Boulger- Behavioral Assessment Flashcards
(35 cards)
What percentage of psyh diagnosis occur in primary care doctors offices?
80%
What is the major problem with the DSM IV Classification system?
The system assumed that each disorder is separate from every other disorder. In reality we frequently see comorbidities.
What is a co-morbidity?
When two or more disorders occur in an individual at the SAME time.
How do you classify an individual with Intellecutal Developmental Disorder (Intellectual disability)?
- An IQ below 70 (2 SDs)
- Deficits in : mental abilities, adaptive functioning
- Onset during the developmental period
IDD’s can be Mild, Moderate, Severe, or Profound
What are paraphilias?
A group of psychosexual disorders characterized by sexual fantasies or feelings for a nonhuman object or non-consenting partner.
What is the source of most psychiatric diagnoses?
Clinical Examination–the pt’s history and observations during the interview
What are the components of the Mental Status Exam (MSE)?
- Presesntation- LOC, appeareance, attitude, eye contact
- Motor Behavior and Affect- akinesia, affect, gestures, speech characteristics
- Cognitive Status- attention span/alertness, Oriention PPP, Fluench/Comp
- Thought- Process, content, insight
- Mood- congruency w/ affect, variability, hopelessness, anger, gaurdedness
What is the purpose of the Mini-Mental Status Exam (MMSE)?
Also known as the Folstein.
Most common cognitive screening test.
- Orientation to time/place
- Registration and recall (repeat words after me)
- Attention and Calculation- serial 7s
- Language- naming, repetition of sentence, comprehension, reading, writing, drawing
How do you interpret the MMSE Score?
Out of 30 pts the cut off is 23 pts
27-30: normal
21-26: mild cognitive impairment
11-20: mod cog impairment
0-10: severe
What screening tests can be used for depression?
Hamilton rating scale for depression
Patient health questionare
Geriatric Depression Scale
What screening tests can be used for anxiety?
- Ham-A: Hamilton Rating Scale for Anxiety
- GAD-7: Patient health questionaire
Screening test for alcohol use?
AUDIT
Alcohol use disorders identificaiton tests
Screening for ADHD and child behavior problems?
Snap IV Rating Scale
What is a nominal measurement?
Numbers or labels to identify categories or individuals
(numbers on football jersies, diabetic/non-diabetic)
What is an ordinal measurement?
Sort individuals in series from highest to lowest according to observed characteristic
ranking a class exam on performance–top two scores may be 1 or 2 points apart
What is an interval measurement?
Orders and differences between numbers are meaningful
Class exams are interval type
What are ratio scales?
Height, weight volume
What does reliability of measures refer to?
The CONSISTENCY of predictave statements over time
What does validity of measures refer to?
Similar to “truthfulness”
Reflects the degree of accuracy of predictive statements
Diagnostic labels are examples of what type of measurement?
Nominal measurement
Group diagnostic labels are NEVER wholly valid because behaviors attributed to a group of persons never fit any individual within that group exactly
What is wrong with Stern’s IQ formula?
IT HAS NOT BEEN USED FOR MORE THAN 40 YEARS.
It doesn’t work because hte chronological age keeps increasing even if hte measured mental age stays the same.
What are the most common intelligence tests for adults and children?
Wechsler Adult Intelligence Scale
Wechsler Intelligence Scale for Children
*Help w/ diagnoses and general intellectual problems
What are the most common IQ tests for pre-school children?
McCarthy Scales (2-8 years)
Wechsler Preschool and Primary Scale of Intelligence (4-6 years)
