AMDP system

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The AMDP system is a system for standardized recording and documentation of psychopathological findings . It is used internationally and has also been translated into English.

Based on this, the AGP system for documentation in geriatric psychiatry was developed (also available in English).

The AMDP

The AMDP system was developed by the Working Group for Methodology and Documentation in Psychiatry (AMDP). The AMDP was founded in 1965 as AMP by Swiss and German psychiatrists , shortly afterwards a group from Austria also joined.

Until 1989 the AMDP was seen almost exclusively in connection with the AMDP system. In order to provide a roof for everyone interested in methodological questions in psychiatry, the AMDP eV was finally founded, within which the AMDP system group is one of several working groups today.

In the AMDP system group, psychiatrists from various European countries work together on the further development of the AMDP system, the 8th edition of which was published in 2007.

construction

The AMDP system consists of

In addition, there is a “Guide to recording psychopathological findings”, several volumes on the application of the system in clinical practice and in research, and much more. The AMDP also offers seminars on how to use its system.

In addition to the AMDP system, so-called AMDP modules are being developed, for example the AMDP-DK - AMDP module for dissociation and conversion

application

There are two uses:

  • The AMDP can be used to verbally describe the psychopathological findings. The AMDP then serves as a glossary to standardize the terms in the report. The manual also contains instructions on how to code the severity for each symptom.
  • Optionally, these assessments can also be coded as numbers between 0 for “not available” and 3 for “difficult”. These codes can then be added up to form raw values ​​for different scales. A norm sample from 1983 is available. The conversion table for comparing the raw values ​​with the norm sample is printed in the appendix of the guideline. In a study from 1983 it could be shown that there is a connection between the AMDP scales and diagnoses, as well as the AMP system (convergent validity). A study on reliability and validity from the year 2000 is also available for AMDP anxiety-based syndrome. In the course of a cross-validation in 1983, a solution with 9 factors would have been shown to be stable and reproducible.

System of the listed features

The characteristics listed by the AMDP system can be divided into two groups: characteristics of the psychological and characteristics of the somatic findings (100 and 40 symptoms, respectively). These symptoms are numbered in the AMDP manual and summarized in groups (order corresponds to the manual).

For each symptom there is a short definition, explanations and examples, notes on the degree of severity (easy, medium, severe) and a list of features to be distinguished in the manual.

In addition, for each symptom it is indicated in which way the characteristic must be observed ("S" = patient describes the characteristic himself, "F" = examiner or other person observing the characteristic, "SF" = patient or other person observing the characteristic) . So z. B. an inhibition of thinking can be described by the patient himself, whereas a slowing down of thinking must be observed by the examiner or other persons (carers, etc.). Concentrated thinking can be perceived by the patient as well as by other people.

List of features listed

The features are listed in detail below. (S) stands for self-assessment. (F) stands for external assessment.

Psychopathological findings

Impaired consciousness 1.  Decreased consciousness  (F) | 2.  Clouding of consciousness  (F) | 3.  Reduction of consciousness  (SF) | 4.  Shift of consciousness  (S)
Disorientation 5. Temporal disorientation (S) | 6. Local disorientation (S) | 7. Situational disorientation (S) | 8. Disorientation about oneself (S)
Attention and memory disorders 9.  Perception disorders  (SF) | 10.  Concentration disorder  (SF) | 11.  Memory impairment  (SF) | 12. Memory Disorder (SF) | 13.  Confabulations  (F) | 14.  Paramnesia  (S)
Formal thinking disorders 15.  Inhibited  (S) | 16.  Slowed down  (F) | 17.  Cumbersome  (F) | 18.  Confined  (SF) | 19.  Perseverating  (F) | 20.  Brooding  (S) | 21.  Rush of thoughts  (S) | 22.  Fleeting ideas  (F) | 23.  Pre-talking  (F) | 24.  Barred / Mind-Tearing  (SF) | 25.  Incoherent / disintegrating  (F) | 26.  Neologisms  (F)
Fears and compulsions 27.  Suspicion  (SF) | 28.  Hypochondria  (S) | 29.  Phobias  (S) | 30.  Obsessive thoughts  (S) | 31.  Forced impulses  (S) | 32.  Compulsions  (S)
Delusion 33.  Delusional mood  (S) | 34.  Delusional perception  (S) | 35.  Delusion  (S) | 36.  Delusions  (S) | 37.  systematic delusion  (S) | 38.  Delicious dynamics  (SF) | 39.  Relationship mania  (S) | 40.  Paranoia and paranoia  (S) | 41.  Mania for jealousy  (S) | 42.  Guilt delusion  (S) | 43.  Mania for impoverishment  (S) | 44.  Hypochondriac delusion  (S) | 45.  Megalomania  (S) | 46. ​​Other delusional content (S) [to page 74]
Hallucinations 47.  Illusions  (S) | 48.  Hearing voices  (S) | 49. Other auditory hallucinations  (S) | 50.  Optical hallucinations  (S) | 51.  Body hallucinations  (S) | 52.  Smell and taste hallucinations  (S)
Ego disorders 53.  Derealization  (S) | 54.  Depersonalization  (S) | 55.  Thought-Spreading  (S) | 56.  Mind deprivation  (S) | 57.  Thought-input  (S) | 58. Other external influences (S)
Affectivity disorders 59. At a  loss  (F) | 60. Feeling numb  (S) | 61.  Affect arm  (F) | 62.  Disturbance of vital feelings  (S) | 63.  Depressed  (SF) | 64.  Hopeless  (S) | 65.  Anxious  (SF) | 66.  Euphoric  (SF) | 67.  Dysphoric  (SF) | 68.  Irritated  (SF) | 69.  Inwardly restless  (S) | 70.  Mournful / Wretched (F) | 71.  Feelings of insufficiency  (S) | 72. Increased self-esteem  (S) | 73.  Feelings of guilt  (S) | 74.  Feelings of impoverishment  (S) | 75.  Ambivalent  (S) | 76.  Parathymia  (F) | 77.  Affect labile  (SF) | 78.  Affect incontinent  (SF) | 79.  Rigid Affect  (F)
Drive and psychomotor disorders 80.  Drive arm  (SF) | 81.  Drive blocked  (S) | 82. Increased  drive  (SF) | 83.  Motorized restlessness  (SF) | 84.  Parakinese  (F) | 85.  Manned / Bizarre  (F) | 86.  Theatrical  (F) | 87.  Mutistic  (F) | 88.  Logorrheic  (F)
Circadian peculiarities 89. Worse in the morning (SF) | 90. Worse in the evening (SF) | 91. Better in the evening (SF)
Other disorders 92.  Social withdrawal  (SF) | 93.  Social activity  (SF) | 94.  Aggression  (SF) | 95.  Suicidality  (SF) | 96.  Self-harm  (SF) | 97.  Lack of malaise  (S) | 98.  Lack of insight into illness  (S) | 99.  Refusal of treatment  (SF) | 100.  Dependency  (SF) [to page 123]

Somatic findings

Sleep and vigilance disorders 101. Difficulty  falling asleep  (S) | 102. Difficulty sleeping  through the night  (S) | 103. Shortening the duration of sleep (S) | 104. Early awakening (S) | 105.  Fatigue  (SF)
Appetence disorders 106.  Appetite decreased  (S) | 107.  Increased appetite  (S) | 108.  Thirst increased  (S) | 109.  Sexuality  (S) |
Gastrointestinal disorders 110.  Hypersalivation  (SF) | 111.  Dry mouth  (S) | 112.  Nausea  (S) | 113.  Vomiting  (SF) | 114.  Stomach discomfort  (S) | 115.  Constipation  (S) | 116.  Diarrhea  (S).
Cardio-respiratory disorders 117.  Difficulty breathing  (SF) | 118.  Dizziness  (SF) | 119.  Palpitation  (S) | 120.  Heart pressure  (S)
Other vegetative disorders 121.  Accommodation disorder  (S) | 122.  Increased sweating  (SF) | 123.  Seborrhea  (SF) | 124.  Urination disorders  (S) | 125.  Menstrual disorders  (S)
Other disorders 126.  Head pressure  (S) | 127.  Back pain  (S) | 128.  Heaviness in the legs (S) | 129.  Sensation of heat  (S) | 130.  Shivering  (S) | 131.  Conversion symptoms  (SF)
Neurological disorders 132.  Rigor  (F) | 133.  Muscle tone decreased (SF) | 134.  Tremor  (SF) | 135.  Dyskinesias  (SF) | 136.  Hypokinesia  (SF) | 137.  Akathisia  (SF) | 138.  Ataxia  (SF) | 139.  Nystagmus  (F) | 140.  Paresthesia  (S)

See also

literature

Web links

Individual evidence

  1. ^ Working group for methodology and documentation in psychiatry [AMDP] (ed.): The AMDP system. Manual for the Assessment and Documentation of Psychopathology . Springer, Berlin 1982, ISBN 978-3-642-68405-0 ( limited preview in the Google book search).
  2. ^ Hans-Jürgen Möller, Anke Rohde: Mental illness in old age . Springer-Verlag, 2013, ISBN 978-3-642-77090-6 , pp. 279 ( limited preview in Google Book search).
  3. ↑ H.-P. Kapfhammer, G. Laux: Psychiatry and Psychotherapy . Springer-Verlag, 2008, ISBN 978-3-540-33129-2 , pp. 462 ( limited preview in Google Book search).
  4. ^ William Guy: The AGP System: Manual for the Documentation of Psychopathology in Gerontopsychiatry . Springer Science & Business Media, 2012, ISBN 978-3-642-82514-9 , pp. 119 ( limited preview in Google Book search).
  5. ↑ Working group for methodology and documentation in psychiatry [AMP] (ed.): The AMP system: Manual for the documentation of psychiatric findings . Springer-Verlag, 2013, ISBN 978-3-662-06450-4 , pp. 4 ( limited preview in Google Book search).
  6. ^ Working group for methodology and documentation in psychiatry (ed.): The AMDP system. Manual for the documentation of psychiatric findings . 8th, revised edition. Hogrefe, Göttingen 2007, ISBN 978-3-8017-1925-8 ( limited preview in Google book search).
  7. ↑ a b E. Fähndrich, R.-D. Stieglitz: Guide to recording psychopathological findings. Semi-structured interview using the AMDP system. (3rd revised edition). Hogrefe, Berlin 2007, ISBN 978-3-8017-1930-2 ( limited preview in Google book search).
  8. ↑ Psychometric evaluation of the AMDP module on dissociation and conversion (AMDP-DK) (PDF; 3.03 MB).
  9. ^ R. Gebhardt, A. Pietzcker, A. Strauss & Stoeckel, M. Langer & K. Freudenthal: Scaling in the AMDP system . In: Archives for Psychiatry and Nervous Diseases . tape 233 , no. 3 . Springer, 1983, p. 223–245 , doi : 10.1007 / BF00343598 ( limited preview at Springer).
  10. ^ R. Gebhardt, A. Pietzcker: For the validation of the AMDP syndrome scales . In: Archives for Psychiatry and Nervous Diseases . tape 233 , no. 6 . Springer, 1983, p. 509–523 , doi : 10.1007 / BF00342790 ( limited preview at Springer).
  11. ↑ G. Laux (Ed.): Depression 2000 . Springer, 2000 ( limited preview in Google Book Search).
  12. ↑ Hans-Jürgen Möller, G. Laux, H.-P. Kapfhammer (ed.): Psychiatry and psychotherapy . Springer, 2007, p. 413 ( limited preview in Google Book search).