mental health assessments Flashcards

(69 cards)

1
Q

What does DASS stand for

A

Depression, Anxiety and Stress Scale

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2
Q

How long is the DASS

A

42 items long

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3
Q

How longs is the shortened DASS

A

21 items

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4
Q

How many questions do the 3 domains have on the DASS

A

14 on the full version and 7 on the shortened version

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5
Q

What scale is the DASS scored on

A

A 4 point likert scale from 0 to 3

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6
Q

Is the DASS a diagnositic measure

A

No it can not replace a well-constructed clinical interview

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7
Q

What can the DASS be used for

A

feedback about progress

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8
Q

WHat are the 7 domains of depression assessed by the DASS

A
  1. Dysphoria
  2. Hopelessness
  3. Devaluation of life
  4. Self-deprecation
  5. Lack of involvement
  6. Anhedonia
  7. Inertia
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9
Q

What are the 4 domains of anxiety assessed by the DASS and how many items are there for each

A
  1. Autonomic arousal
  2. Muscular effects
  3. Situational anxiety
  4. Subjective experience of anxiety
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10
Q

What are the 5 domains of stress measured by the DASS and how many items are there for each domain

A
  1. Difficulty winding down
  2. Nervous Arousal
  3. Easily upsetd
  4. Irritable
  5. Impatient
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11
Q

Does the DASS have good pyschometric properties for adolescent populations?

A

YES!

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12
Q

What is the Kessler 10

A

A brief measure of psychological distress

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13
Q

What is the K10 used for

A

Screener mental disorders in primary care settings

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14
Q

What is the most common use of the K10

A

GP’s for referrals to psychologists as part of a mental health care plan

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15
Q

What theory is the K10 based on

A

THat people who experience a wide range of mental disorders have high scores on a dimension of non-specific distress

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16
Q

What is the K10 particularly good at measuring

A

sensitivity to symptom change - changes in anxious cognitions

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17
Q

What is a limitation of the K10

A

inconsistent evidence that it is valid for culturally diverse groups.

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18
Q

Has the K10 been used with Aboriginal and Torres Strait Islanders?

A

No - modified version known as the K5 has been used to assess levels of distress in indigenous and non-indigenous adults from 2 national surveys

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19
Q

What is the K10

A

A 10 question scale that measures emotional states and distress using a 5 point likert scale

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20
Q

How are the questions on the K10 structured

A

Each question asks how often in the past 30 days the respondent has felt nervous, hopeless, sad and so on. The respondent then identifies whethere it was 1- none of the time 5 - all of the time

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21
Q

How is the K10 scored

A

The scores of the 10 items are summed

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22
Q

what is the minimum and maximum score on the K10

A

10 and 50

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23
Q

What does a score between 20 and 24 indicate on the K10

A

a mild disorder

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24
Q

What does a score of 25 to 29 indicate on the K10

A

A moderate disorder

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25
What does a score of 30 to 50 indicate on the K20
A severe disorder
26
What is the SDQ
The Strengths and Difficulties Questionnaire and it is a widely used brief screening questionnaire assessing emotional and behavioural problems in children and adolescents
27
What is the main purpose of the SDQ
To identify young people who should be referred for further assessment or intervention
28
What else is the SDQ used for
Evaluating treatment outcomes and during initial assessment in child and adolescent mental health services across Australia
29
What is the main part of the SDQ
A 25 item questionnair with 5 subscales
30
What are the 5 subscales of the SDQ
1. Conduct problems 2. Hyperactivity 3. Emotional problems 4. Peer problems 5. Pro social behaviours
31
How many items align with each subscale of the SDQ
5 items for each subscale
32
HOw does one get the total difficulties scores for the SDQ
By summing the 4 deficit focused subscales
33
What population can the internalising problem scale and externalising problem scale be used in relation to the SDQ
Low risk populations
34
What is the internalising problem scale on the SDQ
It is the sum of emotional and peer symptoms
35
What is the externalising problem scale on the SDQ
It is the sum of the conduct and hyperactivity symptoms
36
What is the impact supplement on the SDQ
It asks the respondent to identify if the young person has a problem
37
What 4 areas does the impact supplement on the SDQ assesss
1. Chronicity 2. Distress 3. Social Impairment 4. Burden to others
38
What is the second component of the SDQ
A follow up version with 25 basic items, the impact quetion and two follow up questions for use after an intervention
39
What are the 2 questions asked in the follow up SDQ
1. Has the intervention reduced problems | 2. Has the intervention helped in other wasy, for example making the problems more bearable
40
What is the age range of the SDQ
4 to 17 year olds
41
Is there a version of the SDQ for younger children
There is a modified version for parents and preschool teachers of 2 to 4 year olds
42
What age range can complete the self-report version of the SDQ
11 to 17 year olds
43
What reliability and validity does the SDQ demonstrate
1. Internal consistency 2. Test-retest reliability 3. External validity 4. Convergent validity
44
Can the SDQ be used with aboriginal children
IT has been demonstrated to have acceptable fit among urban aboriginal children from NSW
45
What scale is perhaps less reliable and not appropriate for use with aboriginal children
Peer problems scale and it should be interpreted with caution
46
What are 5 advantages of the SDQ
1. Brevity 2. acccessible 3. Free 4. Multiple informant versions to allow comprehensive assessment 5. Focuses on strengths as well as difficulties
47
Are there australian norms for the SDQ
yes!
48
What is the PHQ-9
It is the Patient Health Questionnaire 9-item
49
What is the purpose of the PHQ-9
It can used to screen as well as diagnose mental health disorders like depression, anxiety, alcohol, somatoform and eating disorders
50
What is the mood module of the PHQ
It is a abrief scale for depression
51
Where were the 9 items of the PHQ-9 sourced from
The DSM-IV criteria for Major depression
52
What are the 3 uses of the PHQ-9
1. Diagnose depression 2. Monitor severity of depression 3. Inform and monitor the treatmen tof depression in primary care settings
53
When is the PHQ -9 used
When depression is the mental health condition of itnerest
54
What is the SAD triad
Somatic, anxiety and depression symptoms
55
WHat is the PHQ-SADS
a screener used when indiviudals have a co-occurence of somatic and anxiety symptoms
56
What does each item on the PHQ-9 begin with
Over the last 2 weeks how often have you been bothered by the following
57
What is th 4 point likert response scale on the PHQ-0
1. 0 not at all 2. 1 several days 3. 2 more than half the days 4. 3 nearly every day
58
What is the age range of the PHQ-9
Adults
59
What is the PHQ-9 often administered as part of
It is administerd as part of the PRIME MD PHQ which is 3 pages longer and takes 5 to 10 minutes to administer
60
WHat is the primary use of teh PHQ-9
To derive severity scores for depression
61
What does a score of 0 to 4 indicate on the PHQ-9
minimal depressive symptoms
62
What does a score of 5 to 9 indicate on the PHQ-9
mild depressive symptoms
63
What does a score of 10 to 14 indicate on the PHQ-9
Moderate depressive symptoms or mild depression
64
What does a score of 15 to 18 indicate on the PHQ-9
Moderately severe major depression
65
What does a score of 20 or greater indicate on the PHQ-9
Severe major dperession
66
When is Major depression diagnuosed using the PHQ-9
5 of the 9 depressive symptoms have been present more than half of the days . anhedonia or feeling down or depressed
67
What does a positive response to item 9 demand
Item 9 refers to thought around being better of dead or hurting yourself and it requires a response by the clinician - like a risk assessment
68
Are there australian norms for the PHQ-9
No there is not
69
What does a high stress and mild anxiety score potentially indicate on the DASS
GAD