Assessment & Research

A criterion validity study of the schizophrenia subscale of the Psychopathology Instrument for Mentally Retarded Adults (PIMRA).

Swiezy et al. (1995) · Research in developmental disabilities 1995
★ The Verdict

PIMRA schizophrenia and depression subscales are valid quick screens for psychosis and mood issues in adults with mild–moderate intellectual disability.

✓ Read this if BCBAs doing intake assessments in adult day or residential programs.
✗ Skip if Clinicians who already use full PANSS or PSYRATS protocols.

01Research in Context

01

What this study did

The team tested the PIMRA schizophrenia and depression subscales.

They wanted to know if the tool spots real symptoms in adults with mild–moderate intellectual disability.

The study compared PIMRA scores to expert diagnoses to check accuracy.

02

What they found

The schizophrenia and depression subscales matched the expert diagnoses.

In plain words, PIMRA passed the validity test for these two areas.

03

How this fits with other research

Barthelemy et al. (1989) used the same tool earlier and showed over one-third of adults with ID have mental-health problems.

That survey set the stage for this 1995 check on whether PIMRA truly works.

Hatton et al. (2005) later extended the idea by testing bigger tools (PANSS, PSYRATS) and also found positive results.

Together, the papers build a chain: first count the cases, then prove the tool, then try newer tools.

04

Why it matters

You can trust the PIMRA schizophrenia and depression subscales when screening adult clients with mild–moderate ID.

If you need a quick picture of possible psychosis or mood issues, these two subscales give you solid evidence without extra jargon.

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Add the 8-item PIMRA schizophrenia subscale to your intake packet for new adult clients.

02At a glance

Intervention
not applicable
Design
other
Sample size
65
Population
intellectual disability
Finding
positive

03Original abstract

Sixty-five mildly to moderately mentally retarded adults from institutional and community placements in Louisiana and Texas with DSM diagnoses of schizophrenia, depression, or no psychopathology were recruited. The primary goal was to establish the validity of the PIMRA's schizophrenic subscale for diagnosing mentally retarded adults. In addition, validity of the depression subscale was replicated. Assessment measures included the informant version of the Psychopathology Instrument for the Mentally Retarded (PIMRA), DSM-III-R checklists for schizophrenia and depression, and a drug response rating. Univariate and multivariate analyses were conducted, as were interrater reliability on all measures. The schizophrenia and depression subscale of the PIMRA were validated. Implications of the research and directions for future study are presented.

Research in developmental disabilities, 1995 · doi:10.1016/0891-4222(94)00027-7