Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-10T07:44:40.436Z Has data issue: false hasContentIssue false
  • English
  • Français

A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the Geriatric Mental State Schedule: I. Development and reliability

Published online by Cambridge University Press:  09 July 2009

J. R. M. Copeland ,
M. J. Kelleher ,
J. M. Kellett ,
A. J. Gourlay ,
B. J. Gurland ,
J. L. Fleiss  and
L. Sharpe
J. R. M. Copeland
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, Maudsley Hospital, London, Geriatrics Research, Psychiatric Institute, New York
M. J. Kelleher
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, Maudsley Hospital, London, Geriatrics Research, Psychiatric Institute, New York
J. M. Kellett
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, Maudsley Hospital, London, Geriatrics Research, Psychiatric Institute, New York
A. J. Gourlay
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, Maudsley Hospital, London, Geriatrics Research, Psychiatric Institute, New York
B. J. Gurland
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, Maudsley Hospital, London, Geriatrics Research, Psychiatric Institute, New York
J. L. Fleiss
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, Maudsley Hospital, London, Geriatrics Research, Psychiatric Institute, New York
L. Sharpe
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, Maudsley Hospital, London, Geriatrics Research, Psychiatric Institute, New York
Get access Rights & Permissions [Opens in a new window]

Synopsis

A standardized, semi-structured interview for examining and recording the mental state in elderly subjects is described. It allows the classification of patients by symptom profile and can demonstrate changes in that profile over time. It is believed that good reliability is demonstrated between psychiatric raters both for psychiatric diagnosis made on the basis of the schedule findings and for individual items. The Geriatric Mental State Schedule (GMS) consists mainly of items from the eighth edition of the PSE (Wing et al. 1967), together with additional items from the PSS (Spitzer et al. 1964), and extra sections dealing with disorientation and other cognitive abnormalities. Modifications have been introduced to facilitate interviewing elderly subjects.

Type
Research Article
Information
Psychological Medicine , Volume 6 , Issue 3 , August 1976 , pp. 439 - 449
Copyright
Copyright © Cambridge University Press 1976

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement 20, 37–46.CrossRefGoogle Scholar
Cohen, J. (1968). Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychological Bulletin 70, 213–220.CrossRefGoogle ScholarPubMed
Cooper, J. E., Kendall, 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
Copeland, J. R. M. (1977). Syndromes of Depression and Distress: a Study of Traditional and Mathematical Groupings. Wiley: Chichester.Google Scholar
Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Gourlay, A. J., Cowan, D. W., Barron, G., De Gruchy, J., with Gurland, B. J., Sharpe, L., Simon, R., Kuriansky, J. B. & Stiller, P. (1975). Cross-national study of diagnosis of the mental disorders: a comparison of the diagnoses of elderly psychiatric patients admitted to mental hospitals serving Queens County, New York, and the former borough of Camberwell, London. British Journal of Psychiatry 126, 11–20.CrossRefGoogle ScholarPubMed
Cowan, D. W., Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Gourlay, A. J., Smith, A., Barron, G., De Gruchy, J., with Kuriansky, J., Gurland, B. J., Sharpe, L., Stiller, P. & Simon, R. (1975). Cross-national study of the diagnosis of the mental disorders: a comparative psychometric assessment of elderly patients admitted to mental hospitals serving Queens County, New York, and the former borough of Camberwell, London. British Journal of Psychiatry 126, 560–570.CrossRefGoogle ScholarPubMed
Fleiss, J. L., Gurland, B. J. & Cooper, J. E. (1971). Some contributions to the measurement of psychopathology. British Journal of Psychiatry 119, 647–656.CrossRefGoogle Scholar
Gurland, B. J., Fleiss, J. L., Goldberg, K., Sharpe, L., with Copeland, J. R. M., Kelleher, M. J. & Kellett, J. M. (1976). A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: The Geriatric Mental State Schedule. II. A factor analysis. Psychological Medicine 6, 451–459.CrossRefGoogle Scholar
Gurland, B. J., Kuriansky, J. B., Sharpe, L., Simon, R., Stiller, P., with Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Gourlay, A. J., Cowan, D. W. & Barron, G. (1975). A comparison of the outcome of hospitalization of geriatric patients in public psychiatric wards in New York and London. Canadian Psychiatric Association Journal. (In the Press.)Google Scholar
Kellett, J. M., Copeland, J. R. M. & Kelleher, M. J. (1975). Information leading to accurate diagnosis in the elderly. British Journal of Psychiatry 126, 423–430.CrossRefGoogle 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
Leff, J. P. & Wing, J. K. (1971). Trial of maintenance therapy in schizophrenia. British Medical Journal iii, 599–604.CrossRefGoogle Scholar
Lipsedge, M. S., Rees, L. W. & Pike, D. J. (1971). A double-blind comparison of dothiepin and amitriptyline for the treatment of depression with anxiety. Psychopharmacologia (Berl) 19, 153–162.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Endicott, J. (1968). Diagno: a computer program for psychiatric diagnosis utilizing the differential diagnostic procedure. Archives of General Psychiatry 18, 746–756.CrossRefGoogle ScholarPubMed
Spitzer, R. L. & Endicott, J. (1969). Diagno II. Further developments in a computer program for psychiatric diagnosis. American Journal of Psychiatry 125, 12.CrossRefGoogle Scholar
Spitzer, R. L., Fleiss, J. L., Burdock, E. I. & Hardesty, A. S. (1964). The mental status schedule: rationale, reliability and validity. Comprehensive Psychiatry 5, 384–395.CrossRefGoogle ScholarPubMed
Wing, J. K., Birley, J. L. T., Cooper, J. E., Graham, P. & Isaacs, A. D. (1967). Reliability of a procedure for measuring present psychiatric state. British Journal of Psychiatry 113, 499–515.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1970). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: London.Google Scholar
World Health Organization (1972). Schizophrenia: Report on an International Pilot Study. World Health Organization: Geneva.Google Scholar