ABSTRACT
OBJECTIVE: To assess the feasibility, patient and clinician acceptability and test-retest reliability of the Mini-International Neuropsychiatric Interview (MINI) used by non-psychiatrists in an acute psychiatric ward. METHOD: Of 268 consecutive patients included in a cross-sectional study, 176 (66%) completed MINI, and were compared to patients not interviewed. Patients and clinicians were questioned about the interview, using Visual Analogue Scales (VAS). For 38 patients, test-retest reliability was assessed with Cohen's kappa and observed agreement. RESULTS: MINI was not feasible for all patients. Among factors associated with not being interviewed were early discharge, psychosis, substance use and involuntary admissions. Although evaluations by patients and clinicians completing the postinterview questionnaire varied, MINI was generally perceived as being useful and feasible. Psychotic symptoms were associated with a less positive experience with MINI for both patients and clinicians. In the test-retest analyses, kappa values indicated excellent agreement for six diagnoses, fair to good for six and poor for seven, whereas observed agreement was 75% or above for all disorders. CONCLUSION: Among patients admitted to an acute psychiatric ward willing and able to complete the interview, MINI was well accepted by patients and clinicians, and has moderately good test-retest reliability.
Subject(s)
Alcoholism/diagnosis , Cross-Cultural Comparison , Illicit Drugs , Interview, Psychological , Mental Disorders/diagnosis , Psychiatric Status Rating Scales/statistics & numerical data , Substance-Related Disorders/diagnosis , Adult , Alcoholism/psychology , Alcoholism/rehabilitation , Commitment of Mentally Ill , Comorbidity , Crisis Intervention , Feasibility Studies , Female , Humans , Inservice Training , Male , Mental Disorders/psychology , Mental Disorders/rehabilitation , Middle Aged , Norway , Patient Satisfaction , Psychiatric Department, Hospital , Psychometrics/statistics & numerical data , Psychotic Disorders/diagnosis , Psychotic Disorders/psychology , Psychotic Disorders/rehabilitation , Reproducibility of Results , Substance-Related Disorders/psychology , Substance-Related Disorders/rehabilitation , TranslatingABSTRACT
In order to test the effect of systematic supervised physical training, we divided a total of 129 children and adolescents with congenital heart disease into a group undergoing intervention and a control group. All patients underwent exercise tests, measurements of physical activity, and a survey of psychosocial factors. An improvement in uptake of peak level of oxygen was observed after intervention. There was also an improvement in physical activity in both groups measured by a monitor, although this was significant only in those with intervention. The psychosocial scales measured by the Child Behavior Checklist showed a decrease in internalizing scores for those subjected to intervention. This was decreased due to decreased withdrawal and somatic complaints. In conclusion, we recommend systematic supervised training, including testing of routine follow-ups, in patients with congenital heart disease.