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A new interview for the multiaxial assessment of psychiatric morbidity in medical settings

Published online by Cambridge University Press:  09 July 2009

Antonio Lobo ,
Ricardo Campos ,
M.-Jesús Pérez-Echeverría ,
Julián Izuzquiza ,
Javier García-Campayo ,
Pedro Saz  and
Guillermo Marcos
Antonio Lobo*
Affiliation:
Hospital Clínico Universitario, Universidad de Zaragoza, Spain
Ricardo Campos
Affiliation:
Hospital Clínico Universitario, Universidad de Zaragoza, Spain
M.-Jesús Pérez-Echeverría
Affiliation:
Hospital Clínico Universitario, Universidad de Zaragoza, Spain
Julián Izuzquiza
Affiliation:
Hospital Clínico Universitario, Universidad de Zaragoza, Spain
Javier García-Campayo
Affiliation:
Hospital Clínico Universitario, Universidad de Zaragoza, Spain
Pedro Saz
Affiliation:
Hospital Clínico Universitario, Universidad de Zaragoza, Spain
Guillermo Marcos
Affiliation:
Hospital Clínico Universitario, Universidad de Zaragoza, Spain
*
1Address for correspondence: Dr A. Lobo, Departamento de Psiquiatría, Hospital Clínico Universitario, planta 11, 50009 Zara-goza, Spain.
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Synopsis

A new semistructured instrument, the Standardized Polyvalent Psychiatric Interview or SPPI has been developed primarily for assessing medical patients. It has been built on the Clinical Interview Schedule and is intended to evaluate individuals in a multiaxial schema: psychopathology, including duration and severity of disorder; somatic disturbance; social problems and social supports: and pre-morbid personality, with especial emphasis on ‘neuroticism’. The SPPI generates enough information to allow the use of different research diagnostic criteria, including DSM-III-R, ICD-10 and Goldberg's criteria of ‘attribution’ of somatic symptoms and ‘relationships between psychiatric and physical disorder’. It also includes a section related to recommended treatment. The new interview fulfils standards of feasibility, face and content validity. An incomplete block design, inter-rater reliability study was carried out with a consecutive sample of 48 out-patients referred to the Psychosomatic-Liaison Service of the University Hospital of Zaragoza. A broad range of agreement coefficients were calculated, the results being quite acceptable (most kappas are in the range from 0·7 to 0·9) and tending to support the procedural validity of the interview.

Type
Brief Communication
Information
Psychological Medicine , Volume 23 , Issue 2 , May 1993 , pp. 505 - 510
Copyright
Copyright © Cambridge University Press 1993

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