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What You Need to Know About the MINI 7.0.2: A Short, Structured, Diagnostic Interview for DSM-5 and ICD-10 Psychiatric Disorders and Suicidality


What is the Mini International Neuropsychiatric Interview (MINI)?




The Mini International Neuropsychiatric Interview (MINI) is a short, structured, diagnostic interview that can help you assess the most common psychiatric disorders and suicidality in your patients. It is based on the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD), which are the two most widely used classification systems for mental health conditions.




mini international neuropsychiatric interview 7.0 pdf 466



A brief introduction to the MINI




The MINI was developed jointly by psychiatrists and clinicians in the United States and Europe in the 1990s, with the aim of creating a brief but accurate structured psychiatric interview that could be used for multicenter clinical trials, epidemiology studies, and outcome tracking in nonresearch clinical settings. The MINI can be administered by trained health professionals in about 15 minutes, making it a convenient and efficient tool for screening and diagnosis.


The main features and benefits of the MINI




The MINI has several features and benefits that make it a valuable instrument for mental health assessment. Some of them are:


  • It covers 17 major psychiatric disorders and suicidality, including mood disorders, anxiety disorders, psychotic disorders, substance use disorders, eating disorders, personality disorders, and post-traumatic stress disorder.



  • It provides a yes/no format for each disorder, which simplifies the decision-making process and reduces ambiguity.



  • It allows for multiple diagnoses and comorbidities, which reflects the complexity and diversity of mental health problems.



  • It generates a diagnostic profile that can be used for treatment planning and monitoring.



  • It has good psychometric properties, such as high reliability, validity, sensitivity, specificity, and predictive value.



  • It is compatible with both DSM and ICD criteria, which facilitates cross-cultural comparisons and communication.



  • It is available in more than 40 languages and has been adapted for different cultural contexts.



The history and development of the MINI




The MINI was first published in 1997 by Dr. David Sheehan and Dr. Yves Lecrubier, based on their previous work on the Composite International Diagnostic Interview (CIDI) and other structured interviews. The original version of the MINI was designed for DSM-III-R and ICD-10 criteria. Since then, several revisions have been made to update the MINI according to the changes in the DSM and ICD editions. The most recent version of the MINI is the 7.0.2, which was released in 2023 and is compatible with DSM-5 criteria.


How to use the MINI?




The MINI is a flexible and user-friendly instrument that can be easily incorporated into your clinical practice. Here are some tips on how to use the MINI effectively.


The structure and format of the MINI




The MINI consists of 16 modules, each corresponding to a specific disorder or domain. Each module has a set of questions that follow a branching logic, meaning that the interviewer can skip some questions depending on the previous answers. The questions are designed to elicit the presence or absence of the core symptoms and criteria for each disorder, as well as the duration, frequency, severity, and impairment caused by the symptoms. The interviewer can also ask additional questions or use clinical judgment to clarify or confirm the diagnosis.


The MINI has a yes/no format, which means that the interviewer has to assign a binary response (yes or no) for each question. A yes answer indicates that the criterion is met, while a no answer indicates that the criterion is not met. The interviewer has to record the responses on a standardized scoring sheet, which also provides instructions and guidelines for each module. The scoring sheet can be printed or accessed electronically.


The scoring and interpretation of the MINI




The scoring and interpretation of the MINI are straightforward and intuitive. For each module, the interviewer has to count the number of yes answers and compare it with a cut-off score, which indicates the minimum number of yes answers required to make a diagnosis. If the number of yes answers is equal to or higher than the cut-off score, then the diagnosis is positive. If the number of yes answers is lower than the cut-off score, then the diagnosis is negative.


The interviewer can also calculate a severity score for each disorder, which is based on the number of symptoms, their frequency, and their impact on functioning. The severity score can range from mild to severe, depending on the disorder and the criteria. The severity score can help to prioritize treatment goals and monitor progress.


The interviewer can also generate a diagnostic profile for each patient, which summarizes the results of all modules and indicates the presence or absence of each disorder. The diagnostic profile can be used for communication, documentation, and referral purposes.


The validity and reliability of the MINI




The MINI has been extensively validated and tested in various settings and populations, and has shown good psychometric properties. Some of them are:


  • Reliability: The MINI has high inter-rater reliability, which means that different interviewers can obtain consistent results when using the MINI with the same patient. It also has high test-retest reliability, which means that the same interviewer can obtain consistent results when using the MINI with the same patient at different times.



  • Validity: The MINI has high concurrent validity, which means that it agrees well with other established diagnostic instruments, such as the CIDI, the Structured Clinical Interview for DSM (SCID), and the Diagnostic Interview Schedule (DIS). It also has high criterion validity, which means that it accurately reflects the criteria of DSM and ICD.



  • Sensitivity: The MINI has high sensitivity, which means that it can correctly identify patients who have a disorder.



  • Specificity: The MINI has high specificity, which means that it can correctly identify patients who do not have a disorder.



  • Predictive value: The MINI has high positive predictive value, which means that it can correctly predict that patients who have a positive diagnosis will have a disorder in reality. It also has high negative predictive value, which means that it can correctly predict that patients who have a negative diagnosis will not have a disorder in reality.



What are the different versions of the MINI?




The MINI has several variants and adaptations that cater to different needs and purposes. Some of them are:


The MINI for DSM-III-R, DSM-IV and ICD-10




The original version of the MINI was designed for DSM-III-R and ICD-10 criteria, and was later updated for DSM-IV criteria. This version covers 17 disorders and suicidality, as well as some optional modules for other disorders. It is still widely used in many countries and settings.


The MINI for DSM-5




The MINI-Screen, MINI-Tracking and MINI-KID




The MINI also has some variants and adaptations that are designed for specific purposes and populations. Some of them are:


  • The MINI-Screen: This is a short version of the MINI that uses only the screening questions for each disorder. It can be used as a quick and easy screening tool for psychiatric disorders and suicidality in primary care, emergency, or community settings. It can also be used as a self-report questionnaire by patients.



  • The MINI-Tracking: This is a version of the MINI that yields a quantitative score for each disorder, based on the number and severity of symptoms. It can be used to monitor treatment response and outcome over time in clinical or research settings. It can also be used as a self-report questionnaire by patients.



  • The MINI-KID: This is a version of the MINI that is adapted for children and adolescents aged 6 to 17 years. It covers 30 psychiatric disorders and suicidality in pediatric mental health, as well as some optional modules for other disorders. It can be administered to the child or adolescent together with the parent(s), or to the adolescent alone. It has been validated and tested in various settings and populations, and has shown good psychometric properties.



How to access the MINI?




If you are interested in using the MINI for your clinical or research purposes, you need to know how to access it and what are the conditions of use. Here are some important information you need to know.


The official website and distributor of the MINI




The official website of the MINI is www.medical-outcomes.com, where you can find more information about the instrument, its versions, its applications, its publications, and its contact details. You can also access some online training modules and videos on how to use the MINI.


The official distributor of the MINI is Mapi Research Trust, which is a nonprofit organization that provides access to clinical outcome assessments (COAs) for research and clinical practice. You can visit their website at https://eprovide.mapi-trust.org/, where you can find more information about the MINI and other COAs, as well as request access to them.


The licensing and copyright conditions of the MINI




The MINI is a copyrighted instrument that requires a license agreement for its use. The license agreement specifies the terms and conditions of use, such as the purpose, duration, scope, fees, and obligations of the user. The license agreement also protects the intellectual property rights of the author and the distributor of the MINI.


The license agreement can be obtained from Mapi Research Trust, which is authorized by the author to grant licenses for the use of the MINI. The license agreement can be requested online through their website, or by contacting them directly. The license agreement can be customized according to the needs and preferences of the user.


The license fees vary depending on the type and extent of use of the MINI. For example, there may be different fees for academic, commercial, or nonprofit use; for single-site or multi-site use; for paper-and-pencil or electronic use; for original or translated use; etc. The license fees are used to support the development, maintenance, and dissemination of the MINI and other COAs.


The available languages and translations of the MINI




The MINI is available in more than 40 languages and has been adapted for different cultural contexts. Some of the languages are: Arabic, Chinese, Dutch, English, French, German, Greek, Hebrew, Hindi, Italian, Japanese, Korean, Portuguese, Russian, Spanish, Swedish, Turkish, etc.


The translations and adaptations of the MINI have been done by qualified professionals who have followed rigorous procedures and standards to ensure linguistic and cultural equivalence with the original version. The translations and adaptations have also been validated and tested in various settings and populations to ensure their psychometric properties.


Conclusion




The MINI is a useful and reliable instrument for assessing psychiatric disorders and suicidality in clinical and research settings. It is a short, structured, diagnostic interview that is based on the criteria of DSM and ICD, and covers the most common and clinically relevant disorders in mental health. It has several features and benefits that make it a valuable tool for screening, diagnosis, treatment planning, and outcome monitoring. It also has several variants and adaptations that cater to different needs and purposes. It is available in more than 40 languages and has been validated and tested in various settings and populations.


A summary of the main points of the article




In this article, we have discussed the following topics:


  • What is the MINI and why is it important?



  • How to use the MINI effectively?



  • What are the different versions of the MINI?



  • How to access the MINI and what are the conditions of use?



A call to action for the readers




If you are interested in using the MINI for your clinical or research purposes, you can visit the official website of the MINI at www.medical-outcomes.com, where you can find more information about the instrument, its versions, its applications, its publications, and its contact details. You can also access some online training modules and videos on how to use the MINI.


You can also request access to the MINI through Mapi Research Trust, which is the official distributor of the MINI. You can visit their website at https://eprovide.mapi-trust.org/, where you can find more information about the MINI and other clinical outcome assessments (COAs), as well as request a license agreement for using the MINI.


We hope that this article has been informative and helpful for you. If you have any questions or feedback, please feel free to contact us. We would love to hear from you.


FAQs




Here are some frequently asked questions (FAQs) about the MINI:


  • What is the difference between the MINI and other structured interviews?



The MINI is different from other structured interviews in several ways. Some of them are:


  • The MINI is shorter and faster than other structured interviews, taking only about 15 minutes to administer.



  • The MINI has a yes/no format for each disorder, which simplifies the decision-making process and reduces ambiguity.



  • The MINI allows for multiple diagnoses and comorbidities, which reflects the complexity and diversity of mental health problems.



  • The MINI is compatible with both DSM and ICD criteria, which facilitates cross-cultural comparisons and communication.



  • The MINI has several variants and adaptations that cater to different needs and purposes.



  • Who can administer the MINI?



The MINI can be administered by trained health professionals who have a basic knowledge of psychiatric disorders and their criteria. The training can be done online through the official website of the MINI, or by attending a workshop or a course offered by certified trainers. The training covers the background, rationale, structure, format, scoring, interpretation, validity, reliability, and administration of the MINI.


  • How can I get a copy of the MINI?



the author to grant licenses for the use of the MINI. You can request a license agreement online through their website, or by contacting them directly. The license agreement specifies the terms and conditions of use, such as the purpose, duration, scope, fees, and obligations of the user. The license agreement also protects the intellectual property rights of the author and the distributor of the MINI.


The license fees vary depending on the type and extent of use of the MINI. For example, there may be different fees for academic, commercial, or nonprofit use; for single-site or multi-site use; for paper-and-pencil or electronic use; for original or translated use; etc. The license fees are used to support the development, maintenance, and dissemination of the MINI and other COAs.


  • What languages are available for the MINI?



The MINI is available in more than 40 languages and has been adapted for different cultural contexts. Some of the languages are: Arabic, Chinese, Dutch, English, French, German, Greek, Hebrew, Hindi, Italian, Japanese, Korean, Portuguese, Russian, Spanish, Swedish, Turkish, etc.


The translations and adaptations of the MINI have been done by qualified professionals who have followed rigorous procedures and standards to ensure linguistic and cultural equivalence with the original version. The translations and adaptations have also been validated and tested in various settings and populations to ensure their psychometric properties.


The translations and adaptations of the MINI can be accessed through Mapi Research Trust, which is authorized by the author to distribute them. You can request access to them online through their website, or by contacting them directly.


  • How can I learn more about the MINI?



You can learn more about the MINI by visiting the official website of the MINI at www.medical-outcomes.com, where you can find more information about the instrument, its versions, its applications, its publications, and its contact details. You can also access some online training modules and videos on how to use the MINI.


You can also read some of the publications that have used or cited the MINI in various settings and populations. Some of them are:


  • Sheehan DV et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry 59 (Suppl 20): 22-33.



  • Sheehan DV et al. (2010). Reliability and validity of the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). Journal of Clinical Psychiatry 71 (3): 313-326.



  • Sheehan DV et al. (2023). The Mini International Neuropsychiatric Interview Version 7.0 (MINI 7.0) for DSM-5: A brief structured diagnostic psychiatric interview for DSM-5 disorders. Journal of Clinical Psychiatry 84 (1): 1-15.




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