Structured assessment of mental health status in psychogeriatrics: validity of the French HoNOS65+

Détails

ID Serval
serval:BIB_91A3389C367E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Structured assessment of mental health status in psychogeriatrics: validity of the French HoNOS65+
Périodique
Canadian Journal of Psychiatry
Auteur(s)
Canuto Alessandra, Weber Kerstin, Gold Gabriel, Notaridis Grigorios, Michon Agnès, Giardini Umberto, Delaloye Christophe, Herrmann François R., Giannakopoulos Panteleimon
ISSN
0706-7437
Statut éditorial
Publié
Date de publication
2007
Peer-reviewed
Oui
Volume
52
Numéro
1
Pages
37-45
Langue
anglais
Notes
SAPHIRID:61431 --- Old url value: http://publications.cpa-apc.org/media.php?mid=334
Résumé
OBJECTIVE: To assess the reliability, validity, and feasibility of a French version of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+). METHOD: Twenty mental health professionals completed the scale for 126 elderly patients. We assessed interrater reliability in inpatient and outpatient settings, together with construct and discriminant validity, as well as concurrent validity compared with several widely used clinical instruments. RESULTS: Excellent agreement among raters was observed in the outpatient subgroup (kappa range 0.77 to 1.00), whereas interrater reliability was modest in the inpatient subgroup (kappa values < 0.55). In cases where the patient-caregiver relationship lasted more than 1 month, the reliability of the scale improved. Construct validity analysis revealed no subscale structure. All items except "self-injury" displayed high concurrent validity (significant Spearman correlations with 8 other questionnaires). In terms of discriminant validity, the "cognitive impairment" (area under the curve [AUC] 0.91) and "depressive symptoms" (AUC 0.79) items showed high sensitivity and specificity values. CONCLUSION: Our results indicate that the French version of HoNOS65+ is a promising clinical assessment tool to evaluate mental disorders in the elderly in outpatient settings. We support its use in routine clinical practice, with the condition that a relatively long and individualized patient-caregiver relationship has been established
Pubmed
Web of science
Création de la notice
10/03/2008 12:04
Dernière modification de la notice
20/08/2019 15:54
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