The Geriatric Mental State Examination in the 21st century

The Geriatric Mental State Examination in the 21st century
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DOI:
10.1002/gps.667
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发表时间:
2002-08-01
影响因子:
4
通讯作者:
Gurland, B
Gurland, B
中科院分区:
医学2区
文献类型:
--
作者:
Copeland, JRM;Prince, M;Gurland, B

文献摘要

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老年精神状态检查(GMS)现已成为老年人最常用的心理健康评估之一。它的优势在于广泛的效度研究,高评分员之间的信度,受过训练的评分员的可访问性,无论专业背景和它的不断发展和适应。它的计算机化,与辅助仪器的关联和诊断算法的支持为每个受试者提供了全面的诊断系统和综合征概况。该仪器已被验证对大多数主要的诊断系统,并已被用作干预研究的结果措施。它已被翻译成多种语言,并在各种文化中作为诊断工具得到验证。这些研究暴露了弱点,包括对教育程度不高的人群的器官状态的过度诊断。正在进行的研究继续解决这些问题,提供一个文化敏感的工具,使独特的跨文化研究在一个相对不足的研究领域。版权所有(C)2002约翰威利父子有限公司
The Geriatric Mental State Examination (GMS) is now established as one of the most commonly used mental health assessments for older people. Its strengths lie in extensive validity studies, high inter-rater reliability, accessibility to trained raters, irrespective of professional background and its continual evolution and adaptation. Its computerisation, association with supplementary instruments and support by a diagnostic algorithm provides a comprehensive diagnostic system and-syndrome profile for each subject. The instrument has been validated against most major diagnostic systems and has been used as outcome measures in intervention studies. It has been translated into numerous languages and validated as a diagnostic instrument in various cultures. Such studies have exposed weaknesses, including the over diagnoses of organic states in populations with poorly developed education. On-going studies continue to address these issues, providing a culture sensitive instrument enabling unique trans-cultural research in a relatively under-researched field. Copyright (C) 2002 John Wiley Sons, Ltd.