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Psychiatric Morbidity in Older People with Moderate and Severe Learning Disability

I: Development and Reliability of the Patient Interview (PAS-ADD)

Published online by Cambridge University Press:  02 January 2018

Steve Moss ,
Pradip Patel ,
Helen Prosser ,
David Goldberg ,
Neill Simpson ,
Steve Rowe  and
Ron Lucchino
Steve Moss*
Affiliation:
Hester Adrian Research Centre, University of Manchester, Oxford Road, Manchester M13 9PL
Pradip Patel
Affiliation:
Hester Adrian Research Centre, University of Manchester, Oxford Road, Manchester M13 9PL
Helen Prosser
Affiliation:
Hester Adrian Research Centre, University of Manchester, Oxford Road, Manchester M13 9PL
David Goldberg
Affiliation:
Institute of Psychiatry, London
Neill Simpson
Affiliation:
Central Manchester Health Authority
Steve Rowe
Affiliation:
Olive Mount Hospital, Liverpool
Ron Lucchino
Affiliation:
Institute of Gerontology, Utica College of Syracuse University, Utica, New York
*
∗Correspondence
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Abstract

This paper describes the development of the PAS-ADD, a semistructured clinical interview for use specifically with patients with learning disabilities, based on items drawn from the PSE. The PAS-ADD includes a number of novel features including: parallel interviewing of patient and informant; a three-tier structure to provide a flexible interview appropriate to the patient's intellectual level; use of a memorable ‘anchor event’ in the patient's life to improve time focus; and simplified wording, improved organisation and lay out. Inter-rater reliability was investigated using an experimental design in which two raters viewed and re-rated videotaped PAS-ADD interviews which had been conducted by an experienced clinician. Reliability results compared favourably with those obtained in a major study of PSE reliability with a sample drawn from non-learning disabled individuals. Mean kappa for all items was 0.72. Other indexes of reliability were also good. In the current phase of development, the PAS-ADD is to be expanded to include further diagnostic categories, including schizophrenia and autism. The new version will be updated for use with ICD–10 criteria.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 163 , Issue 4 , October 1993 , pp. 471 - 480
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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