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Psychiatrists and a Computer as Interrogators of Patients with Alcohol-Related Illnesses: A Comparison

Published online by Cambridge University Press:  29 January 2018

R. W. Lucas
Affiliation:
Department of Psychology, University of Glasgow; Research Centre for Diagnostic Methodology, Southern General Hospital, Glasgow G51 4TF
P. J. Mullin
Affiliation:
Alcohol Clinic; and University of Glasgow
C. B. X. Luna
Affiliation:
(Stobhill General Hospital, Glasgow G21 3UW), Division of Psychological Medicine, Southern General Hospital, Glasgow G51 4TF
D. C. McInroy
Affiliation:
(Stobhill General Hospital, Glasgow G21 3UW), Division of Psychological Medicine, Southern General Hospital, Glasgow G51 4TF

Summary

A computer-administered ‘interview’ was developed for eliciting evidence relating to alcohol problems. Thirty-six volunteer male patients on their first visits to a specialist alcohol clinic were interviewed three times, by two psychiatrists and by the computer; information was sought about 72 predefined indicants concerning alcohol consumption, drinking behaviour, and symptoms. Each patient was asked to complete an attitude questionnaire anonymously.

The extent of agreement between the evidence elicited by the computer and by the psychiatrists was quite high, and their estimated error rates were very similar, all between 10 per cent and 12 per cent in total. With respects to amounts of alcohol consumed, patients reported significantly greater amounts to the computer than they reported to the psychiatrists. The median amounts of pure ethanol consumed ranged from 1 · 19 kg per week calculated from reports made to one of the psychiatrists, up to 1 · 58 kg per week calculated from reports made to the computer. The results from the attitude questionnaire indicated a high level of acceptability to patients of computer interrogation.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists 1977 

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References

Blane, H. T., Overton, W. F. & Chafetz, M. E. (1963) Social factors in the diagnosis of alcoholism. I. Characteristics of the patient. Quarterly Journal of Studies on Alcohol, 24, 640.CrossRefGoogle ScholarPubMed
Card, W. I. (1967) Towards a calculus of medicine. In The Medical Annual, p 9. Bristol: John Wright & Sons Ltd.Google Scholar
Card, W. I., Crean, G. P., Evans, C. R., James, W. B., Nicholson, M., Watkinson, G. & Wilson, J. (1970) Online interrogation of hospital patients by a time sharing terminal with computer/consultant comparison analysis. In Man-Computer Interaction, p 141. I.E.E. Conference Publication No. 68.Google Scholar
Card, W. I. (1973) The computing approach to clinical diagnosis. Proceedings of the Royal Society of London, Series B, 184, 421.Google Scholar
Card, W. I., Nicholson, M., Crean, G. P., Watkinson, G., Evans, C. R., Russell, D. (1974) A comparison of doctor and computer interrogation of patients. International Journal of Bio-medical Computing, 5, 175.Google Scholar
Davies, D. L. (1974) Implications for medical practice of an acceptable concept of alcoholism. In Proceedings of the First International Medical Conference on Alcoholism. B. Edsall & Co. Google Scholar
Dawid, A. P. (1971) Estimation of error-rates in history-taking: preliminary analysis. (Paper presented to the Royal College of Physicians' Computer Workshop).Google Scholar
De Lint, J. & Schmidt, W. (1971) Consumption averages and alcoholism prevalences: a brief review of epidemiological investigations. British Journal of Addiction, 66.Google ScholarPubMed
Grossman, J. H., McGuire, M. T., Barnett, G. O. & Swedlow, D. B. (1971) Evaluation of computer acquired patient histories. Journal of the American Medical Association, 215, 1286.CrossRefGoogle ScholarPubMed
Jennett, B., Teasdale, G. & Knill-Jones, R. P. (1975) Prognosis after severe head injury. In Outcome of Severe Damage to the Central Nervous System, pp 309–19. Ciba Foundation Symposium 34 (new series). Amsterdam: Excerpta Medica.Google ScholarPubMed
Jennett, B., Teasdale, G., Braakman, R., Minderhoud, J. & Knill-Jones, R. P. (1976) Predicting outcome in individual patients after severe head injury. Lancet, i, 1031.Google Scholar
Knill-Jones, R. P., Stern, R. B., Girmes, D. H., Maxwell, J. D., Thompson, R. P. H. & Williams, R. (1973) Use of a sequential bayesian model in diagnosis of jaundice by computer. British Medical Journal, i, 530.CrossRefGoogle Scholar
Knill-Jones, R. P. (1975) In Outcome of Severe Damage to the Central Nervous System, pp 303–5. Ciba Foundation Symposium 34 (new series). Amsterdam: Excerpta Medica.Google Scholar
Lucas, R. W., Card, W. I., Knill-Jones, R. P., Watkinson, G. & Crean, G. P. (1976) Computer interrogation of patients. British Medical Journal, ii, 623.CrossRefGoogle Scholar
Lucas, R. W. (1977) A study of patients' attitudes to computer interrogation. International Journal of Man-Machine Studies, 9, 69.CrossRefGoogle Scholar
Mayne, J. G., Weksel, W. & Sholtz, P. W. (1968) Toward automating the medical history. Mayo Clime Proceedings, 43, No. 1.Google ScholarPubMed
Mullin, P. J. Unpublished data.Google Scholar
Slack, W. V., Hicks, G. P., Reed, C. E. & Van Cura, L. J. (1966) A computer-based medical history system. New England Journal of Medicine, 274, 194.CrossRefGoogle ScholarPubMed
Slack, W. V. & Van Cura, L. J. (1968) Patient reaction to computer based medical interviewing. Computers and Biomedical Research, No. 1, 527.CrossRefGoogle Scholar
Sullivan, H. S. (1954) The Psychiatric Interview. New York: Norton.Google Scholar
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