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The Geriatric Mental State Examination As a Case-finding Instrument in the Community

Published online by Cambridge University Press:  02 January 2018

C. Mcwilliam*
Affiliation:
University Department of Psychiatry, Liverpool
J. R. M. Copeland
Affiliation:
University Department of Psychiatry, Director, Institute of Human Ageing, Liverpool
M. E. Dewey
Affiliation:
University Department of Psychiatry, Liverpool
N. Wood
Affiliation:
University Department of Psychiatry, Liverpool
*
University Department of Psychiatry, Royal Liverpool Hospital, PO Box 147, Liverpool L69 3BX

Abstract

The Geriatric Mental State Examination (GMS), a standardised psychiatric interview, and its computerised diagnostic system, AGECAT, have been applied to a large (1070) sample of subjects aged over 65 in Liverpool. In a split-half study of this sample, diagnostic scales within the GMS and a diagnostic index derived from them were tested for efficacy in cases of organic and early organic illness (mostly various stages of dementia) and depressive illness. Results demonstrated high levels of sensitivity and specificity, and positive predictive values were within the expected range when applied to these disorders, given their low prevalence in the community. The GMS, when used in this way, is a flexible and effective case-finding instrument.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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Footnotes

Current address: Department of Psychogeriatric Medicine, Leighton Hospital, Crewe, Cheshire.

References

Copeland, J. R. M., Kelleher, M. J., Kellet, J. M., Gourlay, A. J., Gurland, B. J., Fleiss, J. L. & Sharpe, L. (1976). A semi structured clinical interview for the assessment of diagnosis and mental state in the elderly. The Geriatric Mental State Schedule. 1. Development and reliability. Psychological Medicine, 6, 439449.CrossRefGoogle Scholar
Copeland, J. R. M., & Gurland, B. J. (1978) Evaluation of diagnostic methods: an international comparison. In Studies in Geriatric Psychiatry (eds Isaacs, A. D. & Post, F.). Chichester: J. Wiley.Google Scholar
Copeland, J. R. M., (1981) What is a ‘case’? A case for what? In What is a case? The problem of definition in psychiatric community surveys (eds Wing, J. K., Bebbington, P. & Robins, L. N.) London: Grant McIntyre.Google Scholar
Copeland, J. R. M., Dewey, M. E. & Griffiths-Jones, H. M. (1966a) Computerised psychiatric diagnostic system and case nomenclature for elderly subjects: GMS & AGECAT. Psychological Medicine, 16, 8999.CrossRefGoogle Scholar
Copeland, J. R. M., McWilliam, C., Dewey, M. E., Forshaw, D., Shiwach, R., Abed, R. T., Muthu, M. S., Wood, N. (1986b) The early recognition of dementia in the elderly; a preliminary communication about a longitudinal study using the GMS-AGECAT package (community version) International Journal of Geriatric Psychiatry, 1, 6370.CrossRefGoogle Scholar
Copeland, J. R. M., McWilliam, C., Wood, N., Searle, R., Davidson, I. A., McWilliam, C. (1987) The range of mental illness amongst the elderly in the community: prevalence in Liverpool using the GMS-AGECAT package. British Journal of Psychiatry, 150, 815823.CrossRefGoogle Scholar
Dewey, M. E. & Copeland, J. R. M. (1986) Computerised diagnosis in the elderly: AGECAT. Journal of Microcomputer Applications, 9, 135140.CrossRefGoogle Scholar
Fleiss, J. L. (1973) Statistical Methods for Rates and Proportions. New York: Wiley.Google Scholar
Goldberg, D. P. (1972) Institute of Psychiatry Maudsley Monograph, 21. The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
Gurland, B. J., Fleiss, J. L., Goldberg, K., Sharpe, L., Copeland, J. R. M., Kelleher, M. J. & Kellet, J. M. (1976) A semi structured clinical interview for the assessment of diagnosis and mental state in the elderly. The Geriatric Mental State Schedule. 2. A factor analysis. Psychological Medicine, 6, 451459.CrossRefGoogle Scholar
Gurland, B. J., Copeland, J. R. M., Kelleher, M. J., Kuriansky, J., Sharpe, L. & Dean, L. (1983) The Mind and Mood of Ageing. The Mental Health Problems of the Community Elderly in New York and London. New York: Haworth Press. London: Croom Helm.Google Scholar
Shrout, P. E. & Fleiss, J. L. (1981) Reliability and case detection. In What is a Case? The Problem of Definition in Psychiatric Community Surveys (eds Wing, J. K., Bebbington, P., Robins, L. N.). London: Grant McIntyre.Google Scholar
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