Interrater Reliability After a Brief Training in CGI for Psychologists

Authors

  • Smitha Ramadas Associate Professor,Psychiatry,Govt.Medical College,Thrissur,Kerala
  • Praveenlal Kuttichira Professor of Psychiatry, Jubilee Mission Medical College, Thrissur
  • Rejani PP Assistant Professor,Statistics,Govt.Medical College,Thrissur,Kerala

DOI:

https://doi.org/10.30834/KJP.29.1.2016.67

Abstract

Background: There is a paucity of mental health research in India, mainly due to lack of trained manpower. There are instances in India where basic health care is delivered by trained lay persons when services of professionals are unavailable. Can the same approach be adopted in conducting mental health research too?

Aims: To measure the interrater reliability of Clinical Global Impression scale (CGI) between psychologists and psychiatrist after a brief, focused training was imparted to the psychologists.

Materials and methods: Three psychologists with sound theoretical knowledge but little clinical exposure were given brief focused training by psychiatrist in the use of CGI. The interrater reliability between the trainees and the trainer was measured.

Results: There was significant inter-rater reliability as regards the subscale ‘severity of illness’, but not in the other two subscales of CGI.

Conclusions: It is possible to conduct research in a resource poor country like India by utilizing the services of paraprofessionals by imparting brief, focused training, under guidance. The approach has certain limitations too.

References

World Bank. World Development Report. Investing in health. New York: Oxford University Press; 1993 p.213.

Murray C, Lopez A. The global burden of disease. A comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990, and projected to 2020.Vol 1 of Global burden of disease and Injury series, Cambridge, MA: Harvard University Press; 1996.

The world health report 2001 — Mental health: new understanding, new hope. Geneva: World Health Organization; 2001.

Ghosh AB, Mallick AK. Why should psychiatry be included as examination subject in undergraduate curriculum? Indian J Psychiatry. 2007; 49(3): 161–2.

Sharan P, Gallo C, Gureje O, Lamberte E, Mari JJ, Mazzotti G, et al. Mental health research prioirities in low- and middle-income countries of Africa, Asia, Latin America and the Caribbean. Br J Psychiatry 2009; 195: 354– 63.

Wig NN, Murthy SR- The birth of national mental health program for India. Indian J Psychiatry 2015; 57(3): 315–9.

Colleges conducting courses in Psychology. [cited 2016 April 27] Available from: http://www.minglebox.com/arts/courses/psychology/pg-msc-psychology.html

Colleges conducting courses in Kerala. [cited 2016 April 27] Available from: https://targetstudy.com/colleges/ma-psychology-degree-colleges-in-kerala.html

RCI Recognized courses for Clinical Psychology. [cited 2016 April 27] Available from: http://www.rehabcouncil.nic.in/forms/Sublink2.aspx?lid=847

RCI Colleges conducting courses in Clinical Psychology. [cited 2016 April 27] Available from: http://www.rehabcouncil.nic.in/writereaddata/Updated%20List%20of%20Trg%20Colleges%20March%202016.pdf

Guy W. Clinical Global Impressions (CGI) Scale. Modified from: Rush J, et al.: Psychiatric Measures, APA, Washington DC, 2000.

Busner J, Targum SD. The clinical global impressions scale: Applying a research tool in clinical practice. Psychiatry (Edgmont) 2007;4:28–37.

Thirunavukarasu M, Thirunavukarasu P. Training and national deficit of psychiatrists in India – A critical analysis. Indian J Psychiatry 2010; 52(Suppl1):S83-8.

Beneke M, Rasmus W. “Clinical Global Impressions†(ECDEU): some critical comments. Pharmacopsychiatry 1992; 25:171–6.

Leon AC, Shear MK, Klerman GL, Portera L, Rosenbaum JF, Goldenberg I. A comparison of symptom determinants of patient and clinician global ratings in patients with panic disorder and depression. J Clin Psychopharmacol 1993; 13:327–31.

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Published

2016-10-31

How to Cite

Ramadas, S., P. Kuttichira, and R. PP. “Interrater Reliability After a Brief Training in CGI for Psychologists”. Kerala Journal of Psychiatry, vol. 29, no. 1, Oct. 2016, pp. 25-29, doi:10.30834/KJP.29.1.2016.67.

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Section

Research Report