Moss S, Prosser H, Costello H, Simpson N, Patel P, Rowe S, Turner S, Hatton C
Hester Adrian Research Centre, University of Manchester, England.
J Intellect Disabil Res. 1998 Apr;42 ( Pt 2):173-83. doi: 10.1046/j.1365-2788.1998.00116.x.
The PAS-ADD Checklist is a screening instrument specifically designed to help staff recognize mental health problems in the people with intellectual disability for whom they care, and to make informed referral decisions. The instrument consists of a life-events checklist and 29 symptom items scored on a four-point scale. Scores are combined to provide three threshold scores. The crossing of any of these thresholds indicates the need for a fuller assessment. The items are worded in everyday language, making the Checklist suitable for use by individuals who do not have a background in psychopathology. The present paper presents the results of a number of studies evaluating the reliability and validity of the Checklist. Factor analysis of Checklists completed on a community sample of 201 individuals yielded eight factors, of which seven were readily interpretable in diagnostic terms. Internal consistency of the scales was generally acceptable. Inter-rater reliability in respect to individual items gave a fairly low average Kappa of 0.42. However, agreement on case identification, the main purpose of the Checklist, was quite good, with 83% of the decision being in agreement. Validity in relation to clinical opinion was also satisfactory, case detection rising appropriately with the clinically judged severity of disorder. The PAS-ADD Checklist is published and distributed by the Hester Adrian Research Centre, Manchester, England, from where further information and order forms are available on request.
PAS-ADD检查表是一种筛查工具，专门设计用于帮助工作人员识别他们所照顾的智障人士的心理健康问题，并做出明智的转诊决定。该工具包括一个生活事件检查表和29个症状项目，按四点量表评分。分数合并后提供三个阈值分数。任何一个阈值的突破都表明需要进行更全面的评估。这些项目用日常语言表述，使检查表适合没有精神病理学背景的人使用。本文介绍了多项评估该检查表信度和效度的研究结果。对201名社区样本完成的检查表进行因子分析，得出八个因子，其中七个在诊断方面易于解释。量表的内部一致性总体上可以接受。各项目的评分者间信度给出的平均卡帕值相当低，为0.42。然而，在检查表的主要目的即病例识别方面，一致性相当好，83%的决定意见一致。与临床意见相关的效度也令人满意，病例检出率随临床判断的疾病严重程度适当上升。PAS-ADD检查表由英国曼彻斯特的海丝特·阿德里安研究中心出版和发行，可根据要求从该中心获取更多信息和订购表格。
