Kuriansky, J., Sharpe, L. & Lee Dean, L. (1983). The Mind and Mood of Ageing: Mental Health Problems of the Elderly Community in New York and London. Haworth Press: New York. Croom Helm: London.Google Scholar
Hachinski, V. V., Iliff, L. D., Zihlka, E., Du Boulay, G. H., McAllister, V. L., Marshall, J., Ross Russell, R. W. & Symon, L. (1975). Cerebral blood flow in dementia. Archives of Neurology 32, 632–637.CrossRefGoogle ScholarPubMed
Haycox, J. A. (1984). A behavioural scale for dementia. In Biology and Treatment of Dementia in the Elderly (ed. Shamoian, P. A.), pp. 2–13. American Psychiatric Press: Washington DC.Google Scholar
Henderson, A. S. & Huppert, F. A. (1984). The problem of mild dementia. Psychological Medicine 14, 5–11.CrossRefGoogle ScholarPubMed
Henderson, A. S., Duncan-Jones, D. & Finlay-Jones, R. A. (1983). The reliability of the Geriatric Mental State Examination. Acta Psychiatrica Scandinavica 67, 281–289.CrossRefGoogle ScholarPubMed
Hiller, W., v. Zerssen, D., Mombour, W. & Wittchen, H.-U. (1986). Die Inpatient Multidimensional Psychiatric Scale (IMPS). Beltz: Weinheim.Google Scholar
Hughes, C. P., Berg, L., Danziger, W. L., Coben, L. A. & Martin, R. L. (1982). A new clinical scale for the staging of dementia. British Journal of Psychiatry 140, 566–572.CrossRefGoogle ScholarPubMed
Jorm, A. S. (1986). Controlled and automatic information processing in senile dementia: a review. Psychological Medicine 16, 77–88.CrossRefGoogle ScholarPubMed
Jorm, A. S. & Henderson, A. S. (1985). Possible improvements to the diagnostic criteria for dementia in DSM-III. British Journal of Psychiatry 147, 304–399.CrossRefGoogle Scholar
Jorm, A. S., Scott, R., Henderson, A. S. & Kay, D. W. K, (1988). Educational level and differences on the Mini-Mental State: the role of test bias. Psychological Medicine 18, 727–731.CrossRefGoogle ScholarPubMed
Lorr, N. & Klett, C. J. (1967). Manual for the Inpatient Multidimensional Psychiatric Scale (rev.) Consulting Psychologists Press: Palo Alto, Ca.Google Scholar
Mombour, W. (1974). Syndrome bei psychiatrischen Erkrankungen. eine vergleichende Untersuchung mit zwei Schätzskalen (IMPS und AMDP-Skala). Archiv für Psychiatrie und Nervenkrankheiten. 219, 331–350.CrossRefGoogle Scholar
Mombour, W., Gammel, G., v. Zerssen, D. & Heyse, H., (1973). Die Objektivierung psychiatrischer Syndrome durch multifaktorielle Analyse des psychopathologischen Befundes. Nervenarzt 44, 352–358.Google Scholar
Mowry, D. J. & Burvill, P. W. (1988). A study of mild dementia in the Community using a wide range of diagnostic criteria. British Journal of Psychiatry 153, 328–334.CrossRefGoogle ScholarPubMed
Pfeiffer, E. (1975). A Short Portable Mental Status Questionnaire (SPMSQ) for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society 23, 133–441.CrossRefGoogle Scholar
Reisberg, B., Ferris, S. H., De Leon, M. J. & Crook, T. (1982). The Global Deterioration Scale (GDS) for assessment of primary degenerative dementia. American Journal of Psychiatry 139, 1136–1139.Google Scholar
Robins, L. N (1989). Diagnostic grammar and assessment: translating criteria into questions. Psychological Medicine 19, 57–68.CrossRefGoogle ScholarPubMed
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliffe, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry 38, 381–389.CrossRefGoogle ScholarPubMed
Rosen, W. G., Terry, R. D., Fuld, P. A., Katzman, R. & Peck, A. (1980). Pathological verification of ischemic score in differentiation of dementias. Annals of Neurology 7, 486–488.CrossRefGoogle ScholarPubMed
Roth, M., Tym, E., Mountjoy, C. Q., Huppert, F. A., Hendrie, H., Verma, S. & Goddard, R. (1986). CAMDEX. A standardized instrument for the diagnosis of mental disorder in the elderly with special reference to the early detection of dementia. British Journal of Psychiatry 149, 698–709.CrossRefGoogle Scholar
Shrout, P. E., Spitzer, R. L. & Fleiss, J. L. (1987). Quantification of agreement in psychiatric diagnoses revisited. Archives of General Psychiatry 44, 172–177.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Fleiss, J. L. (1974). A re-analysis of the reliability of psychiatric diagnoses. British Journal of Psychiatry 125, 341–347.CrossRefGoogle Scholar
Spitzer, R. L. & Williams, J. B. W. (1985). Classification in Psychiatry. In Comprehensive Textbook of Psychiatry, edn. 4. (ed. Kaplan, H. and Saddock, B.), pp. 591–613. Williams and Wilkins: Baltimore.Google Scholar
Spitzer, R. L., Forman, J. B. W. & Nee, J. (1979). DSM-III Field Trials. I. Initial interrater diagnostic reliability. American Journal of Psychiatry 136, 815–817.Google ScholarPubMed
Spitzer, R. L., Williams, J. B. W. & Gibbon, M. (1986). Structured Clinical Interview for DSM-III-R (SCID). Biometrics Research Department, New York State Psychiatric Institute: New York.Google Scholar
Spitznagel, E. L. & Helzer, J. E. (1985). A proposed solution to the baserate problem in the kappa-statistic. Archives of General Psychiatry 42, 725–728.CrossRefGoogle Scholar
Wechsler, D. (1945). A standardized memory scale for clinical use. Journal of Psychology 19, 87–95.CrossRefGoogle Scholar
Wechsler, D. (1954). Measurement and evaluation of intelligence of older persons in Old Age in the Modern World. Report of the 3rd Congress, International Association of Gerontology, pp. 275–278. Livingstone: Edinburgh.Google Scholar
Wechsler, D. (1958). The Measurement and Appraisal of Adult Intelligence. Williams and Wilkins: Baltimore, MD.Google Scholar
Wells, C. E. (1982). Refinements in the diagnosis of dementia. American Journal of Psychiatry 139, 621–622.Google ScholarPubMed
Williams, J. B. W. (1988). A structured interview guide for the Hamilton Depression Rating Scale. Archives of General Psychiatry 45, 742–747.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: London.Google Scholar
Wittchen, H.-U., Zaudig, M., Schramm, E., Spengler, P., Mombour, W., Klug, J. & Horn, R. (1987). Strukturiertes Klinisches Interview für DSM-IIIR (SCID) (Testversion). Beltz: Weinheim.Google Scholar
World Health Organization (1979) ICD 9: Mental Disorders. Glossary and Guide to Their Classification in Accordance with Ninth Revision of the International Classification of Diseases. WHO: Geneva.Google Scholar
World Health Organization (1987). ICD-10: Mental, Behavioural and Developmental Disorders: Clinical descriptions and diagnostic guidelines (1986 Draft for Field Trials); Research Diagnostic Criteria. WHO: Geneva.Google Scholar
World Health Organization (1988). ICD-10: Mental, Behavioural and Developmental Disorders: Clinical descriptions and diagnostic guidelines (1987 Draft for Field Trials). WHO: Geneva.Google Scholar
Yule, G. I. (1912). On the methods of measuring association between two attributes. Journal of the Royal Statistica Society 75, 581–642.Google Scholar
Zaudig, M. & Hiller, W. (1990). On diagnosing dementia. Comparison, evaluation and validity of ICD-10 and DSM-III-R criteria of dementia. (In the press.)Google Scholar
Zaudig, M., Mittelhammer, J. & Hiller, W. (1989). Structured Interview for the Diagnosis of Dementia of the Alzheimer Type, Multi-Infarct-Dementia and Dementia of other Etiology according to ICD-10 and DSM-III-R – SIDAM. Logomed: Munich.Google Scholar
Zaudig, M., Mittelhammer, J. & Hiller, W. (1990). Strukturiertes Interview zur Diagnose der Demenzen anderer Ätiologie nach DSM-III-R und ICD-10. Manual. Logomed: München.Google Scholar