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A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the Geriatric Mental State Schedule: I. Development and reliability

  • J. R. M. Copeland (a1), M. J. Kelleher (a1), J. M. Kellett (a1), A. J. Gourlay (a1), B. J. Gurland (a1), J. L. Fleiss (a1) and L. Sharpe (a1)
  • DOI: http://dx.doi.org/10.1017/S0033291700015889
  • Published online: 01 July 2009
Abstract
Synopsis

A standardized, semi-structured interview for examining and recording the mental state in elderly subjects is described. It allows the classification of patients by symptom profile and can demonstrate changes in that profile over time. It is believed that good reliability is demonstrated between psychiatric raters both for psychiatric diagnosis made on the basis of the schedule findings and for individual items. The Geriatric Mental State Schedule (GMS) consists mainly of items from the eighth edition of the PSE (Wing et al. 1967), together with additional items from the PSS (Spitzer et al. 1964), and extra sections dealing with disorientation and other cognitive abnormalities. Modifications have been introduced to facilitate interviewing elderly subjects.

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J. R. M. Copeland , M. J. Kelleher , J. M. Kellett , A. J. Gourlay , D. W. Cowan , G. Barron , J. De Gruchy , with B. J. Gurland , L. Sharpe , R. Simon , J. B. Kuriansky & P. Stiller (1975). Cross-national study of diagnosis of the mental disorders: a comparison of the diagnoses of elderly psychiatric patients admitted to mental hospitals serving Queens County, New York, and the former borough of Camberwell, London. British Journal of Psychiatry 126, 1120.

D. W. Cowan , J. R. M. Copeland , M. J. Kelleher , J. M. Kellett , A. J. Gourlay , A. Smith , G. Barron , J. De Gruchy , with J. Kuriansky , B. J. Gurland , L. Sharpe , P. Stiller & R. Simon (1975). Cross-national study of the diagnosis of the mental disorders: a comparative psychometric assessment of elderly patients admitted to mental hospitals serving Queens County, New York, and the former borough of Camberwell, London. British Journal of Psychiatry 126, 560570.

J. L. Fleiss , B. J. Gurland & J. E. Cooper (1971). Some contributions to the measurement of psychopathology. British Journal of Psychiatry 119, 647656.

J. M. Kellett , J. R. M. Copeland & M. J. Kelleher (1975). Information leading to accurate diagnosis in the elderly. British Journal of Psychiatry 126, 423430.

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R. L. Spitzer , J. L. Fleiss , E. I. Burdock & A. S. Hardesty (1964). The mental status schedule: rationale, reliability and validity. Comprehensive Psychiatry 5, 384395.

J. K. Wing , J. L. T. Birley , J. E. Cooper , P. Graham & A. D. Isaacs (1967). Reliability of a procedure for measuring present psychiatric state. British Journal of Psychiatry 113, 499515.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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