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Validation of the Diagnostic Interview for Genetic Studies (DIGS) in Colombia
Authors:Palacio Carlos Alberto  García Jenny  Arbeláez María Patricia  Sánchez Ricardo  Aguirre Beatriz  Garcés Isabel Cristina  Montoya Gabriel Jaime  Gómez Juliana  Agudelo Angela  López Carlos Alberto  Calle Jorge Julián  Cardeño Carlos Alberto  Cano Juan Fernando  López María Cecilia  Montoya Patricia  Herrera Claudia Patricia  González Natalia  González Alejandro  Bedoya Gabriel  Ruiz Andrés  Ospina Jorge
Institution:Programa de Investigación en Psiquiatría Genética, Departamento de Psiquiatría y Laboratorio de Genética Molecular, Universidad de Antioquia, Medellín, Colombia.
Abstract:An interview tool, Diagnostic Interview for Genetic Studies (DIGS 3.0), was translated into Spanish for application in studies of psychiatric disorders in Colombia. Two Spanish translations of the original English version of DIGS were prepared and back-translated into English. A review committee verified the linguistic and cultural equivalence of the translations. The evaluator and test-retest reliability were assessed calculating Cohen's kappa for samples of 65 and 91 patients respectively. DIGS proved valid in both appearance and content. The confidence interval (C.I.) was excellent for schizophrenia (kappa = 0.81, C.I. 95% = 0.68-0.93), bipolar disorder (kappa = 0.87, C.I. 95% = 0.75-0.99), major depressive disorder (kappa = 0.86, C.I. 95% = 0.70-1.00), and for a normal diagnosis (kappa = 0.65, C.I. 95% = 0.41-0.89); it was good for other psychiatric diagnosis (kappa = 0.65, C.I. 95% = 0.41-0.89) and poor for schizoaffective disorder (kappa = 0.37, C.I. 95% = -0.02-0.76). Test-retest reliability was excellent for all diagnoses (kappa > 0.8), except for "other psychiatric diagnoses" (kappa = 0.64, C.I. 95% = 0.31-0.96). The Spanish translation of the DIGS was comprehensible, with face and content validity, and good test-retest and evaluator reliability. This translation will be a useful tool for genetic studies of psychiatric disorders in Latin America, particularly where schizophrenia and affective disorders are involved.
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