Effects of Language and Related Variables on the Expression of Psychopathology in Mexican American Psychiatric Patients

1981 ◽  
Vol 3 (2) ◽  
pp. 145-160 ◽  
Author(s):  
Criselda Segovia Price ◽  
Israel Cuellar

Thirty-two Mexican American patients at the Bilingual/Bicultural Unit at the San Antonio State Hospital participated in a study that investigated the effect of interview language on the expression of psychopathology and the relationship of this effect to the variables of verbal fluency, acculturation, and self-disclosure. The patients were interviewed in separate Spanish- and English-language interviews that were videotaped. The videotaped interviews were then independently rated by bicultural/bilingual mental health professionals who used the Brief Psychiatric Rating Scale to determine the extent of psychopathology expressed by the patients during each interview. The patients were found to significantly express more symptomatology indicative of psychopathology during the Spanish interview. In addition, verbal fluency, acculturation, and self-disclosure were found to be significant multiple predictors of the difference in expressed psychopathology in the two interviews. Under different forms of analysis, verbal fluency and acculturation were also found to be unique predictors of this difference.

2022 ◽  
Author(s):  
Abraham Peled

‘Alysis’ )abbreviation of Neuroanalysis(, - is the chosen definition for the rearrangement of psychiatric phenomology to approximate the hypothesized etiology of mental disorders. Currently the relevant scales such as Positive and Negative Symptoms Scale (PANSS) for schizophrenia and the Hamilton scales for depression and anxiety, and Mania Rating Scale have no specific guiding principle in the order of items. ‘Alysis’ is a reorganization of multiple known scales to fit a future brain-related diagnostic approach to mental disorders. Due to the regrouping of items from different scales and reorganizing them according to a brain-related hypothetic order, it is necessary to reassess the reliability of the new ‘Alysis’ rearrangement. In this work the new ‘Alysis’ format is described and then using t-scores analysis, compared to the widely-used Brief Psychiatric Rating Scale (BPRS) scale for mental disorders. It is shown that ‘Alysis’ is reliable thus can be a good diagnostic platform to go ahead and generate personalized testable-predictions about brain-related diagnostics for psychiatric patients.


1995 ◽  
Vol 29 (3) ◽  
pp. 492-499 ◽  
Author(s):  
Thomas Trauer ◽  
Robert A. Duckmanton ◽  
Edmond Chiu

Two hundred patients with severe mental illness of mixed type were assessed by treating mental health professionals a total of 730 times with the Life Skills Profile (LSP). Confirmatory factor analyses broadly confirmed the existence of the Self-care and Non-turbulence subscales. Internal consistencies were generally good but inter-rater reliabilities were of only marginal acceptability. The fit of the data to the five subscales can be improved by reassigning two items. The Communication subscale had the poorest psychometric properties. Certain LSP scale scores were found to vary with how well and how long the rater had known the patient. Validity, which was assessed by relating LSP scores to locus of care (i.e. community or hospital), Brief Psychiatric Rating Scale (BPRS) ratings and Resource Associated Functional Level Scale (RAFLS) ratings, was good. An alternative scoring system yielded rather clearer meaning for some of the subscales.


2018 ◽  
Vol 62 (13) ◽  
pp. 4158-4173 ◽  
Author(s):  
J. van Beek ◽  
P. J. Vuijk ◽  
J. M. Harte ◽  
E. J. A. Scherder

There is evidence that psychiatric patients with psychotic or manic disorders who are incarcerated suffer from the same symptoms as psychiatric patients who are treated in the community. There are also indications that their symptoms might be more severe. The aim of this study was to examine the severity of psychotic and manic symptoms, as well as to collect information about the emotional functioning of patients admitted to a prison psychiatric ward. Incarcerated patients with a diagnosis of psychotic or a manic disorder were examined with the Brief Psychiatric Rating Scale–Expanded (BPRS-E). With the scores of 140 assessments, a symptom profile was created using the domains of the BPRS-E. This profile was compared with the clinical profile of three nonincarcerated patient groups described in literature with a diagnosis in the same spectrum. We found high scores on positive and manic psychotic symptoms and hostility, and low scores on guilt, depression, and negative symptoms. High scores on manic and psychotic symptoms are often accompanied by violent behavior. Low scores on guilt, depression, and negative symptoms could be indicative of externalizing coping skills. These characteristics could complicate treatment in the community and warrant further research along with clinical consideration.


2019 ◽  
Vol 279 ◽  
pp. 380-381 ◽  
Author(s):  
L. Tarsitani ◽  
S. Ferracuti ◽  
F. Carabellese ◽  
R. Catanesi ◽  
M. Biondi ◽  
...  

1990 ◽  
Vol 157 (2) ◽  
pp. 269-272 ◽  
Author(s):  
P. Garety ◽  
R. M. Toms

“Objective – To assess the severity of psychiatric symptoms among residents of hostels for homeless people. Design – Survey of residents in two hostels in Oxford, comprising three weeks of background fieldwork, a demographic questionnaire, and rating behaviour over two weeks with a behavioural rating scale (REHAB) and mental state with the brief psychiatric rating scale. Setting – Two hostels for homeless people in Oxford. Subjects – 146 Medium to long term residents, of whom 48 were selected by hostel workers by the following criteria: continuous residence for at least two months, signs of persistent severe mental disability, and difficulty in coping independently in the community. Two subjects died during the study; three (previously long term psychiatric inpatients) declined to be assessed on the psychiatric scale. Main outcome measure – Behavioural disturbance and mental state. Results – Only a third of the total sample had been born in Oxfordshire. Subjects had been accepted into the hostel either by arrangement with the local psychiatric service (22) or straight off the streets (26); 43 had had a previous (non-drug related) psychiatric admission. Subjects were significantly more likely than other residents to have spent longer (> 80 weeks) in a hostel in the past three years (p<0.02). With reference to norms for deviant behaviour, the 46 subjects assessed showed considerable deviant behaviour (average weekly scores: 0(11 subjects), 1 (14), 2–3 (16), and ≥4 (5)) not significantly different from that expected in moderately to severely handicapped psychiatric inpatients (χ2 = 1 · 3, df = 3, p > 0 · 7); 22 had scores equivalent to those in most severely handicapped inpatients. Of the 43 subjects assessed with the psychiatric rating scale, 16 had symptoms of neurosis, 29 of florid psychosis, and 32 of a deficit state. Symptoms of deficit state were positively correlated with ratings of low social activity on the behavioural scale (Spearman's rank correlation coefficient 0 · 30, p = 0 · 03). Conclusions – Hostels are having to care for long term severely affected psychiatric patients discharged into the community. The suitability of the services offered to such subjects should be assessed.”


2014 ◽  
Vol 36 (3) ◽  
pp. 152-159 ◽  
Author(s):  
Vitor Crestani Calegaro ◽  
Amanda Bolson Dotto ◽  
Denise Freitas ◽  
Anderson Barcellos Brum ◽  
Andrei Garziera Valerio ◽  
...  

OBJECTIVE: To investigate the association between aggression in the first 24 hours after admission and severity of psychopathology in psychiatric inpatients.METHODS: This cross-sectional study included psychiatric patients admitted to Hospital Universitário de Santa Maria, in Santa Maria, southern Brazil, from August 2012 to January 2013. At their arrival at the hospital, patients were interviewed to fill in the Brief Psychiatric Rating Scale (BPRS) form, and any aggressive episodes in the first 24 hours after admission were recorded using the Overt Aggression Scale (OAS). The Mann-Whitney U test was used to compare patients according to aggressiveness: aggressive versus non-aggressive, hostile versus violent, and aggressive against others only versus self-aggressive.RESULTS: The sample was composed of 110 patients. Aggressive patients in general had higher BPRS total scores (p = 0.002) and individual component scores, and their results showed more activation (p < 0.001) and thinking disorders (p = 0.009), but less anxious-depression (p = 0.008). Violent patients had more severe psychomotor agitation (p = 0.027), hallucinations (p = 0.017) and unusual thought content (p = 0.020). Additionally, self-aggressive patients had more disorientation (p = 0.011) and conceptual disorganization (p = 0.007).CONCLUSIONS: Aggression in psychiatric patients in the first 24 hours after admission is associated with severity of psychopathology, and severity increases with severity of patient psychosis and agitation.


Assessment ◽  
1996 ◽  
Vol 3 (1) ◽  
pp. 79-90 ◽  
Author(s):  
Robert P. Archer ◽  
Robert Aiduk ◽  
Richard Griffin ◽  
David E. Elkins

The current study replicated and expanded previous investigations that focused on the incremental contribution of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) content scales. The MMPI-2 and the Symptom Checklist-90-Revised (SCL-90-R) were administered to 597 adult psychiatric patients (289 females, 308 males) receiving inpatient treatment. In addition, clinical psychologists provided ratings on each of these patients with the Brief Psychiatric Rating Scale (BPRS) and the Global Assessment Scale (GAS). A series of hierarchical stepwise multiple regression analyses were conducted with MMPI-2 basic and content scales as the independent variables and SCL-90-R, BPRS, and GAS variables as the dependent criteria. Similar to Findings by Ben-Porath, McCully, and Almagor, MMPI-2 content scales were shown to add incrementally to the prediction of variance on self-report measures; the current study also revealed significant relationships to clinician-rater criteria. Implications of the present findings for test interpretation procedures and future research are presented and discussed.


Sign in / Sign up

Export Citation Format

Share Document