Clinical Indicators of Psychiatric Disorders in the Elderly in a Hospital's General Practice Service

Anduaga, Jorge J. Caraveo; Mora, Ma. Elena Medina; Lanz, Patricia Martínez; Serrano, Carlos Campillo

doi:10.1300/j018v03n01_02

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Elas não foram encontradas em casa após pelo menos duas visitas, n=19; recusaram-se a participar, n=l. Uma important to point out that the case definition criteria laid out by the CIS correlates well with those defined in the Present State Examination -PSE 4 . A Brazilian version of this instrument is available and it has been shown to be a feasible and reliable interview for use in Brazil 15,18 .…”

Section: Resultsmentioning

confidence: 84%

“…It is dade Clínica (AGC) do caso, também numa escala de S pontos, isto é, de O a 4. É importante assinalar que os critérios para definição de caso da CIS correlaciona-se bem como os critérios estabelecidos pelo Present State Examination -PSE 4 . Já existe uma versão brasileira da CIS e este instrumento mostrou-se apropriado e confiável para uso em nosso meio 15,18 .…”

Section: Instrumentsunclassified

See 1 more Smart Citation

O uso do "Face-Hand Test" como instrumento para rastrear as síndromes psicorgânicas: estudo piloto

1989

View full text Add to dashboard Cite

do "Face-Hand Test" como instrumento para rastrear as síndromes psicorgânicas. Estudo piloto. Rev. Saúde públ., S. Paulo, 23:395-400,1989. RESUMO: Foi aplicada uma versão reduzida do "Face-Hand Test", o FHT-R, em 91 pessoas com 65 anos ou mais em uma amostra ao acaso de idosos vivendo na comunidade (São Paulo, Brasil), com objetivo de testar a habilidade do instrumento em detectar as síndromes psicorgânicas. Os escores do FHT-R foram comparados com as avaliações de um psiquiatra utilizando uma entrevista semi-estruturada, a "Clinical Interview Schedule". Cinco pessoas foram consideradas como sendo portadoras de distúrbios psicorgânicos e 86 como não sendo portadoras de tais distúrbios. No ponto de corte 0/1 os coeficientes de validação obtidos foram: sensibilidade 60%, especificidade 94%, valor prognóstico positivo 38%, valor prognóstico negativo 98%, e taxa de classificação incorreta 8%. A utilização do Teste em pesquisas epidemiológicas é discutida no corpo do trabalho.

show abstract

Section: Resultsmentioning

confidence: 84%

Section: Instrumentsunclassified

O uso do "Face-Hand Test" como instrumento para rastrear as síndromes psicorgânicas: estudo piloto

1989

View full text Add to dashboard Cite

show abstract

“…1970) is a semi-structured psychiatric to investigate this interview as a research tool for interview developed to study psychiatric illness the evaluation of mental illness in an urban in primary care and community surveys. It has elderly household survey in the city of Sao already been applied to elderly subjects in a Paulo, variety of settings: with hospitalized medical patients (Millar, 1981;Vazquez-Barquero et al 1982), with general practice attenders (Caraveo-Anduaga et al 1984), and with community Instrument residents (Cooper & Schwarz, 1982; Weyerer, The psychiatric examination is performed by 1983). Moreover, Caraveo-Anduaga e* al.…”

mentioning

confidence: 99%

The use of the Clinical Interview Schedule for the evaluation of mental health in the aged community

et al. 1991

View full text Add to dashboard Cite

SYNOPSISAs a part of a survey to study the health and living conditions of the elderly population, a random sample of residents aged 65 and over are examined using the Clinical Interview Schedule (CIS) in order to evaluate their psychiatric status. The aim of this study is to evaluate this standard method of assessment as a case-identification instrument in our country. The schedule was completed by 91 subjects. It is easily administered, easily scored, and economical on time. Its completion rate is high. The weighted total scores (WTS) range from 0 to 48. Using the case criteria defined by Cooper & Schwarz (1982), 27 subjects (30%) are considered cases and 64 (70%) are regarded as non-cases. The sensitivity coefficients for the WTS are examined against the overall severity rating at different cut-off points. The optimum cut-off can be anywhere between 16 and 20 points. The WTS has higher validity coefficients to detect the following diagnostic categories (sensitivity, specificity): normals (100%, −); personality (100%, 92%) and affective disorders (100%, 75%). In general the CIS items are given low ratings. Psychotic symptoms are rarely found in this sample. One main problem arose: the item depersonalization is misunderstood by some patients probably because of interpreting it as an upsetting memory disturbance.

show abstract

Mental illness in a cross-national perspective

Blay

Bickel

Cooper

1991

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

Findings for unselected samples for the elderly in two urban populations - one in Mannheim, Germany (n = 418) and the other in Sao Paulo, Brazil (n = 111) - are compared and contrasted. Each study was restricted to persons aged over 65 years living in private households, and each employed a single-stage method of psychiatric case-identification, based on the Clinical Interview Schedule (CIS). Apart from marked differences in educational standards and proportions living alone the two samples were broadly similar in their recorded socio-demographic characteristics. Comparison revealed no significant difference in total prevalence, though there was a trend towards a higher case-frequency in Sao Paulo (29.7%) than in Mannheim (23.3%). The clinical-item profiles for the two samples indicated a higher rate of symptom reporting in Sao Paulo, whereas the Mannheim sample had higher mean scores for a number of psychiatric abnormalities observed at interview. Separate cluster analyses carried out on the two data sets divided the samples into four pairs of sub-groups with similar clinical profiles, which were designated respectively as 'organic', 'depressive', 'neurotic' and 'normal'. While a more careful standardization of method would probably reduce the observed disparities between the samples, some of these are thought to be real and to relate to sociocultural differences, as well as to the greater stresses of daily life in Sao Paulo.

show abstract

Clinical Indicators of Psychiatric Disorders in the Elderly in a Hospital's General Practice Service

Cited by 4 publications

References 0 publications

O uso do "Face-Hand Test" como instrumento para rastrear as síndromes psicorgânicas: estudo piloto

O uso do "Face-Hand Test" como instrumento para rastrear as síndromes psicorgânicas: estudo piloto

The use of the Clinical Interview Schedule for the evaluation of mental health in the aged community

Mental illness in a cross-national perspective

Contact Info

Product

Resources

About