Reliability and validity of the PAS-ADD checklist for detecting psychiatric disorders in adults with intellectual disability
Reliability and validity of the PAS-ADD checklist for detecting psychiatric disorders in adults with intellectual disability
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DOI：
10.1046/j.1365-2788.1998.00116.x
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发表时间：
1998-04-01
影响因子：
3.6
通讯作者：
Hatton, C
中科院分区：
文献类型：
--
作者：
Moss, S;Prosser, H;Hatton, C
PAS-ADD检查表是一种筛查工具，专门用于帮助工作人员识别他们所照顾的智障人士的心理健康问题，并做出知情的转介决定。该工具包括一个生活事件清单和29个症状项目的四点量表评分。将分数合并以提供三个阈值分数。超过任何一个阈值都表明需要进行更全面的评估。这些项目都是用日常语言编写的，使得清单适合没有精神病理学背景的人使用。本文介绍了一些研究的结果，评估的信度和效度的检查表。因子分析的核对表上完成的社区样本201个人产生了8个因素，其中7个是很容易解释的诊断条款。各量表的内部一致性一般可以接受。就个别项目而言，评分员间的可靠性给出了一个相当低的平均Kappa值为0.42。然而，在核对清单的主要目的-病例识别方面的一致性相当好，83%的决定是一致的。与临床意见相关的有效性也令人满意，病例检出率随着临床判断的疾病严重程度而适当上升。PAS-ADD检查表由英国曼彻斯特的Hester Adrian研究中心出版和分发，可根据要求提供更多信息和订购表格。
The PAS-ADD Checklist is a screening instrument specifically designed to help staff recognize mental health problems in the people with intellectual disability for whom they care, and to make informed referral decisions. The instrument consists of a life-events checklist and 29 symptom items scored on a four-point scale. Scores are combined to provide three threshold scores. The crossing of any of these thresholds indicates the need for a fuller assessment. The items are worded in everyday language, making the Checklist suitable for use by individuals who do not have a background in psychopathology. The present paper presents the results of a number of studies evaluating the reliability and validity of the Checklist. Factor analysis of Checklists completed on a community sample of 201 individuals yielded eight factors, of which seven were readily interpretable in diagnostic terms. Internal consistency of the scales was generally acceptable. Inter-rater reliability in respect to individual items gave a fairly low average Kappa of 0.42. However, agreement on case identification, the main purpose of the Checklist, was quite good, with 83% of the decision being in agreement. Validity in relation to clinical opinion was also satisfactory, case detection rising appropriately with the clinically judged severity of disorder. The PAS-ADD Checklist is published and distributed by the Hester Adrian Research Centre, Manchester, England, from where further information and order forms are available on request.