Article1986

The Validation of the GHQ-28 and the use of the MMSE in Neurological In-Patients

129 citations0/0 files storedThe British Journal of Psychiatry

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Psychological Testing and Assessment Dementia and Cognitive Impairment Research Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

The routine use of screening instruments for psychiatric and cognitive impairment in hospital in-patients has been recommended in the United States. The validity of the scaled version of the General Health Questionnaire (GHQ-28) and the clinical utility of the Mini-Mental State Examination (MMSE) were therefore evaluated in a consecutive series of neurological in-patients (N = 102). Using Receiver Operating Characteristic (ROC) analysis, the discriminating power of the GHQ was very good, and best when using a threshold score of 11/12. The patient sample turned out not to contain any with generalised cortical damage, which casts some doubt on whether the MMSE should be used routinely in all neurological in-patients units in the UK.

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References

1979A scaled version of the General Health Questionnaire 1970A standardized psychiatric interview for use in community surveys.1985A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis 1983Validation of the General Health Questionnaire in a young community sample 1967Reliability of a Procedure for Measuring and Classifying “Present Psychiatric State”

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