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June 1974

Reliability and Clinical Utility of the "Wing" Present State Examination

Author Affiliations

Westchester, NY
From the Cornell Medical College and the New York Hospital-Cornell Medical Center, Westchester Division. Dr. Luria is currently with the Long Island Jewish-Hillside Medical Center, Glen Oaks, NY, and Dr. McHugh is with the Department of Psychiatry, the University of Oregon, Portland.

Arch Gen Psychiatry. 1974;30(6):866-871. doi:10.1001/archpsyc.1974.01760120108015

We examined the reliability and clinical utility of a structured mental status interview schedule, the eighth edition of the Present State Examination. Using this schedule, we interviewed a consecutive series of patients with functional psychiatric disorders shortly following admission. We modified the scoring methods to provide a concise yet meaningful profile of psychopathological disorders.

We confirmed its high interrater reliability using video tapes of approximately every tenth interview and demonstrated that it is a practical technique for the examination of patients with functional disorders by showing that a high quality interview was obtainable.

Finally, we showed that it is a powerful diagnostic tool, and with our scoring modifications provides a valid, clinically meaningful profile of psychopathological features of the major functional disorders: schizophrenia, affective psychoses, and neurotic personality disorders.