Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
Neuropsych Lec 8 Psych Rating Scales

Neuropsych Lec 8 Psych Rating Scales

Ratings: (0)|Views: 99 |Likes:
Published by nkivc

More info:

Published by: nkivc on Sep 28, 2009
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

12/24/2012

pdf

text

original

 
Lecture 8 - Psychiatric Rating Scales (Rating Instruments)Dr. AbcedePSYCHIATRY II - USTMED 2008Source: KaplanPsychiatric Rating Scales (Rating Instruments)
-
provide a way to quantify aspects of a patient's psyche,behavior and relationships with individuals and society
CHARACTERISTICS OF RATING SCALES
1.can be specific or comprehensive2.can measure internally experienced variable (eg. mood)3.can measure externally observable variable (eg. behavior)4.assess classic items from the mental status examination5.assessment of adverse effects from psychotherapeutic drugs;social adjustments and psychoanalytic concepts
 OTHER CHARACTERISTICS
1.time covered2.level of judgement required3.method of recording answersa.dichotomous variable (eg. true or false, present orabsent)b.continuos variable (eg. severity, frequency)
PSYCHIATRIC RATING SCALES
A.Rating scales used for Schizophrenia of PsychosisB.Rating scales used for Mood disordersC.Rating scales used for Anxiety disordersD.Others:1.Child/adolescent patients2.Adverse effects of drugs3.Quality of life4.Dissociative disorders
RATING SCALES USED FOR SCHIZOPHRENIA AND PSYCHOSIS
 1.Brief Psychiatric Rating Scale (BPRS)2.Schedule for Affective Disorders and Schizophrenia (SADS)3.Scale for the Assessment of Negative Symptoms (SANS)4.Scale for the Assessment of Thought, Language andCommunication (TLC)5.Thought Disorder Index (TDI)6.Quality of Life Scale (QLS)7.Chestnut Lodge Prognostic Scale for Chronic Schizophrenia 
RATING SCALES USED FOR MOOD DISORDERS
1.Backs Depression Inventory2.Standard Assessment of Depressive Disorder (SADD)3.Zung Self-rating Scale for Depression4.Caroll Rating Scale for Depression5.Montgomery-Asbug Scale6.Raskin Depression Rating Scale7.Inventory to Diagnose Depression8.Manic Rating Scale9.Mania State Rating Scale10.Hamilton Rating Scale for Depression
 RATING SCALES USED FOR ANXIETY DISORDERS
1.Brief Outpatient Psychopathology Scale2.Physician's Questionnaire3.Covi Anxiety Scale4.Anxiety States Inventory5.Fear Questionnaire6.Mobility Inventory For Agoraphobia7.Social Avoidance and Distress Scale8.Acute Panic Inventory9.Leyton Obsessional Inventory10.Fear Thermometer11.Impact of Events Scale
PANSS RATING MANUALInstructions:
For each item below (P1, P2, etc.) enter the codethat best describes the patient’s psychopathology.
POSITIVE SCALE 
P1 DELUSIONS:
Beliefs which are unfounded, unrealistic, andidiosyncratic.
Basis for rating:
thought content expressed in the interview and itsinfluence on social relations and behavior.
 1
=
Absent
– Definition does not apply.
2
=
Minimal
 
Questionable pathology; may be at the upperextreme of normal limits
3
=
Mild
– Presence of one or two delusions which are vague,uncrystallized and not tenaciously held. Delusions do not interferewith thinking, social relations or behavior.
4
=
Moderate
– Presence of either a kaleidoscopic array of poorlyformed, unstable delusions or a few well-formed delusions thatoccasionally interfere with thinking, social relations or behavior
5
=
Moderate Severe
– Presence of numerous well-formed delusionsthat are tenaciously held and occasionally interfere with thinking,social relations or behavior.
6
=
Severe
– Presence of stable set of delusions which arecrystallized, possibly systematized, tenaciously held, and clearlyinterfere with thinking, social relations and behavior
7
=
Extreme
– Presence of stable set of delusions which are eitherhighly systematized or very numerous and which dominate majorfacets of the patient’s life. This frequently results in inappropriateand irresponsible action, which may even jeopardize the safety of the patient or others
.P2 CONCEPTUAL DISORGANIZATION:
Disorganized process of thinking characterized by the disruption of goal-directedsequencing, (e.g., circumstantiality, tangentiality, looseassociations, non sequiturs, gross illogicality, or thought
 
block).
Basis for rating:
cognitive-verbal processes observed during thecourse of the interview.
1
=
Absent
– Definition does not apply.
2
=
Minimal
– Questionable pathology; may be at the the upperextreme of normal limits.
3
=
Mild
– Thinking is circumstantial, tangential, or paralogical.There is some difficulty in directing thoughts toward a goal, andsome loosening of associations may be evidenced under pressure.
4
=
Moderate
– Able to focus thoughts when communications arebrief and structured, but becomes loose or irrelevant when dealingwith more complex communications or when under minimalpressure.
5
=
Moderate Severe
– Generally has difficulty in organizingthoughts, as evidence by frequent irrelevancies, disconnectedness,or loosening of associations when not under pressure.
6
=
Severe
– Thinking is seriously derailed and internallyinconsistent, resulting in gross irrelevancies and disruption of thought processes, which occur almost constantly.
7
=
Extreme
– Thoughts are disrupted to the point where thepatient is incoherent. There is marked loosening of associations,which results in total failure of communication, (e.g. “word salad”)or mutism.
HAMILTON RATING SCALE FOR DEPRESSIONInstructions:
For each item select the “cue” which best describesthe patient.
1: Depressed Mood (Sadness, hopeless, helpless, worthless)
-
0
= Absent
-
1
= These feelings states indicated only on questioning
-
2
= These feeling states spontaneously reported verbally
-
3
= Communicates feeling states nonverbally—ie, throughfacial expression, posture, voice, and tendency to weep
-
4
= Patient reports VIRTUALLY ONLY these feeling statesin his spontaneous verbal and nonverbal communication
2: Feelings of Guilt
-
0
= Absent
-
1
= Self-reproach, feels he has let people down
-
2
= Ideas of guilt or rumination over past errors or sinfuldeeds
-
3
= Present illness is a punishment. Delusions of guilt
-
4
= Hears accusatory or denunciatory voices and/orexperiences threatening visual hallucinations
3: Suicide
-
0 =
Absent
-
1 =
Feels life is not worth living
-
2 =
Wishes he were dead or any thoughts of possibledeath to self 
-
3 =
Suicide ideas or gesture
-
4 =
Attempts at suicide (any serious attempt rates 4)
4: Insomnia early
-
0
= No difficulty falling asleep
-
1 =
Complains of occasional difficulty falling asleep – ie,more than ¼ hour
-
2 =
Complains of nightly difficulty falling asleep
5: Insomnia middle
-
0
= No difficulty
-
1
= Patient complains of being restless and disturbedduring the night
-
2
= Waking during the night—any getting out of bed rates2 (except for purpose of voiding)

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->