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Reliability of the PSE (ninth edition) used in a population study

Published online by Cambridge University Press:  09 July 2009

J. K. Wing ,
J. M. Nixon ,
S. A. Mann  and
J. P. Leff
J. K. Wing*
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
J. M. Nixon
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
S. A. Mann
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
J. P. Leff
Affiliation:
MRC Social Psychiatry Unit, Institute of Psychiatry, London
*
1Address for correspondence: Professor J. K. Wing, MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF.
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Synopsis

A random sample of 237 women in a south-east London area were seen by non-medical interviewers, trained to use a standard technique (the Present State Examination) to elicit and record psychiatric symptoms. Ninety-five were interviewed a second time by psychiatrists, who also rated audiotape recordings. The reproducibility of the techniques is adequate though not as high, in some respects, as that obtained from out-patient or in-patient samples. This is true at the level of symptom, syndrome, total score, and index of definition of psychiatric disorder. It is concluded that nonmedical interviewers can obtain as high reproducibility as psychiatrists on most of the non-psychotic sections of the PSE if they have appropriate training. Repeatability is lower than reproducibility, partly due to fluctuations in clinical condition, partly to environmental changes between interviews, and partly to differential responses to medical and non-medical interviewers. Over a short period of time, such as a week, repeatability is satisfactory.

Type
Research Article
Information
Psychological Medicine , Volume 7 , Issue 3 , August 1977 , pp. 505 - 516
Copyright
Copyright © Cambridge University Press 1977

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References

Brown, G. W., Bhrolchain, M. & Harris, T. (1975). Social class and psychiatric disturbance among women in an urban population. Sociology 9, 225–254.CrossRefGoogle Scholar
Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement 20, 37–46.CrossRefGoogle Scholar
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L., Copeland, J. R. M. & Simon, R. (1972). Psychiatric Diagnosis in New York and London. Oxford University Press: London.Google Scholar
Cooper, J. E., Copeland, J. R. M., Brown, G. W., Harris, T. & Gourlay, A. J. (1977). Further studies on interviewer training and inter-rater reliability of the Present State Examination. Psychological Medicine, 7 517–523.CrossRefGoogle ScholarPubMed
Copeland, J. R. M., Kelleher, M. J., Gourlay, A. J. & Smith, A. M. R. (1975). Influence of psychiatric training, medical qualification, and paramedical training on the rating of abnormal behaviour. Psychological Medicine 5, 89–95.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970). A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine 24, 18–23.Google ScholarPubMed
Kendell, R. E., Everitt, B., Cooper, J. E., Sartorius, N. & David, M. E. (1968). The reliability of the ‘Present State Examination’. Social Psychiatry 3, 123–129.CrossRefGoogle Scholar
Luria, R. E. & McHugh, P. R. (1974). Reliability and clinical utility of the ‘Wing’ Present State Examination. Archives of General Psychiatry 30, 866–871.CrossRefGoogle ScholarPubMed
Maxwell, A. E. (1977). Coefficients of agreement between observers, and their interpretation. British Journal of Psychiatry 30, 79–83.CrossRefGoogle Scholar
Schulsinger, H. (1976). A ten-year follow-up of children of schizophrenic mothers: clinical assessment. Acta Psychiatrica 56, 371–386.CrossRefGoogle Scholar
WHO (1973). The International Pilot Study of Schizophrenia. Geneva.Google Scholar
WHO (1974). Glossary of Mental Disorders and Guide to their Classification. Geneva.Google Scholar
Wing, J. K. (1976). A technique for studying psychiatric morbidity in in-patient and out-patient series and in general population samples. Psychological Medicine 6, 665–671.CrossRefGoogle ScholarPubMed
Wing, J. K., Birley, J. L. T., Cooper, J. E., Graham, P. & Isaacs, A. (1967). Reliability of a procedure for measuring and classifying ‘Present Psychiatric State’. British Journal of Psychiatry 113, 499–575.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: London.Google Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1977). The concept of a ‘case’, in psychiatric population surveys. To be published.Google Scholar