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Panss Tpi Slides 2011 No Security

Panss Tpi Slides 2011 No Security

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12/23/2012

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A Brief Review of

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basis for rating. This definition should be read carefully in order to determine if it applies to a given patient each time an assessment is made. Determines relevant information for a specific item. Extreme. 2 . Rated from 1. & anchoring points are used in combination to score items. Absent to 7. Each element should be interpreted as  literally as possible. describing the basic construct.What are the elements of reliability? NAME DESCRIPTION Definitions Each PANSS™ item has a specific definition. Two sources – (1) Data collected during interview (verbal or non-verbal) (2) Data gathered from an informant about symptoms over past week. Bases for Rating Anchoring Points  Definitions.

3 . unrealistic. Basis for rating: Thought content expressed in the interview and its influence on social relations and behavior as reported by primary care workers or family. 3.P1. Delusions. or behavior. Delusions do not interfere with thinking. Questionable pathology. Presence of one or two delusions that are vague. may be at the upper extreme of normal limits. and idiosyncratic. 2. social relations. Minimal. Beliefs which are unfounded. 1. Absent. Definition does not apply. & not tenaciously held. uncrystallized. Mild.

4 . 5. Moderate. Presence of numerous well-formed delusions that are tenaciously held and occasionally interfere with thinking. unstable delusions or of a few well-formed delusions that occasionally interfere with thinking. social relations or behavior. Moderate Severe. Presence of either a kaleidoscopic array of poorly formed.4. social relations. or behavior.

Severe. Extreme. This frequently results in inappropriate and irresponsible actions. social relations & behavior. Patient at times acts inappropriately and irresponsibly on the basis of unrealistic beliefs. 7. 5 . tenaciously held & clearly interfere with thinking. possibly systematized. Presence of a stable set of delusions that are crystallized. Presence of a stable set of delusions that are either highly systematized or very numerous and dominate major facets of the patient’s life.6. which may even jeopardize the safety of the patient or others.

Reduced range of facial expression and few expressive gestures. modulation of feelings and communicative gestures. 2. 3. Minimal. Questionable pathology.N1. 4. Changes in facial expression and communicative gestures seem stilted. may be at the upper extreme of normal limits. Moderate. or lacking in modulation. 6 . Basis for ratings: Observation of physical manifestations of affective tone and emotional responsiveness during the course of the interview. Mild. forced. Diminished emotional responsiveness as characterized by a reduction in facial expression. Definition does not apply. 1. Blunted Affect. Absent. artificial.

Affect generally 6. 7 . 7. Extreme. Marked flatness & deficiency of emotions exhibited most of the time. inappropriate laughter. uncontrolled rage. Changes in facial expression and evidence of communicative gestures are virtually absent. Moderate Severe. Patient seems to constantly show a barren or “wooden” expression. There may be unmodulated extreme affective discharges such as excitement. with few changes in facial expression and a paucity of communicative gestures. Severe. appears “flat”.5.

P5 Rating ≠ 5 6 Days Ago=7 At Interview=3 8 . Six days ago patient met criteria for Extreme (7) and now meets criteria for mild (3). Incorrect: Do not average.All required elements must be present to merit a given level of severity: of facial expression “Reduced range and few expressive gestures” (1) reduced facial expression = + (2) few expressive gestures Both must be present to rate this level of severity Give the highest rating that can be justified for each item. do not average to a rating of Moderate Severe (5).

Give the highest rating that can be justified for each item. Six days ago the patient met criteria for Extreme (7) for P5(Grandiosity). Correct: Give the highest rating that applies. so they get a rating of 7. even if They only meet criteria for Mild (3) at interview. 9 . P5 Rating = 7 6 Days Ago=7 At Interview=3 #1: No PANSS items are scored by averaging – give the highest rating that applies.

10 . how many items are rated solely based upon data gathered from an informant.1. 2. how many items are rated solely on the basis of the interview (verbal & nonverbal). 3. how many items are rated by combining data from the interview with informant data.

11 . Begin by letting the patient talk freely to establish rapport. Interviews usually takes 30 to 40 minutes. free-flowing interview.Important to collect information through a clinically sensitive. Sometime it may take longer than 40 minutes to complete.

#2: Always make sure you know when symptoms/events under discussion have occurred. If the patient does not understand the question as you’ve asked it. redirect or rephrase questions. Avoid asking leading questions. 12 .

you might say: “You’ve told me you hear voices sometimes. Example: Patient talks about hearing voices before being asked about them.If information has already been given earlier in the interview… phrase questions carefully in order to confirm information. Instead of later asking: “Sometimes people tell me that they can hear noises or voices inside their head that others can’t hear. Has that happened in the past week?” 13 . What about you?”.

#3: Consider all available information when rating an item. 14 . but always consider informant data for relevant items. as long as it fits the basis for rating.Look for non-verbal responses and symptoms. Listen to the patient. no matter when it occurs.

15 . etc. family members. parents.g.Q: Whom can informant data be collected from? Answer: Any person who has been capable of observing the patient over the past week. e.

16 .Q: What can investigators do to ensure that informant data is collected accurately and completely? Answer: Follow the protocol instructions carefully. ensure that the informant understands what is being asked of them.

org 17 .Contact Information E-mail: info@panss.panss.org Website: www.

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