Salleh 1992.
Study characteristics | |||
Patient sampling | Prospective, selection of patients not reported. | ||
Patient characteristics and setting |
N included in study: 221. N in analysis: 221. Age: Not reported. Gender: Not reported. Ethnicity: Not reported. Comorbid disorders: Not reported. Duration of symptoms: Not reported. Concurrent medications used: Not reported. Inclusion criteria: First visit adult Malay patients diagnosed as having functional psychosis and attending psychiatric facilities at the hospital. Exclusion criteria: Patients with doubtful organic status. Study aim: Prevalence of FRS in functional psychosis and utility of FRS as diagnostic tool. Previous treatment for schizophrenia: No previous treatment. Clinical setting: Inpatients. Country: Malaysia. |
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Index tests |
Description of FRS used: 11 FRS used. Patients interviewed based on a standard questionnaire*. Presence of FRS was rated as defined by Mellor but combining the three components of passivity phenomenon into one. Professionals performing test: Author or one of the three senior psychiatric house staff. Resolution of discrepancies: All discrepancies were settled with a consensus opinion. Interrater reliability established in a pilot study conducted prior to this was continuously checked by the author throughout the study. All cases initially seen by the house staff for instance were reviewed by the author within 48h of the initial interview. How FRS used in study: Prevalence and diagnosis. |
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Target condition and reference standard(s) |
Reference standard: ICD‐9. Target condition(s): Schizophrenia, affective psychoses, paranoid state, other non‐organic psychoses. Professionals performing test: Two psychiatrists. Resolution of discrepancies: Not reported. Diagnosis had to be agreed by two psychiatrists. |
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Flow and timing |
Study process: First visit adult patients attending psychiatric facilities entered into the study. Diagnoses made using the ICD‐9 criteria. Patients interviewed for FRS within 24 hours of admission by author or senior psychiatric house staff. All cases initially seen by the house staff reviewed by author within 48 hours of initial interview. Follow‐up: Not reported. Exclusions: Not explicitly reported. |
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Comparative | |||
Notes | *Unclear whether FRS interview was PSE". | ||
Methodological quality | |||
Item | Authors' judgement | Risk of bias | Applicability concerns |
DOMAIN 1: Patient Selection | |||
Was a consecutive or random sample of patients enrolled? | Unclear | ||
Was a case‐control design avoided? | Yes | ||
Did the study avoid inappropriate exclusions? | Yes | ||
Unclear | Low | ||
DOMAIN 2: Index Test All tests | |||
Were the index test results interpreted without knowledge of the results of the reference standard? | Unclear | ||
Did the study pre‐specify whether they were using one or multiple FRSs? | No | ||
Unclear | Low | ||
DOMAIN 3: Reference Standard | |||
Is the reference standards likely to correctly classify the target condition? | Yes | ||
Were the reference standard results interpreted without knowledge of the results of the index tests? | Unclear | ||
Unclear | Low | ||
DOMAIN 4: Flow and Timing | |||
Was there an appropriate interval between index test and reference standard? | Unclear | ||
Were all patients included in the analysis? | Yes | ||
Did all patients receive a reference standard? | Yes | ||
Did all patients receive the same reference standard? | Yes | ||
Did all patients receive an index test? | Yes | ||
Did all patients receive the same index test? | Yes | ||
Low |