AMDP system
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
- a glossary of psychopathological symptoms (the AMDP manual)
- several rating sheets (psychological findings, somatic findings, anamnesis ), which should enable the standardized recording of a finding.
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
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
- H.-J. Haug, Rolf-Dieter Stieglitz (Hrsg.): The AMDP system in clinical application and research. Hogrefe, Göttingen 1997, ISBN 3-8017-0945-0 .
- Harald J. Freyberger , H.-J. Möller: The AMDP modules. Hogrefe, Göttingen 2004, ISBN 3-8017-1758-5 .
Web links
- The AMDP system on the website of the Working Group for Methodology and Documentation in Psychiatry.
- Adam Domke: The AMDP system in clinical and scientific use since 1985 . Dissertation, Saarland University, Homburg 2009 (PDF).
Individual evidence
- ^ 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).
- ^ 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).
- ↑ 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).
- ^ 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).
- ↑ 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).
- ^ 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).
- ↑ 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).
- ↑ Psychometric evaluation of the AMDP module on dissociation and conversion (AMDP-DK) (PDF; 3.03 MB).
- ^ 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).
- ^ 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).
- ↑ G. Laux (Ed.): Depression 2000 . Springer, 2000 ( limited preview in Google Book Search).
- ↑ Hans-Jürgen Möller, G. Laux, H.-P. Kapfhammer (ed.): Psychiatry and psychotherapy . Springer, 2007, p. 413 ( limited preview in Google Book search).