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Psychiatry II > Psych Rating Scale > Flashcards

Psych Rating Scale Flashcards

1
Q

TRUE or FALSE: Psychiatric Rating Scales provides information is less comprehensie than in a routine clinical interview

A

FALSE. MORE COMPREHENSIVE

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2
Q

In measuring the psychiatric rating, whatare the issues to be considered? Give three

A

Format
Raters
Source of Info

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3
Q

TRUE or FALSE: The assessment of quality is based on biometrics

A

FALSE. PSYCHOMETRIC OR MIND-MEASURING

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4
Q

In the assessment of rating scales, this is the consistency or repeatability of ratings.

A

Reliability

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5
Q

This refers to conformity with truth. Gold standard that can stand for truth

A

Validity

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6
Q

What are the three standard ways to assess reliability?

A

Internal consistency
Interrater
Test-Retest

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7
Q

In this way of assessing reliability, agreement is assessed among the individual items in a measure

A

Internal consistency

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8
Q

Thi measures the reliability only to the extent that the subject’s true condition remains stable in the time interval.

A

Test-Retest

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9
Q

This is also called interjudge or joint reliability

A

Interrater

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10
Q

This is a measure of agreement between two or more observers evaluating the same subjects using the same information

A

Interrater

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11
Q

What are the issues in interpreting reliability data?

A

Nature of the sample
Training and experience of the raters
Test conditions

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12
Q

What are the divisions of validity assessment? (Give 3)

A

Face and content Validity
Criterion validity
Construct validity

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13
Q

This validity assessment is less focused on whether the items give the appearance of validity but ratherdescribes whether the measure provides good balaced coverage of the construct

A

Content validity

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14
Q

This is also called predictive or concurrent validity

A

Criterion validity

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15
Q

This refers to whether the items appear to assess the construct in question

A

Face validity

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16
Q

This validity is assessed when additional validity data are desired or when an adequate gold standard is not available

A

Construct validity

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17
Q

This is a variety of questionnares, interviews, checkliss, outcome assessments, and others for psychiatric practice, research and administration

A

Psychiatric Rating Scales

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18
Q

This measures disability along a number of parameters; self administered

A

WHODAS (WHO Disability Assessment Sched)

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19
Q

What are the parameters that measures disability?

A

Cognition
Interpersonal Relations
Work and Social Impairment

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20
Q

This psychiatric diagnosis begins with demographic info and clinical background

A

Structural Clinical Interview for DSM (SCID)

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21
Q

What are the 7 diagnostic groups?

A 
Mood
Psychotic
Substance abuse
Anxiety
Somatic
Eating
Adjustment disorders
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22
Q

TRUE or FALSE: Formal training is required in SCID but training books or videos are not available to fcilitate this

A

FALSE. AVAILABLE ANG TRAINING BOOKS/VIDS

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23
Q

TRUE or FALSE: SCID is not recommended for use by lay interviewers

A

TRUE

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24
Q

This is developed in the late 1960s as a short scale for measuring the severity of psych symptomatoligy

A

BPRS (Brief Psychiatric Rating Scale)

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25
Q

This covers thought disturbance, emotional withdrawal and retardation, anxiety and depression, and hostility and suspiciousness

A

BPRS

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26
Q

TRUE or FALSE: The reliability of BPRS depends on the raters experience

A

TRUE. The more experienced/trained, the reliability of BPRS is good to excellent

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27
Q

This is developed in the 1980s to remedy perceived deficits in the BPRS in the assessment of positive and negative symptoms

A

PANSS (Positive and negative Syndrome scale)

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28
Q

What is the standard tool for assessing clinical outcome in treatment studies of schizo and other psychottic disorders?

A

PANSS

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29
Q

These are detailed assessment of positive and negative symptoms of schizo

A

SAPS & SANS (scale for assessment of positive/negative symptoms)

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30
Q

TRUE or FALSE: SAPS and SANS are used strictly in tandem

A

FALSE. MAY BE USED SEPARATELY OR IN TANDEM

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31
Q

This assesses hallucinations, delusions, bizarre behavior, and thought disorder

A

SAPS

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32
Q

This assesses affective flattening, poverty of speech, apathy, anhedonia, and inattentiveness

A

SANS

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33
Q

What diagnostic is mainly used to monitor treatment effects in research?

A

SAPS and SANS

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34
Q

This is a diagnostic in mood disorder which monitors severity of majr depression

A

HAM-D (Hamilton Rating Scale for Depression)

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35
Q

Rates depression severity

A

BDI (Beck Depression Inventory)

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36
Q

What are the two main focus of dimensions in depression in BDI?

A

Behavioral and Cognitive dimension

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37
Q

What is the most commonly used bersion of HAM-D?

A

17-item Version

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38
Q

What is the current version of BDI?

A

Beck-II

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39
Q

Which among the psychiatric diagnosis has a high reliability with excellent internal consistency and interrater reliability?

A

PANSS

40
Q

TRUE or FALSE: HAM-D is less problematic in elderly and the medically ill

A

FALSE. MORE PROBLEMATIC BECAUSE THE ORESENCE OF SOMATIC SYMPTOMS MAY NOT BE INDICATIVE OF MD

41
Q

The main use of this assessment of mood disorders is as an outcome measure of interventions for MD in clinical trials.

A

BDI

42
Q

Why is the BDI sometimes used to screen for MD?

A

Becauses it is a self-report instrument

43
Q

This anxiety rating scale assesses both the somatic and cognitive aspect in anxiety symptoms

A

HAM-A

44
Q

What score in HAM-A is the threshold for clinically significant anxiety?

A

14

45
Q

This is a brief rating scale for severity of panic disorder

A

PDSS (Panic Disorder Severity Scale)

46
Q

TRUE or FALSE: PDSS is sensitive to change with treatment hence, it is not useful for monitoring panic disorder

A

FALSE. USEFUL SYA

47
Q

What are the four criteria in CAPS?

A

The event itself
Re-experiencing of the event
Avoidance
Increased arousal

48
Q

How may items is the CAPS composed of?

A

17

49
Q

The items in CAPS may also be used to generate a total PTSD severity score. This is obtained by the sum of which two scales?

A

Frequency and Intensity scales for each item

50
Q

TRUE or FALSE: CAPS is excellent for the diagnosis and severity assessment hence, it is recommended for use in clincal practice.

A

FALSE. NOT RECOMMENDED COZ ITS LENGTHY (45-60mins)

51
Q

What is rating scale is used to measure the severity of symptoms in OCD,

A

YBOCS (Yale-Brown OC Scale)

52
Q

How many items does the YBOCS conposed of?

A

10

53
Q

What are the two conponents of the 10-item YBOCS?

A

First five: obsession

Next 5: compulsion

54
Q

The amount of time that they consume, the degree to which they interfere with normal functioning, the distress that they cause, the patient’s attempt to resist them, and the patient’s ability to control them is asked on which part of the YBOCS?

A

Obsession part

55
Q

What is the standard instrument used for assessing OCD severity?

A

YBOCS

56
Q

This rating scale serves as a brief screen for significant alcohol problem

A

CAGE

57
Q

What is the question in the ‘C’ of CAGE

A

Have you ever felt you should CUT down on your drinking?

58
Q

A in CAGE corresponds to what question

A

Have people ANNOYED you by criticizing your drinking?

59
Q

G corresponds to what question in CAGE?

A

Have you ever felt bad or GUILTY anout your drinking?

60
Q

E in CAGE corresponds to what question?

A

Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover? (EYE-OPENER)

61
Q

What score in CAGE needs follow up?

A

1 or more

62
Q

What score in CAGE suggests alcohol problems?

A

2 or more

63
Q

This is a qunatitative measure of symptoms and functional impairment due to alcohol or drug disorders

A

ASI (Addiction Severity Index)

64
Q

This is the first inteeviewer based conprehensive assessment of eating disorders

A

EDE (Eating Disorder Examination)

65
Q

In this version of EDE, the subjects are asked to make similar ratings of frequency and severity

A

Ede-Q (self report)

66
Q

EDE provides both global severity ratings and ratings on what four subscales?

A

Restraint
Eating Concern
Weight Concern
Shape Concern

67
Q

In this rating scale of eatingdisorder, the reliability and validity are excellent

A

EDE & EDE-Q

68
Q

What is the score of a bulemic patient in the BULIT-R(Bulemia Test-Revised)?

A

> 110

69
Q

If there is no eating disorder, the parient will score ___ in BULIT-R

A
70
Q

What is the cut off in BULIT-R to screen for bulimia nervosa?

A

98-104

71
Q

The MMSE is a cognitive test composed of how many points?

A

30pts

72
Q

MMSE assesses cognitive fxn through these 4 conponents

A 
Orientation
Attention
Memory
Construction
Language
73
Q

Thi assesses behavioral symptoms often seen in AD and other dementing disorders

A

NPI (Neuropsychiatric intervention)

74
Q

What are the other two versions of NPI?

A

NPI-NH (home interview version)

NPI-Q (self report)

75
Q

This test attempts to measure general intelligence

A

SGIT (scored general intelligence test)

76
Q

Personality Disorder Questionnaire is a self report of how may yes-no items?

A

85

77
Q

Patients with personality disorder scores ___ in PDQ

A

> 30

78
Q

What is the range of score of psychotherapy outpatients in PDQ?

A

20-30

79
Q

This is a family of self rated instruments that survey a broad range of difficulties encounterd in children from preschool to adolescence

A

Child behavior checklist (CBCL)

80
Q

In the CBCL, each version includes how many items?

A

100 items scored on a 3pt Likert scale

81
Q

What are the three subscales in the CBCL?

A

Problem behavior
Academic functioning
Adaptive behaviors

82
Q

In this rating scale for childhood disorders, both the children in parents can tolerate this well and can be used to ensure comprehensive diagnostic coverage

A

DISC (diagnostic interview sched for children)

83
Q

This is a family of instruments designed to measure a range of childhood and adolescent psychopath

A

Conners rating scales

84
Q

The conners rating scale is most commonly used in the assessment of what disorder?

A

ADHD

85
Q

ADI-R is an assessment of autism and i conposed of how many items?

A

93

86
Q

ADI-R is designed for individuals with a mental age of how many months?

A

> 18mos

87
Q

What are the three broad areas covered in ADI-R?

A

Language and communication
Reciprocal social interactions
Restricted, repetitive and stereotyped behaviors and interests

88
Q

What is a disability assessment rating scale?

A

WHODAS 2.0

89
Q

What are the different psychiatric rating scales for psychiatric disorders?

A

SCID
BPRS
PANSS
SAPS & SANS

90
Q

What are the different psychiatric rating scale for mood disorders?

A

HAM-D

BDI

91
Q

Wht are the psychiatric rating scale for anxiety disorders?

A

HAM-A
PDSS
CAPS
YBOCS

92
Q

What are the psychiatric rating scale used for substance use disorders?

A

CAGE

ASI

93
Q

What psychiatric rating scales are used to assess eating disorders?

A

EDE

BULIT-R

94
Q

What psych rating scales are used to assess cognitive disorders?

A

MMSE
NPI
SGIT

95
Q

This psych ratibg scale is used to assess personality disorders and personality traits

A

PDQ

96
Q

What psych ratibg scales are used for childhood disorders?

A

CBCL
DISC
CONNERS RATING SCALE
ADI-R

97
Q

The psych rating scale for childhood disorder is usually composed of three versions. What are these

A

Version for:
Child
Parent
Teacher

Psychiatry II (4 decks)

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