Psychiatric Screening in a Medical Clinic: An Evaluation of a Self-report Inventory

doi:10.1001/archpsyc.1978.01770340039003

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Vol. 35 No. 10, October 1978

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Psychiatric Screening in a Medical Clinic

An Evaluation of a Self-report Inventory

Richard M. Glass, MD; Andrew T. Allan, MD; E. H. Uhlenhuth, MD; Chase P. Kimball, MD; Dennis I. Borinstein, PhD

Arch Gen Psychiatry. 1978;35(10):1189-1195.

Abstract

• A self-report symptom inventory, the Hopkins SymptomChecklist, was used as a screening test for psychiatric disorderin a group of 82 new patients in a university hospital outpatientmedical clinic, and the results were compared with interviewerdiagnoses. The prevalence of psychiatric disorder in the groupwas high (83%). Both parametric (discriminant function analysis)and nonparametric (contingency table) methods produced screeningresults from the patient self-ratings that were statisticallysignificant but of limited accuracy in separating psychiatricallyill from well patients. Comparison of patient and interviewerratings of symptoms indicated substantial agreement, suggestingthat the screening accuracy of the symptom inventory is limitedby the absence of historical and observational data.

Author Affiliations

From the Department of Psychiatry, University of Chicago. Dr Allan is now in practice in Tamuning, Guam, and Dr Borinstein is with the Harlem Valley Psychiatric Center, Wingdale, NY.

Footnotes

Accepted for publication June 20, 1977.

Reprint requests to Box 411, 950 E 59th St, Chicago, IL 60637(Dr Glass).

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