Bond J, Brooks P, Carstairs V, Giles L
Br J Psychiatry. 1980 Aug;137:148-62. doi: 10.1192/bjp.137.2.148.
The Survey Psychiatric Assessment Schedule (SPAS) was used in a survey of elderly people living at home and in institutions to examine its reliability in determining mental state. A psychiatrist assessed the same subjects using the Geriatric Mental State Schedule (GMSS) and classified psychiatric disorder into three broad groups: organic disorders, schizophrenia and paranoid disorders, and affective disorders and psychoneuroses. The agreement between the psychiatrist's classification of mental state and the classification derived from SPAS was found to be satisfactory for organic disorders and less satisfactory for functional disorders. The limitations of this method of identifying psychiatric illness are examined.
使用调查精神病学评估量表（SPAS）对居家和机构中的老年人进行了一项调查，以检验其在确定精神状态方面的可靠性。一位精神科医生使用老年精神状态量表（GMSS）对相同的受试者进行评估，并将精神障碍分为三大类：器质性障碍、精神分裂症和偏执性障碍，以及情感障碍和神经症。发现精神科医生对精神状态的分类与从SPAS得出的分类之间，对于器质性障碍的一致性令人满意，而对于功能性障碍则不太令人满意。本文探讨了这种识别精神疾病方法的局限性。
