The Present State Examination: Experiences with Xhosa-speaking Psychiatric Patients

1982 ◽  
Vol 141 (2) ◽  
pp. 143-147 ◽  
Author(s):  
L. S. Gillis ◽  
O. Ben-Arie ◽  
R. Elk ◽  
A. Teggin
Keyword(s):  
Psychiatric Hospital ◽  
Present State ◽  
Psychiatric Patients ◽  
Cultural Factors ◽  
Psychiatric Disturbance ◽  
Valid Instrument ◽  
State Examination

SummaryLanguage, conceptual, and cultural factors are discussed in relation to a Xhosa translation of the Present State Examination which was administered to a series of 120 consecutive new admissions to a psychiatric hospital.The experiential events of psychiatric disturbance as defined by the PSE exist in Xhosa-speaking patients and it is a valid instrument.

Hysterectomy and Psychiatric Disorder: I. Levels of Psychiatric Morbidity before and after Hysterectomy

1982 ◽  
Vol 140 (4) ◽  
pp. 335-342 ◽  
Author(s):  
Dennis Gath ◽  
Peter Cooper ◽  
Ann Day
Keyword(s):  
General Population ◽  
Psychiatric Disorder ◽  
Social Functioning ◽  
Present State ◽  
Psychiatric Patients ◽  
Psychiatric Morbidity ◽  
Long Duration ◽  
Before And After ◽  
State Examination

SummaryOne hundred and fifty-six women with menorrhagia of benign origin were interviewed before hysterectomy, and re-interviewed six months post-operatively (n = 147), and again 18 months post-operatively (n = 148). Levels of psychiatric morbidity were significantly higher before the operation than after. On the Present State Examination, 58 per cent of patients were psychiatric cases before surgery, as against 29 per cent at the 18-month follow-up. Similar post-operative improvements were found on measures of mood (POMS), and of psychosexual and social functioning. Most of these improvements had occurred within three to six months after the operation. Both before and after hysterectomy, levels of psychiatric morbidity were high by comparison with women in the general population, but lower than in psychiatric patients. The pre-operative psychiatric morbidity had been mainly of long duration.

Clinical Change as a Function of Brief Admission to Hospital in a Controlled Study Using the Present State Examination

1980 ◽  
Vol 137 (2) ◽  
pp. 170-180 ◽  
Author(s):  
Angela Knights ◽  
S. R. Hirsch ◽  
S. D. Platt
Keyword(s):  
Present State ◽  
Psychiatric Patients ◽  
Controlled Trial ◽  
Clinical State ◽  
Controlled Study ◽  
Heterogenous Group ◽  
Measure Change ◽  
One Year ◽  
Clinical Measures ◽  
State Examination

SummaryA randomized controlled trial of brief hospital admission failed to show any difference on clinical measures when compared with standard admission for all psychiatric patients admitted from a catchment area over one year. Psychotic and neurotic symptoms were examined separately and together, using the Present State Examination (PSE) a week after admission and three months later. Clinical outcome was not related to length of stay in hospital or psychiatric diagnosis. This study shows how the PSE can be used to measure change in clinical state for a heterogenous group of psychiatric patients.

Subcultural Delusions and Hallucinations Comments on the Present State Examination in a Multi-Cultural Context

1985 ◽  
Vol 146 (4) ◽  
pp. 391-394 ◽  
Author(s):  
L. Swartz ◽  
O. Ben-Arie ◽  
A. F. Teggin
Keyword(s):  
Present State ◽  
Cultural Context ◽  
Cultural Factors ◽  
Cross Cultural ◽  
Research Model ◽  
Cultural Research ◽  
Cross Cultural Research ◽  
State Examination

SummaryThe challenges presented by the Present State Examination (PSE) in a multi-cultural context are explored. The general approach to the use of this instrument, difficulties with rating items relevant to cultural or subcultural conditions, and particularly the assessment of psychosis are considered, as well as the possibility of additions to and modifications of the PSE-CATEGO system. Though disagreement exists as to whether the research model which the PSE represents is adequate to deal exhaustively with cultural factors, the instrument is useful in cross-cultural research and also in stimulating debate and crystallising issues.

Use of Hospital Services by Chronic Schizophrenics in the Community

1979 ◽  
Vol 134 (4) ◽  
pp. 417-421 ◽  
Author(s):  
Hugh Freeman ◽  
A. J. Cheadle ◽  
J. R. Korer
Keyword(s):  
Social Services ◽  
Psychiatric Hospital ◽  
General Practitioners ◽  
Present State ◽  
Hospital Services ◽  
Chronic Schizophrenics ◽  
Heavy Medium ◽  
Schizophrenic Patients ◽  
One Year ◽  
State Examination

SummaryA sample of chronic schizophrenic patients from an urban community, living outside hospital, were reassessed on the Present State Examination one year after a first examination. During this time their use of psychiatric hospital services was recorded. One hundred and two patients had satisfactory interviews on both occasions. These could be divided into Heavy, Medium and Light users of services, the numbers being 8, 14 and 63 respectively, while 17 only saw their general practitioners or had no treatment. A ranking of the sample in terms of severity showed no correlation with use of these services; second PSE scores were not significantly different from the first. Heavy and Medium users of hospital services were in contact with Social Services to a significantly greater extent than other patients.

Further studies on interviewer training and inter-rater reliability of the Present State Examination (PSE)

1977 ◽  
Vol 7 (3) ◽  
pp. 517-523 ◽  
Author(s):  
J. E. Cooper ◽  
J. R. M. Copeland ◽  
G. W. Brown ◽  
T. Harris ◽  
A. J. Gourlay
Keyword(s):  
Present State ◽  
Psychiatric Patients ◽  
Significant Proportion ◽  
Normal Subjects ◽  
Rater Reliability ◽  
Proper Training ◽  
Interviewer Training ◽  
State Examination ◽  
Considerable Detail ◽  
8Th Edition

SynopsisThe Present State Examination (PSE) is discussed with regard to its use in surveys of subjects who are not psychiatric patients. Although the PSE was originally developed for use by psychiatrists with patients with obvious mental illness, the interview also contains sections dealing in considerable detail with the commoner and less severe complaints and symptoms that are found in a significant proportion of ‘normal subjects’. A shortened version of the PSE (8th edition) is described, limited to these sections, which has been used in population surveys, by interviewers who are not psychiatrists. The training of such interviewers is described, and information on a reliability and repeatability study is presented. This shows that with proper training, non-psychiatric interviewers can achieve standards of inter-rater reliability that are comparable to those previously reported between psychiatrists.

A Jamaican psychiatrist evaluates diagnoses at a London psychiatric hospital

1999 ◽  
Vol 175 (3) ◽  
pp. 283-285 ◽  
Author(s):  
F. W. Hickling ◽  
K. McKenzie ◽  
R. Mullen ◽  
R. Murray
Keyword(s):  
Psychiatric Hospital ◽  
Present State ◽  
Clinical Assessment ◽  
Interrater Reliability ◽  
Case Note ◽  
High Rate ◽  
Black African ◽  
African Caribbean ◽  
The Uk ◽  
State Examination

BackgroundAuthors have suggested that the high rate of schizophrenia reported for African–Caribbeans living in the UK is due to misdiagnosis by British psychiatrists.AimsTo compare the diagnoses made by a Black Jamaican psychiatrist with those of White British psychiatrists.MethodAll in-patients on four wards at the Maudsley hospital were approached for the study; 66 participated: 24 White, 29 Black African–Caribbeans and 13 Blacks from other countries of origin. F. W. H., a Black Jamaican psychiatrist, conducted his standard clinical assessment and performed the Present State Examination (PSE) on these patients. His diagnoses were compared with the case note diagnoses made by British psychiatrists, and with the PSE CATEGO diagnoses.ResultsOf 29 African and African–Caribbean patients diagnosed with schizophrenia, the diagnoses of the British and the Jamaican psychiatrists agreed in 16 instances (55%) and disagreed in 13 (45%). Hence, interrater reliability was poor (κ=0.45). PSE CATEGO diagnosed a higher proportion of subjects as having schizophrenia than the Jamaican psychiatrist did (χ2=3.74, P=0.052)ConclusionsAgreement between the Jamaican psychiatrist and his UK counterparts about which patients had schizophrenia was poor. PSE CATEGO may overestimate rates of schizophrenia.

AN ANALYSIS OF COPING STRATEGY FOR NURSE CARE IN FACING PSYCHIATRIC PATIENTS IN INTENSIVE SERVICE UNITS (UPI) AT PSYCHIATRIC HOSPITAL OF DR. SOEROJO MAGELANG

2020 ◽  
Vol 2 (1) ◽  
pp. 44-48
Author(s):  
Isti Noviana ◽  
Sri Respati Andamari
Keyword(s):  
Qualitative Research ◽  
Coping Strategies ◽  
Psychiatric Hospital ◽  
Coping Strategy ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Purposive Sampling ◽  
Nurse Care ◽  
Service Unit ◽  
Natural Objects

This study aims to get understanding on how the anxiety coping strategies of psychiatric nurses in handling patients who still feel anxious in the Intensive Service Unit (UPI). The method used in this study is a qualitative research by taking data based on the condition of natural objects. The study is conducted on psychiatric nurses in the Intensive Service Unit at Prof. Dr. Soerojo psychiatric Hospital in Magelang. The respondents of this study are taken from stratified purposive sampling that the writers take 2 female psychiatric nurses from female UPI and 3 male psychiatric nurses from Male UPI. Data are collected by observation and interview. The results show that the coping strategies that emerged from each subject differr one another, not all aspects of the coping strategy were used by the respondents. This means that by varying the coping strategies emerging from each respondent can be used as a reference as a study learned by individuals with the same conditions experienced by the respondents.

British Phenomenological and Psychopathological Concepts: A Comparative Review

1982 ◽  
Vol 140 (6) ◽  
pp. 558-565 ◽  
Author(s):  
Peter Berner ◽  
Bernd Küfferle
Keyword(s):  
Present State ◽  
Theoretical Approach ◽  
Rating Scale ◽  
Statistical Evaluation ◽  
Substantial Contribution ◽  
Comparative Review ◽  
American Schools ◽  
Traditional Structures ◽  
State Examination ◽  
Hamilton Rating Scale

For a foreign observer who has been trained in German and French psychopathology, British psychiatry is very attractive at first glance for a number of reasons. Its eclectic and principally non-theoretical approach (Cooper, 1975), characterized by an open acceptance of foreign concepts and by the tendency to question traditional structures and hypotheses and to test them by means of statistical methods, appears most impressive. The substantial contribution British authors have made toward the development of structured tools in psychopathology, like for instance the Present State Examination or the Hamilton Rating Scale in order to facilitate such a statistical evaluation, which reflects clearly the inheritance of Sir Francis Galton, is also a cause of sincere admiration. The European observer realizes furthermore that the British approach is rooted mainly in continental, especially in German, clinical psychiatry, and is not as heavily influenced by psychodynamic theories as, for instance, the American schools were, at least until recently. This provides him with a comfortable feeling of familiarity and he is not inclined to question certain British tenets until his involvement progresses and he becomes aware of the comparative lack of attention paid by British schools to some of the fundamentals of continental psychopathology.

Psychiatric assessment

2013 ◽  
pp. 33-82
Keyword(s):  
Depressed Mood ◽  
Mental State ◽  
Psychiatric Patients ◽  
Clinical Interview ◽  
Anxiety Symptoms ◽  
Psychiatric Assessment ◽  
Case Summary ◽  
Self Harm ◽  
State Examination

The clinical interview Setting the scene Interviewing psychiatric patients Discussing management History Mental state examination Case summary Observations of appearance and behaviour Speech Abnormal mood Asking about depressed mood Asking about thoughts of self-harm Asking about elevated mood Anxiety symptoms Asking about anxiety symptoms Abnormal perceptions...

scholarly journals Admission experiences of psychiatric patients in tertiary care: An implication toward Mental Health Care Bill, 2013

2017 ◽  
Vol 08 (01) ◽  
pp. 089-095 ◽  
Author(s):  
Vijayalakshmi Poreddi ◽  
Rajalakshmi Ramu ◽  
Sugavana Selvi ◽  
Sailaxmi Gandhi ◽  
Lalitha Krishnasamy ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Hospital ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Care Center ◽  
Tertiary Care ◽  
Perceived Coercion ◽  
Negative Pressures

ABSTRACT Background: Coercion is not uncommon phenomenon among mental health service users during their admission into psychiatric hospital. Research on perceived coercion of psychiatric patients is limited from India. Aim: To investigate perceived coercion of psychiatric patients during admission into a tertiary care psychiatric hospital. Materials and Methods: This was a cross-sectional descriptive survey carried out among randomly selected psychiatric patients (n = 205) at a tertiary care center. Data were collected through face-to-face interviews using structured questionnaire. Results: Our findings revealed that participants experienced low levels of coercion during their admission process. However, a majority of the participants were threatened with commitment (71.7%) as well as they were sad (67.8%), unpleased (69.7%), confused (73.2%), and frightened (71.2%) with regard to hospitalization into a psychiatric hospital. In addition, the participants expressed higher levels of negative pressures (mean ± standard deviation, 3.76 ± 2.12). Participants those were admitted involuntarily (P > 0.001), diagnosed to be having psychotic disorders (P > 0.003), and unmarried (P > 0.04) perceived higher levels of coercion. Conclusion: The present study showed that more formal coercion was experienced by the patients those got admitted involuntarily. On the contrary, participants with voluntary admission encountered informal coercion (negative pressures). There is an urgent need to modify the Mental Health Care (MHC) Bill so that treatment of persons with mental illness is facilitated. Family member plays an important role in providing MHC; hence, they need to be empowered.

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