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Reliability and Validity of a Tardive Dyskinesia Videotape Rating Technique

Published online by Cambridge University Press:  29 January 2018

Thomas R. E. Barnes  and
Thomas Trauer
Thomas R. E. Barnes
Affiliation:
Psychiatric Research Unit, University of Cambridge Clinical School, Addenbrooke's Hospital, Trumpington Street, Cambridge CB2 2QE
Thomas Trauer
Affiliation:
York Clinic, Guy's Hospital, London SE1 9RT
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Summary

Ninety-four psychiatric in-patients, receiving regular antipsychotic medication, were videotaped using a standard procedure. The tapes were rated by blind observers using a simple scoring system for the duration of abnormal movements. Using this combined videotape and rating scale assessment technique the re-rating reliability, inter-rater reliability and test-retest reliability were high. In order to demonstrate the validity of the technique the rating scale scores in a sub-sample of 30 patients, were compared with the assessment of three experienced clinicians on the same patients, and AIMS scores. Central (lip, tongue, jaw and neck movements) scores showed close agreement with the clinicians' assessment, suggesting that clinical diagnosis is based principally on the presence and severity of oro-facial dyskinesia. Total rating scale scores were in close accord with total AIMS scores. When the two scales were carried out on the same patients on the same occasion a diagnostic criterion level of 2 or more on the central score produced a tardive dyskinesia prevalence rate identical to that produced by an AIMS criterion level of 2 or more on the global severity rating. The tardive dyskinesia prevalence rate based on the central score criterion level showed an increase with age.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 140 , Issue 5 , May 1982 , pp. 508 - 515
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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References

Asnis, G. M., Leopold, M. A., Duvoisin, R. C. & Schwartz, A. H. (1977) A survey of tardive dyskinesia in psychiatric outpatients. American Journal of Psychiatry, 134, 1367–70.Google Scholar
Barnes, T. R. E. & Kidger, T. (1979) Tardive dyskinesia and problems of assessment. In Current Themes in Psychiatry, Vol. 2 (eds. Gaind, R. N. and Hudson, B. L.), pp 145–62. London: Macmillan.Google Scholar
Cicchetti, D. V. (1976) Assessing inter-rater reliability for rating scales: resolving some basic ideas. British Journal of Psychiatry, 129, 452–6.Google Scholar
Gardos, G. & Cole, J. O. (1980) Problems in the assessment of tardive dyskinesia. In Tardive Dyskinesia, Research and Treatment (eds. Fann, W. E., Smith, R. C., Davis, J. M. and Domino, E. F.), pp 201–14. New York: Spectrum Publications.Google Scholar
Guy, W. (1976) ECDEU Assessment Manual for Psychopharmacology. DHEW Publication No. 76—338, pp 534–7. US Government Printing Office, Washington, DC.Google Scholar
Jeste, D. V. & Wyatt, R. J. (1981) Changing epidemiology of tardive dyskinesia: an overview. American Journal of Psychiatry, 138, 297—309.Google Scholar
Kidger, T., Barnes, T. R. E., Trauer, T. & Taylor, P. J. (1980) Subsyndromes of tardive dyskinesia. Psychological Medicine, 10, 513–20.CrossRefGoogle ScholarPubMed
Marsden, C. D. & Schacter, M. (1981) Assessment of extrapyramidal disorders. British Journal of Clinical Pharmacology, 11, 129–51.CrossRefGoogle ScholarPubMed
Sheppard, G. P., Mackay, A. V. P. & Kitson, M. (1981) Clonazepam in the treatment of tardive dyskinesia: a controlled study. Paper presented at IIIrd World Congress of Biological Psychiatry, Stockholm, Sweden, June 28—July 3 (abstract F444).Google Scholar
Simpson, G. M., Lee, J. H., Zoubok, B. & Gardos, G. (1979) A rating scale for tardive dyskinesia. Psychopharmacology, 64, 171–9.Google Scholar
Smith, J. M. & Baldessarini, R. J. (1980) Changes in prevalence, severity, and recovery in tardive dyskinesia with age. Archives of General Psychiatry, 37, 1368–70.Google Scholar
Smith, J. M. Kucharski, L. T., Oswald, W. T. & Waterman, L. J. (1979a) A systematic investigation of tardive dyskinesia in inpatients. American Journal of Psychiatry, 136, 918–22.Google Scholar
Smith, J. M. Kucharski, L. T., Eblen, C., Knutsen, E. & Linn, C. (1979b) An assessment of tardive dyskinesia in schizophrenic outpatients. Psychopharmacology, 64, 99—104.CrossRefGoogle ScholarPubMed
Smith, R. C., Tamminga, C. A., Haraszti, J., Pandey, G. N. & Davis, J. M. (1977) Effects of dopamine agonists in tardive dyskinesia. American Journal of Psychiatry, 134, 763–8.Google Scholar
Wojcik, J. D., Gelenberg, A. J., La Brie, R. A. & Mieske, M. (1980) Prevalence of tardive dyskinesia in an outpatient population. Comprehensive Psychiatry, 21, 370–80.Google Scholar
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