Psychiatric Survey tools Flashcards

1
Q

Some potential Screening tools for depression

A
  • PHQ-2
  • PHQ-9
  • Beck Depression Inventory
  • Zung self-rating depression scale
  • WHO 5 well-being index (WHO-5)
  • Depression Anxiety Stress Scale (DASS)
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2
Q

Beck Depression Inventory Fast Screen

A

7 item scale adapted from a 21 question BDI-II
- Sensitivity 97%, Specificity 99% for Major Depression
- Only available by license requiring a fee
- Over $1 for every time you use it.

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3
Q

Zung Self-Rating Depression Scale

A

20 item self-reported screening
- Sensitivity about 85% for MDD
- Specificity about 74% for MDD
- Free - online
- The patient ranks each question
from 1-4
Not a great primary care screening tool

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4
Q

WHO-5 Screening

A

5 questions assessing subjective psychological well-being
- Sensitivity 89%, specificity 86% for MDD
- For mild to severe depression screening
- Likert-scale type of assessment

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5
Q

Mood disorder questionnaire (MDQ

A
  • 5 minute self reporting instrument
  • Screening tool for mood changes
  • Positive screening → Further Evaluation
    Better at screening for Bipolar I (depression + mania)
  • Not as accurate for Bipolar II or other mood disorders
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6
Q

GAD-7 and GAD-2 Screening

A
  • The GAD-7 should not be used as the sole means of diagnosing anxiety disorders.
  • It is sensitive to change and can be used to monitor symptoms over time.
  • The GAD-2 is the first two questions of the GAD and is a good Primary care screening too
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7
Q

GAD -2 questions

A

How often in the last two weeks have you been bothered by the following:
- Feeling nervous, anxious or on edge
- Not being able to stop or control worrying

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8
Q

Scoring for GAD-7

A

> or = 10 Probable Dx of GAD; further evaluation required
5-9 Mild Anxiety
10-14 Moderate Anxiety
15+ Severe Anxiety

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9
Q

Hospital Anxiety & Depression
Scale (HADS)

A
  • Most often used to assess and
    monitor severity of symptoms
  • Sensitive & specific in
    identifying pathological anxiety
  • Can distinguish GAD from
    anxiety associated with other
    medical conditions
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