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Accuracy of Behavioural Assessment by Computer

Published online by Cambridge University Press:  29 January 2018

Anthony C. Carr
Affiliation:
99 Denmark Hill, London SE5 8AF
Anindya Ghosh
Affiliation:
99 Denmark Hill, London SE5 8AF

Summary

An automated assessment interview was given by a microcomputer to 26 randomly selected patients, referred for treatment of phobias. The results were compared with those of conventional clinical assessment by experienced behaviour therapists. Ratings of overall severity and intensity of specific types of agoraphobia and social phobia were derived from the computer interview, and correlated very closely with global ratings by the clinician and also with an independent structured clinical assessment. The computer also elicited behavioural targets to serve as a basis for exposure treatment. Blind assessors rated these targets as highly as those arrived at by clinicians in respect of their practicability, precision and appropriateness for treatment. The automated technique is inexpensive, saves clinicians' time and can be made widely available for screening, assessment and progress monitoring. It may also provide a basis for automated exposure treatment.

Type
Papers
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

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References

Agras, W. S., Sylvester, D. & Oliveau, D. C. (1969) The epidemiology of common fears and phobias. Comprehensive Psychiatry, 10, 151–6.Google Scholar
Carr, A. C., Ancill, R. J., Ghosh, A. & Margo, A. (1981) Direct assessment of depression by microcomputer: a feasibility study. Acta Psychiatrica Scandinavica, 64, 415–22.CrossRefGoogle ScholarPubMed
Carr, A. C., Ghosh, A. & Ancill, R. J. (1983) Can a computer take a psychiatric history. Psychological Medicine, (in press).CrossRefGoogle Scholar
Carr, A. C., Ghosh, A. (1983) Response of phobic patients to direct computer assessment. British Journal of Psychiatry, 142, 60–5.Google Scholar
Derogatis, L. R. (1977) The SCL-90 Manual 1: Scoring, Administration and Procedures for the SCL-90. Baltimore: Johns Hopkins University School of Medicine, Clinical Psychometrics Unit.Google Scholar
Gelder, M. G., Bancroft, J. H. S., Gath, D. H., Johnston, D. W., Mathews, A. M. & Shaw, P. M. (1973) Specific and non-specific factors in behaviour therapy. British Journal of Psychiatry, 123, 445–62.CrossRefGoogle ScholarPubMed
Greist, J. H., Gustafson, D. H., Stauss, F. F., Rowse, G. L., Laughren, T. P. & Chiles, J. A. (1973) A computer interview for suicide risk prediction. American Journal of Psychiatry, 130 (12), 1327–31.Google Scholar
Lang, P. J., Melamed, B. G. & Hast, J. A. (1970) A psychophysiological analysis of fear modification using an automated desensitization procedure. Journal of Abnormal and Social Psychology, 76, 220–34.Google Scholar
Lewis, A. (1936) The problem of obsessional illness. Proceedings of the Royal Society of Medicine, 29, 325–6.Google Scholar
Lucas, R. W. (1977) A study of patients' attitudes to computer interrogation. International Journal of Man-Machine Studies, 9, 6986.Google Scholar
Lucas, R. W., Mullin, P. J., Luna, C. B. X. & McInroy, D. C. (1977) Psychiatrists and a computer as interrogators of patients with alcohol-related illnesses: a comparison. British Journal of Psychiatry, 131, 160–7.Google Scholar
Marks, I. M. (1978) Living with Fear. New York: McGraw-Hill.Google Scholar
Marks, I. M., Hallam, R. S., Connolly, J. & Philpott, R. (1977) Nursing in Behavioural Psychotherapy. London: Royal College of Nursing Research Report.Google Scholar
Marks, I. M. & Mathews, A. M. (1979) Brief standard self-rating for phobic patients. Behaviour Research and Therapy, 17, 263–7.CrossRefGoogle ScholarPubMed
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