Psychiatric morbidity in older people with moderate and severe learning disability (mental retardation). Part I: development and reliability of the patient interview (the PAS-ADD)

Moss, S, Patel, P, Prosser, H and Goldberg, D 1993, 'Psychiatric morbidity in older people with moderate and severe learning disability (mental retardation). Part I: development and reliability of the patient interview (the PAS-ADD)' , British Journal of Psychiatry, 163 (4) , pp. 471-480.

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Abstract

This paper describes the development of the PAS-ADD, a semistructured clinical interview for use specifically with patients with learning disabilities, based on items drawn from the PSE. The PAS-ADD includes a number of novel features including: parallel interviewing of patient and informant; a three-tier structure to provide a flexible interview appropriate to the patient's intellectual level; use of a memorable 'anchor event' in the patient's life to improve time focus; and simplified wording, improved organisation and lay out. Inter-rater reliability was investigated using an experimental design in which two raters viewed and re-rated videotaped PAS-ADD interviews which had been conducted by an experienced clinician. Reliability results compared favourably with those obtained in a major study of PSE reliability with a sample drawn from non-learning disabled individuals. Mean kappa for all items was 0.72. Other indexes of reliability were also good. In the current phase of development, the PAS-ADD is to be expanded to include further diagnostic categories, including schizophrenia and autism. The new version will be updated for use with ICD-10 criteria.

Item Type:	Article
Themes:	Health and Wellbeing
Schools:	Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Journal or Publication Title:	British Journal of Psychiatry
Publisher:	Maney Publishing
Refereed:	Yes
ISSN:	0007-1250
Depositing User:	H Prosser
Date Deposited:	26 Sep 2011 11:06
Last Modified:	09 Aug 2017 05:23
URI:	http://usir.salford.ac.uk/id/eprint/17701

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