title: Development of the Chinese version of the geriatric mental state schedule.
abstract: OBJECTIVE
  To test the validity and reliability of the Chinese Geriatric Mental State Schedule (CGMS) in Taiwanese elders.
  
  
  METHODS
  The CGMS has gone through a standardized two-way translation, a pretest phase, and consensus focus group meetings in order to modify relevant culture-related terms of the original English version. The interrater reliability of the CGMS among eight psychiatrists was conducted after a training course was given to them. Diagnoses generated by the CGMS-AGECAT (Automated Geriatric Examination for Computer Assisted Taxonomy) were compared with psychiatric diagnoses according to the DSM-III-R criteria. The sample subjects were aged 65 and over and recruited from a community (n = 36) and an "old age home" (n = 56).
  
  
  RESULTS
  Four of the eight diagnostic categories generated by the CGMS-AGECAT had a generalized kappa value of 1.0, and the figures for the remaining four categories were acceptable: .8 for depressive neurosis, .6 for anxiety disorder, .5 for schizophrenia, and .5 for depressive psychosis (generalized kappa = .5). The overall agreement between the CGMS-AGECAT and independent psychiatric diagnosis (based on the DSM-III-R criteria) was satisfactory.
  
  
  CONCLUSIONS
  The CGMS has been found to be a cross-culturally valid and reliable instrument for use in Taiwan.
authors.affiliation: Department of Psychiatry, Chang Gung Memorial Hospital, Chai Yi, Taiwan. dogtsang@sinamail.com.tw
authors.forename: Hin-Yeung
authors.initials: HY
authors.lastname: Tsang
authors.forename: Main-Yoon
authors.initials: MY
authors.lastname: Chong
authors.forename: Andrew T A
authors.initials: AT
authors.lastname: Cheng
mesh_terms: D000368:Aged; D003704:Dementia / Q000175:diagnosis*; D015577:Geriatric Assessment; D006801:Humans; D007802:Language; D009483:Neuropsychological Tests; D015203:Reproducibility of Results; D014175:Translating