Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
E-pub ahead of print

Variability between psychiatrists on domains of the mental status examination

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Automatically generated smartphone data and subjective stress in healthy individuals - a pilot study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Help-seeking behavior among Danish veterans with self-reported mental problems - a 22 years register-based follow-up study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Validation of the Danish version of the brief negative symptom scale

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Construct validity of the Mechanical Restraint - Confounders, Risk, Alliance Score (MR-CRAS): a new risk assessment instrument

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. A pilot study on high amplitude low frequency-music impulse stimulation as an add-on treatment for depression

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Arguments for a Phenomenologically Informed Clinical Approach to Autism Spectrum Disorder

    Research output: Contribution to journalReviewResearchpeer-review

  3. Selvmordsforebyggelse – hvordan kommer vi videre?

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Background: The Mental Status Examination (MSE) is a core element of the psychiatric assessment. To investigate the current level of psychopathological knowledge, the reliability of the MSE can be used as a proxy as it is based on descriptive psychopathology.Methods: Three psychiatrists wrote their MSE based on 27 video recordings. The variability and inter-rater agreement were evaluated using an agreement scale from 1 to 5, made by several psychiatrists. The agreement was analysed by mean values, stratified mean values and Cronbach's alpha.Results: The total agreement had a Cronbach's alpha of 0.87 (p < 0.000). The grand mean of variability was 4.1 (SD = 0.8). The domains with the highest variability were Attitude (Est. = 3.5, SD = 0.9), Affect (Est. = 3.8, SD = 0.8) and Motor activity (3.7, SD = 0.9). The videos with the highest variability were #2 (Est.=3.3, SD = 1,1) and #21 (Est. = 3.6, SD = 1.1).Conclusions: The overall reliability of the MSE based on Cronbach's alpha was good and the mean variability was low. This indicates that the MSE performed by three psychiatrists is reliable. The main reason for variability was due to individual interpretation and discrepancies in literature. The literature-driven variability could possibly be reduced by approaching national tradition to international practise. The individual variability maybe reduced by increasing the opportunities for clinical group rating.

Original languageEnglish
JournalNordic Journal of Psychiatry
Pages (from-to)1-6
Number of pages6
ISSN0803-9488
DOIs
Publication statusE-pub ahead of print - 18 Dec 2019

    Research areas

  • descriptive psychopathology, Mental status examination, observer rating scales, reliability

ID: 58723055