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Italian version of the organic brain syndrome and the depression scales from the CARE: evaluation of their performance in geriatric institutions

Published online by Cambridge University Press:  09 July 2009

Alberto Spagnoli ,
Giovanni Foresti ,
Alastair Macdonald  and
Paul Williams
Alberto Spagnoli*
Affiliation:
Istituto di Ricerche ‘Mario Negri’, Milan; United Medical and Dental Schools, Guy's Hospital, London and General Practice Research Unit, Institute of Psychiatry, London
Giovanni Foresti
Affiliation:
Istituto di Ricerche ‘Mario Negri’, Milan; United Medical and Dental Schools, Guy's Hospital, London and General Practice Research Unit, Institute of Psychiatry, London
Alastair Macdonald
Affiliation:
Istituto di Ricerche ‘Mario Negri’, Milan; United Medical and Dental Schools, Guy's Hospital, London and General Practice Research Unit, Institute of Psychiatry, London
Paul Williams
Affiliation:
Istituto di Ricerche ‘Mario Negri’, Milan; United Medical and Dental Schools, Guy's Hospital, London and General Practice Research Unit, Institute of Psychiatry, London
*
1Address for correspondence: Dr A. Spagnoli, Istituto di Ricerche, ‘Mario Negri’, via Eritrea 62, Milan, Italy
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Synopsis

The Organic Brain Syndrome (OBS) and the Depression (D) scales derived from the Comprehensive Assessment and Referral Evaluation (CARE) were translated into Italian and used in a survey of geriatric institutions in Milan. During the survey validity and reliability tests of the scales were conducted.

Inter-rater reliability (total score weighted kappa) was highly satisfactory for both scales (0·96 for OBS and 0·83 for D scale). Reliability was assessed three times during the survey and showed good stability for both scales, with a slight but significant trend towards reduction over time for the D scale. Reliability of the D scale was significantly lower when the subjects interviewed scored highly on the OBS scale (severe cognitive impairment).

Criterion validity was highly satisfactory both for the OBS scale (cut-off point 4/5: sensitivity 77%, specificity 96%, positive predictive value 91%) and the D scale (cut-off point 10/11: sensitivity 95%, specificity 92%, positive predictive value 84%).

Results are discussed with special reference to longitudinal assessment of reliability, the choice of the cut-off point, and the context-dependent properties of questionnaires.

Type
Research Article
Information
Psychological Medicine , Volume 17 , Issue 2 , May 1987 , pp. 507 - 513
Copyright
Copyright © Cambridge University Press 1987

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