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Agreement in psychiatric assessment

J Andersen1, A Kørner, J K Larsen

  • 1Department of Psychiatry, Frederiksberg Hospital, Denmark.

Acta Psychiatrica Scandinavica
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

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Assessing the Brief Psychiatric Rating Scale (BPRS) in schizophrenia requires rater training. Agreement was highest for positive symptoms and lowest for negative symptoms, highlighting the need to report rater agreement in studies.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Psychometric Assessment

Background:

  • The Brief Psychiatric Rating Scale (BPRS) is a widely used tool for assessing psychiatric symptoms.
  • Ensuring inter-rater reliability is crucial for the validity of BPRS assessments in clinical research and practice.
  • Schizophrenia diagnosis and symptom severity assessment often rely on standardized rating scales.

Purpose of the Study:

  • To determine the practice level required for reliable use of the Brief Psychiatric Rating Scale (BPRS) in schizophrenia.
  • To analyze the inter-rater agreement among clinicians using the BPRS for schizophrenia assessment.
  • To identify specific symptom subscales on the BPRS where rater agreement is highest and lowest.

Main Methods:

  • A study involving 103 patients diagnosed with schizophrenia.

Related Experiment Videos

  • Seven raters were trained and utilized the BPRS to assess patient symptoms.
  • Statistical analysis of inter-rater agreement levels across different BPRS subscales.

    • Main Results:

    • Inter-rater agreement varied across BPRS subscales.
    • The lowest mean agreement was observed for negative symptoms within the schizophrenia subscale.
    • High agreement was achieved for positive symptoms (schizophrenia subscale) and for depression and mania subscales.

    Conclusions:

    • Sufficient practice and training are necessary to achieve reliable BPRS assessments in schizophrenia.
    • Rater differences and procedural factors contribute to observed disagreements.
    • Reporting the degree of inter-rater agreement is essential for studies involving multiple raters using the BPRS.