Psychiatric morbidity among medical in-patients : a standardized assessment (GHQ-12 and CIS-R) using'lay'interviewers in a Brazilian hospital.
The 12-item General Health Questionnaire (GHQ-12) and the revised Clinical Interview Schedule (CIS-R) were used to estimate the prevalence of psychiatric morbidity among 78 consecutive admissions to a general medical ward in a Brazilian university hospital (43 males and 35 females ; mean age=43.2 years).
The CIS-R was administered by three 5th-year medical students after a brief training.
A prevalence rate of 36% was found for psychiatric disorders.
The most frequent symptoms were sleep disorders (48.7%), worry (35.9%), depression (28.2%) and anxiety (26.9%). The sensitivity and specificity of the GHQ-12 were 71% and 76%, respectively.
The CIS-R was simple to administer and acceptable both to patients and interviewers.
Misunderstanding was most likely to occur with the poorly educated (20% were illiterate) in questions involving time calculation.
Alternative options might be used to specify the length of time in future studies.
The findings support the feasibility of the CIS-R and the use of « lay » interviewers to produce epidemiological information on psychiatric disorders in developing countries at lower costs.
Mots-clés Pascal : Admission hôpital, Hôpital général, Diagnostic, Trouble psychiatrique, General Health Questionnaire Goldberg, Clinical Interview Schedule Goldberg, Version revisée, Test clinique, Psychométrie, Homme
Mots-clés Pascal anglais : Hospital admission, General hospital, Diagnosis, Mental disorder, General Health Questionnaire Goldberg, Clinical Interview Schedule Goldberg, Revised drafting, Clinical test, Psychometrics, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0269599
Code Inist : 002B18B01. Création : 01/03/1996.