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Related Experiment Videos

The Neuropsychiatric Rating Schedule: reliability and validity

J E Max1, C S Castillo, S D Lindgren

  • 1Department of Psychiatry, University of Iowa, Iowa City, USA.

Journal of the American Academy of Child and Adolescent Psychiatry
|March 31, 1998
PubMed
Summary

The Neuropsychiatric Rating Schedule (NPRS) reliably diagnoses common subtypes of organic personality syndrome (OPS) or personality change (PC) in children and adolescents. This validated interview tool demonstrates good reliability and sensitivity to change.

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Area of Science:

  • Neuropsychiatry
  • Clinical Psychology
  • Pediatric Neurology

Background:

  • Diagnosing organic personality syndrome (OPS) or personality change (PC) due to medical conditions in pediatric populations requires reliable assessment tools.
  • Existing diagnostic methods may lack sufficient validity and reliability for specific subtypes of OPS/PC in children and adolescents.

Purpose of the Study:

  • To evaluate the reliability and validity of the Neuropsychiatric Rating Schedule (NPRS) interview for diagnosing organic personality syndrome (OPS) or personality change (PC).
  • To assess the NPRS's ability to diagnose common subtypes of OPS/PC in pediatric traumatic brain injury (TBI) survivors.

Main Methods:

  • Utilized prospective (n=50) and retrospective (n=72) study data from pediatric TBI patients (ages 6-18).
  • Collected parent and child informant data using the NPRS.

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  • Assessed convergent/discriminant validity against standard scales, and measured interrater reliability (n=20), test-retest reliability (n=42), and sensitivity-to-change (n=37).

    • Main Results:

    • The NPRS successfully diagnosed various OPS/PC subtypes, though apathy and paranoia were infrequent.
    • Rating scale data supported the convergent validity of NPRS-generated OPS/PC subtypes.
    • Interrater agreement was fair to excellent (except for paranoia), test-retest reliability was fair to good, and sensitivity to change was demonstrated.

    Conclusions:

    • The Neuropsychiatric Rating Schedule (NPRS) provides reliable and valid diagnoses for common organic personality syndrome (OPS) or personality change (PC) subtypes.
    • The NPRS is a suitable instrument for assessing personality changes related to medical conditions in pediatric populations.