Structured assessment of current mental state in clinical practice: an international study of the reliability and validity of the Current Psychiatric State interview, CPS-50

Acta Psychiatr Scand. 2005 Jan;111(1):44-50. doi: 10.1111/j.1600-0447.2004.00405.x.

Abstract

Objective: To develop a reliable standardized assessment of psychiatric symptoms for use in clinical practice.

Method: A 50-item interview, the Current Psychiatric State 50 (CPS-50), was used to assess 237 patients with a range of psychiatric diagnoses. Ratings were made by interviewers after a 2-day training. Comparisons of inter-rater reliability on each item and on eight clinical subscales were made across four international centres and between psychiatrists and non-psychiatrists. A principal components analysis was used to validate these clinical scales.

Results: Acceptable inter-rater reliability (intra-class coefficient > 0.80) was found for 46 of the 50 items, and for all eight subscales. There was no difference between centres or between psychiatrists and non-psychiatrists. The principal components analysis factors were similar to the clinical scales.

Conclusion: The CPS-50 is a reliable standardized assessment of current mental status that can be used in clinical practice by all mental health professionals after brief training.

Publication types

  • Comparative Study

MeSH terms

  • Cross-Cultural Comparison*
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / psychology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Humans
  • Inservice Training
  • International Classification of Diseases
  • Interview, Psychological*
  • Mental Disorders / diagnosis*
  • Observer Variation
  • Personality Assessment / statistics & numerical data*
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Psychometrics / statistics & numerical data
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Reproducibility of Results
  • Statistics as Topic