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SPIFA-A presentation of the Structured Psychiatric Interview for General Practice.
Alv A Dahl1, Marit Bjartveit Krüger, Nils Håvard Dahl
1Department of Clinical Cancer Research, The Norwegian Radiumhospital, Rikshospitalet University Hospital, Oslo, Norway. alvd@ulrik.uio.no
Nordic Journal of Psychiatry
|April 17, 2009
Summary
The Structured Psychiatric Interview for General Practice (SPIFA) demonstrates adequate reliability for diagnosing common mental health conditions in primary care. It offers comparable effectiveness to other tools but is more practical for general practitioners.
Area of Science:
- Psychiatry
- General Practice
- Mental Health Diagnostics
Background:
- General practitioners' (GPs) diagnostic accuracy for mental disorders requires improvement.
- Structured diagnostic interviews can enhance diagnostic capabilities.
- The Structured Psychiatric Interview for General Practice (SPIFA) is evaluated for its utility.
Purpose of the Study:
- Assess the inter-rater reliability of the SPIFA.
- Determine the time commitment for GPs and specialists using the SPIFA.
- Evaluate GP satisfaction with the SPIFA.
- Compare SPIFA's properties with Prime-MD and MINI schedules.
Main Methods:
- Inter-rater reliability of SPIFA tested on 336 general practice patients.
- Patients randomized to SPIFA used by both GPs and psychiatrists, or SPIFA by GPs and modified SCID by psychiatrists.
- GP satisfaction assessed via questionnaire to 1000 trained GPs.
Main Results:
- SPIFA showed adequate inter-rater reliability for depression, anxiety, and suicidal risk.
- Inter-rater reliability was poor for patients with over two comorbid disorders.
- Mean SPIFA duration was 21-22 minutes.
- Most of the 192 responding GPs were satisfied with the SPIFA.
Conclusions:
- SPIFA is a reliable, valid, and helpful tool for GPs in diagnosing mental disorders.
- SPIFA possesses comparable psychometric properties to Prime MD and MINI.
- SPIFA demonstrates superior feasibility in primary care settings compared to other instruments.
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