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Rating Scales Flashcards

1
Q

Is Beck’s Depression Inventory self-rated?

A

Yes

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2
Q

Is the Edinburgh postnatal depression scale clinician-rated?

A

No - self-rated

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3
Q

What is GHQ used for?

A

First-level assessment in epidemiological studies before detailed schedules employed

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4
Q

What is the purpose of GHQ?

A

Screening tool to detect those likely to have or be at risk of developing a psychiatric disorder

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5
Q

Which diagnostic schedules can be used by trained primary care workers?

A

Hopkins Symptom Check List

58 items

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6
Q

Who developed the Composite International Diagnostic Interview?

A

WHO

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7
Q

Which diagnostic schedule uses both ICD and DSM?

A

Composite International Diagnostic Interview

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8
Q

What does Diagnostic Interview Schedule study?

A

Lifetime DSM diagnosis initially, then current diagnosis

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9
Q

What does Hopkins symptoms check list measure?

A

Neurotic symptom distress in OP

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10
Q

What does present state examination do?

A

Provides clinical diagnosis in line with ICD

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11
Q

Aim of Schedule for Affective disorders and schizophrenia?

A

Covers all major mental illness.

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12
Q

Which diagnostic schedule has a kids version?

A

Schedule for affective disorders and schizophrenia - Kiddie-SADs

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13
Q

Which diagnostic schedule has replaced the present state examination?

A

Schedule for assessment in neuropsychiatry

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14
Q

Name some clinician-rated depression rating scales

A

Hamilton depression scale

Montgomery-Asberg depression rating scale

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15
Q

Easiest scale to quantify depression severity?

A

Visual analogue scale

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16
Q

How many items in Hamilton depression rating scale?

A

17-21

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17
Q

How many items in the Montgomery-Asberg depression rating scale?

A

10

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18
Q

How many items in Beck depression inventory?

A

21

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19
Q

Max score in Beck depression inventory?

A

63

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20
Q

Disadvantages of Beck Depression Inventory

A

Lacks discriminatory power among severely ill

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21
Q

How many items in Zung Depression inventory?

A

20

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22
Q

Advantage of Zung Depression Inventory

A

Avoids imbalance towards psychological factors such as Becks

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23
Q

When is depression rating scale appropriate for children?

A

7 years

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24
Q

Name two depression rating scales for children

A

Reynolds Child Depression Scale

Children’s Depression Inventory

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25
At what age can Becks Depression Inventory be used?
14 +
26
Which depression rating scale is NICE approved and has a parent version?
Mood and Feelings Questionnaire
27
Perinatal depression rating scales
Becks Depression Inventory Edinburgh Postnatal depression scale Center for Epidemiological Studies - depression scale
28
Characteristics of Geriatric depression scale?
Fewer somatic symptoms Symptoms in past week Yes/no answers
29
Depression rating scales for patients with cognitive deficits
Cornell Scale for Depression in Dementia - for caregiver | Hamilton Rating Scale for Depression
30
Which depression rating scale is for use in hospital?
Brief Assessment Schedule Depression cards - avoids patients being overhead - choose from a deck of 19 cards
31
Depression rating scale for those with schizophrenia?
Calgary Depression Scale for Schizophrenia
32
Score suggestive of dependence drinking in women and men in AUDIT?
13 - women | 15 - men
33
Which alcohol questionnaire is recommended by WHO for primary care use?
AUDIT
34
How many items does CIWA consist of?
10
35
Which scale is used for DSM-based diagnosis in children?
Diagnostic interview schedule for children
36
Which rating scale is commonly used to assess ADHD?
Conners Rating Scale
37
Which rating scale is used to assess changes in cognitive function in anti-dementia drug trials?
Alzheimers Disease Assessment scale
38
What does BEHAVE-AD measure?
Behavioural symptoms in patients with Alzheimers
39
What does Neuropsychiatric Inventory measure?
Records severity of associated behavioural symptoms in dementia over ten domains
40
What does MOUSEPAD stand for?
Manchester and Oxford Universities Scale for the Psychopathological Assessment of Dementia
41
Who is MOUSEPAD administered to?
To carers by clinicians
42
What does Clifton assessment procedure for the elderly measure?
Level of disability and estimate need for care
43
How many items in Positive and Negative Symptoms Scale?
30
44
Which eating disorder scale has high sensitivity
SCOFF
45
Is Brief Psychiatric Rating scale self-report?
No
46
Results of Brief Psychiatric Rating Scale?
``` Hostility-suspiciousness withdrawl-retardation Thinking disturbance Depression-anxiety Activation ```
47
What does SF-36 assess?
``` Limitations on physical activities due to illness Limitations in social activities Limitations in role performance Bodily pain General mental distress and well-being Limitations in role performance due to emotional problems Vitality General health perceptions ```
48
What is the most widely used psych rating scale in the NHS?
Health of the Nation Outcome scale
49
Items in Health of the nation Outcome scale?
12 measuring behaviour, impairment, symptoms and social functioning
50
What is face validity?
Subjective measure of deciding whether the test measures the construct of interest on its face value
51
What is construct validity?
Does the test measure the concept that its intended to measure
52
What is content validity?
Whether the test is representative of all aspects of the construct
53
How can content validity be measured?
Cannot be statistically tested | Experts called to comment
54
What is criterion validity?
Performance against an external criterion such as another instrument (concurrent) or future diagnostic possibility (predictive)
55
What is concurrent validity?
Ability of a test to distinguish between subjects who differ concurrently in other measures (other instruments)
56
What is convergent validity?
Agreement between instruments that measure some construct e.g. BDI and Hamilton for depression. This agreement can be tested in contrast groups e.g. depressed and non-depressed
57
What is discriminant validity?
Degree of disagreement between two scales measuring different constructs
58
What is the clinical approach to risk assessment?
Clinicians subjective, intuitive judgement informed by experience and knowledge is used to estimate risk and decide treatment
59
How many clinical judgements on risk have been fond to be correct?
33%
60
What does actuarial risk approach not tell you?
Does not inform clinician about risk factors requiring targeting to minimize risk
61
Problems of actuarial tools?
Historical aspects given more importance High false positive rates Generalisation to another setting is difficult Focused on static and stable factors
62
Who created the Historical Clinical Risk HCR-20?
Webster
63
What does HCR-20 consist of?
10 historical items 5 Clinical 5 Risk management
64
What is SARA?
Spousal Assault Risk Assessment
65
What is SVR-20?
20-item scale for sexual violence risk
66
What does Becks Hopelessness Scale consist of?
20 True/false statements focused on pessimism and about the future
67
Purpose of PCL-R (Hare)?
Diagnose psychopathy, inform risk assessment and treatment decisions.
68
How many items and score range in PCL-R?
20 items | 0-40 score range
69
Cut off for diagnosis of psychopathy in PCL-R?
25
70
Who is Static 99 used in?
Male adult sex offenders at least 18 years of age at time of release into community

Psychiatry (10 decks)

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