Filter results

Register/log in to your SCIE account to use the search filters below

Search results for ‘Subject term:"mental health problems"’ Sort:  

Results 1 - 2 of 2


Mental health services in the global village

APPLEBY Louis, ARAYA Ricardo
Publication year:
Place of publication:

Comparative study of mental health services in 16 countries from both the developed and the developing world. Contains sections on countries from: Asia, Europe, Africa, the Middle East and South and Central America.

Journal article Full text available online for free

Effects of education and culture on the validity of the Geriatric Mental State and its AGECAT algorithm

PRINCE Martin, et al
Journal article citation:
British Journal of Psychiatry, 185(11), November 2004, pp.429-436.
Royal College of Psychiatrists

The Geriatric Mental State (GMS) is the most widely used psychiatric research assessment for older persons. Evidence for validity comes from the developed world. The aims was to assess the validity of GMS/AGECAT organicity and depression diagnoses in 26 centres in India, China, Latin America and Africa. The authors studied 2941 persons aged 60 years and over: 742 people with dementia and three groups free of dementia (697 with depression, 719 with high and 783 with low levels of education). Local clinicians diagnosed dementia (DSM–IV) and depression (Montgomery–Åsberg Depression Rating Scale score 18). For dementia diagnosis GMS/AGECAT performed well in many centres but educational bias was evident. Specificity was poor in India and sensitivity sub-optimal in Latin America. A predictive algorithm excluding certain orientation items but including interviewer judgements improved upon the AGECAT algorithm. For depression, sensitivity was high. The EURO–D depression scale, derived from GMS items using European data, has a similar factor structure in Latin America, India and, to a lesser extent, China. Valid, comprehensive mental status assessment across cultures seems achievable in principle.

Key to icons

  • Free resource Free resource
  • Journal article Journal article
  • Book Book
  • Digital media Digital media
  • Journal Journal

Give us your feedback

Social Care Online continues to be developed in response to user feedback.

Contact us with your comments and for any problems using the website.

Sign up/login for more

Register/login to use standard search filters, access resource links, advanced search and email alerts