Prosser H, Moss S, Costello H, Simpson N, Patel P, Rowe S
Hester Adrian Research Centre, University of Manchester, England.
J Intellect Disabil Res. 1998 Aug;42 ( Pt 4):264-72. doi: 10.1046/j.1365-2788.1998.00146.x.
The Mini PAS-ADD is an assessment schedule for psychiatric disorders in people with an intellectual disability. It is designed to provide a link between the mental health expertise of psychiatrists and psychologists, and the detailed knowledge of individual service users possessed by support staff. In broad terms, the aim of the Mini PAS-ADD is to enable non-psychiatrists accurately to recognize clinically significant psychiatric disorders in the people who they care for, so that they can make informed referral decisions. The instrument comprises 86 psychiatric symptoms and generates a series of subscores on: depression, anxiety and phobias, mania, obsessive-compulsive disorder, psychosis, unspecified disorder (including dementia), and pervasive developmental disorder (autism). The present paper reports the results of a study investigating internal consistency, inter-rater agreement and validity in relation to clinical opinion, using a sample of 68 people with intellectual disability who were in contact with psychiatric services. In terms of the instrument fulfilling its main intended function, i.e. accurate case recognition, the crucial question was whether the support workers, with their lesser knowledge of psychopathology, were also able to correctly identify cases identified by expert clinicians. The validity results in this respect (81% agreement on case recognition) were sufficiently good that it is to be anticipated that the Mini PAS-ADD should have a significant impact on the identification of psychiatric disorders in the community of people with intellectual disability.
简易PAS-ADD是一种针对智障人士精神障碍的评估量表。它旨在在精神科医生和心理学家的心理健康专业知识与支持人员所掌握的服务对象详细信息之间建立联系。从广义上讲，简易PAS-ADD的目的是使非精神科医生能够准确识别他们所照顾人群中具有临床意义的精神障碍，以便他们能够做出明智的转诊决定。该工具包含86种精神症状，并生成一系列关于以下方面的子分数：抑郁、焦虑和恐惧症、躁狂、强迫症、精神病、未特定的障碍（包括痴呆症）以及广泛性发育障碍（自闭症）。本文报告了一项研究的结果，该研究使用了68名与精神科服务机构有接触的智障人士样本，调查了该量表在内部一致性、评分者间一致性以及与临床意见相关的效度方面的情况。就该工具能否实现其主要预期功能，即准确识别病例而言，关键问题在于知识相对较少的精神病理学知识的支持人员是否也能够正确识别专家临床医生所认定的病例。在这方面的效度结果（病例识别方面的一致性为81%）相当不错，可以预期简易PAS-ADD将对智障人群社区中精神障碍的识别产生重大影响。
