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Concurrent validity of the GMS-AGECAT (A3) package in a Danish nursing home population
Author(s)Lisbeth Sorensen, Anders Foldspang, N C Gulmann
Journal titleInternational Journal of Geriatric Psychiatry, vol 13, no 5, May 1998
Pagespp 336-342
KeywordsAssessment procedures for mental patients ; Screening ; Care homes ; Nursing homes ; Comparison ; Denmark.
AnnotationThis study aimed to validate the Danish version of the GMS-AGECAT (A3), the Standardised Mini Mental State Examination (SMMSE) and the Geriatric Depression Score (GDS-15), by comparing them to clinical ICD-10 criteria in a Danish nursing home population of 100. The prevalence of clinical psychiatric ICD-10 main diagnoses was 56%. Those not able to communicate (non-accessibles) had significantly higher psychiatric morbidity and lower ADL (activities of daily living) scores (modified Barthel ADL index) compared to those who were able to communicate. With the non-accessibles included, the optimal screening and diagnostic cutpoint for the GMS-AGECAT organic diagnoses was 2/3, with 96% sensitivity, 73% specificity, 77% predictive value of a positive test and 95% predictive value of a negative test. The SMMSE and GDS-15 had better screening properties compared to the GMS-AGECAT, but only 60% of the residents were able to complete the SMMSE and 78% were able to complete the GDS-15. The Danish version of the GMS-AGECAT has relevant diagnostic and screening properties for organic disorders in Danish nursing home populations. (RH).
Accession NumberCPA-980811007 A
ClassmarkDA:4C: 3V: KW: LHB: 48: 76K

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