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Development of the Chinese Version of the Geriatric Mental State Schedule

Published online by Cambridge University Press:  10 January 2005

Hin-Yeung Tsang ,
Main-Yoon Chong  and
Andrew T. A. Cheng
Hin-Yeung Tsang
Affiliation:
Department of Psychiatry, Chang Gung Memorial Hospital, Chai Yi, Taiwan
Main-Yoon Chong
Affiliation:
Department of Psychiatry, Kaohsiung Medical University, Kaohsiung, Taiwan
Andrew T. A. Cheng
Affiliation:
Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan
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Abstract

Objective: To test the validity and reliability of the Chinese Geriatric Mental State Schedule (CGMS) in Taiwanese elders. Methods: The CGMS has gone through a standardized two-way translation, a pretest phase, and consensus focus group meetings in order to modify relevant culture-related terms of the original English version. The interrater reliability of the CGMS among eight psychiatrists was conducted after a training course was given to them. Diagnoses generated by the CGMS-AGECAT (Automated Geriatric Examination for Computer Assisted Taxonomy) were compared with psychiatric diagnoses according to the DSM-III-R criteria. The sample subjects were aged 65 and over and recruited from a community (n = 36) and an “old age home” (n = 56). Results: Four of the eight diagnostic categories generated by the CGMS-AGECAT had a generalized kappa value of 1.0, and the figures for the remaining four categories were acceptable: .8 for depressive neurosis, .6 for anxiety disorder, .5 for schizophrenia, and .5 for depressive psychosis (generalized kappa = .5). The overall agreement between the CGMS-AGECAT and independent psychiatric diagnosis (based on the DSM-III-R criteria) was satisfactory. Conclusion: The CGMS has been found to be a crossculturally valid and reliable instrument for use in Taiwan.

Keywords

Chinese version of the Geriatric Mental State Schedulevalidityreliability
Type
Articles
Information
International Psychogeriatrics , Volume 14 , Issue 2 , June 2002 , pp. 219 - 226
Copyright
© 2002 International Psychogeriatric Association

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