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Manchester and Oxford University Scale for the Psychopathological Assessment of Dementia

Published online by Cambridge University Press:  10 January 2005

N. Harry P. Allen
Affiliation:
Central Manchester Healthcare NHS Trust, Psychiatry Directorate, York House, York Place, Oxford Road, Manchester, UK
Sheila Gordon
Affiliation:
Central Manchester Healthcare NHS Trust, Psychiatry Directorate, York House, York Place, Oxford Road, Manchester, UK
Tony Hope
Affiliation:
Department of Psychiatry, Warneford Hospital, Oxford, UK
Alistair Burns
Affiliation:
Central Manchester Healthcare NHS Trust, Psychiatry Directorate, York House, York Place, Oxford Road, Manchester, UK

Abstract

There is increasing awareness of the importance of psychopathological and behavioral changes in dementia and a need for a technique to measure these noncognitive features. Such a schedule should keep screening questions to a minimum, include a severity measure, exclude symptoms resulting from physical illness, be as brief as possible, and not mix domains of psychopathology. To test the reliability, sensitivity, and validity of a newly developed test, 30 carers were interviewed four times during 6 weeks. An obligatory stem question in each category was followed by supplementary questions. The interviewer recorded the presence of each symptom, its severity, when each symptom started, its duration, and whether it was still present. To detect the presence of delusions, the informant was asked about the patient's insight. Satisfactory differences in mean κ values were demonstrated in test-retest and interrater reliability and validity compared with other techniques. This test may be useful to measure the outcome of drug trials, for correlating psychopathological and behavioral changes with autopsy findings and in epidemiological surveys.

Type
Mental Status and Neuropsychological Assessment
Copyright
© 1997 International Psychogeriatric Association

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