Scales Flashcards

Question

Simpson angus scale

Answer 1

Aims Discus - complete baseline and at least biannually

Answer 2

Barnes akathisia rating scale Screen for akathisia 2 or more implies akathisia

Answer 3

``` Simpson angus scale For Parkinsonism and other eps 10 item scale each on 0-4 continuum Global score - total Points divided by items - 0.3 or less is wnl, more is problem ```

Answer 4

Extra pyramidal symptom score Screen for eps incl Parkinsonism akathisia dystonia tardive dyskinesia 6 questions on subjective experience 7 rater assessed items Response not defined May not differentiate between dystonia and dyskinesia

Answer 5

Abnormal involuntary movement scale To assess for dyskinesia like TD- not diagnostic but quantifies involuntary movements to aid in diagnostics - response score not defined 12 items 0-4, 2 yes no, scales 0-40 measure subject awareness and incapacitation

Answer 6

Dyskinesia identification system condensed user scale ** score of 5 or above =RED FLAG Assessment for monitoring TD 15 items 0-4

Answer 7

Pittsburgh sleep quality index Subjective assessment of sleep quality, latency, duration, disturbances and sleep meds used and daytime functioning 19 items produce 7 component scores that yield a global score. First 4 questions are quantitative follower by 0-3 scle Score rabge 0-21, >5 suggests poor sleep quality

Answer 8

Epworth Sleepiness Scale Self rated clinician scored Assesses likelihood of falling a asleep in a given situation (watching tv in a car reading etc) 8 questions 0-3 each (0=no chance 3=high chance) Pts who score >10 should seek medical attention, 10-15= excessively/very sleepy, >16=dangerously sleepy

Answer 9

``` Stanford sleepiness scale Self rated Rates daytime alertness Likert 1-7, 1=active, 7=struggling to stay wake Simple ```

Answer 10

Insomnia severity index Self rated Assessed pt perception o insomnia 7 items each 0-4 with total score up to 28, Higher scores more indicative of insomnia

Answer 11

Dysfunctional beliefs and attitudes about sleep questionnaire Evaluates negative sleep cognitive Self rated Multiple versions 30 items on 100mm analog 0=strongly disagree, 100=agree strongly Bigger scores indicate more negative sleep attitudes

Answer 12

``` Apnea Hypopnea index # apneaa or hypoppneas per hr AHI>= 5 associate with cv risk 5-14 mild 15-19 moderate >30 seberw ```

Answer 13

Brief Fatigue Inventory OSA Subjective scale measuring fatigue and impact on ADL Self rated 9 items 0-10 Likert scale with huger score more severe

Answer 14

Pediatric daytime sleepiness scale For OSA Measure of subjective daytime sleepiness for middle school kids Self rated 8 questions 0-4 solar 0=never 4=very often but #3 inversely scored Score >15 associated wit poorer academic achiever Abnormal: >26 for 6/7th and >30 8th graders

Answer 15

``` RLS symptoms questionnaire Self an spouse rated for sx severity 10 questions on scale of 0-4 (0 none , 4 severe) Total score: 1-10 mild 11-20 moderate 21-30 severe 31-40 very severe ```

Answer 16

``` International RLS rating scale Clinician rating Same rating as RLSQ 10 questions on 0-4 scale none-very Total score 1-10 mild 11-20 moderate 21-30 severe 31-40 very severe ```

Answer 17

Cambridge Hopkins RLS questionnaire 7 items Definite RLS defined by answers to certain questions Validated and provided sens 87% spec 94%

Answer 18

Clinical institute if withdrawal assessment - alcohol, revised - gold std withdrawal assessment, part of sx triggered approach - clinician admin - 10 items max score 67 Scores: 18 severe withdrawal --- lower score implies less alcohol withdrawal severity, higher scores indicate need for medications

Answer 19

Alcohol use disorders identification test Evaluates quant, freq, physiological dependence on alcohol, harmful use 10 items, score 0-40 Score 8 or above identified heavy drinkers "Zones" of interventions based on score

Answer 20

``` Cut down Angry/annoyed Guilty Eye opener - self or clin - 4 questions- yes to 2 or more likely problem- prompts for further assessment ```

Answer 21

``` Addiction severity index -past 30 days or lifetime Semi structured interview that addresses 7 problem areas: Medical status Employment and support Alcohol use Drug use Legal status Family social status Psychiatric status ``` Frequency, durations, severity of problems Pt and interviewe rating included Problem severity measured by: "need for additional treatment" + composite score to measure problem severity Compare to national database /":9 to previous composite scores (eg baseline)

Answer 22

Clinical opiate withdrawal scale Purpose: Monitor course of withdrawal sx an effectiveness of med regimens Scoring 0 to 5- 4 I 5 severely symptomatic Total score: 5-12 mild 13-24 moderate25-36 moderately severe >36 severe withdrawal

Answer 23

Addiction severity index Assessment for 30 days or lifetime Patient and interviewer ratings Composite score compare to nationwide Database as well as to pt earlier previous scores

Answer 24

``` Four categories Clinician rated Checklist for observable aggressive/violent behavior 4 domains: Verbal aggression Physical aggression against self Physical aggression vs objects Physical aggression vs others Higher score indicates more observed aggression ```

Answer 25

``` Assesses agitated behaviors in elderly Cohen Mansfield agitation inventory Scores 0-30 C- m - I agitated! (Cmai) ```

Answer 26

Corrigan agitated behavior scale Degree to which specific behaviors are observed Degree ratings from 1 absent to 4 extreme, score from 14-56 Cabs are never zero!

Answer 27

``` Positive and negative syndrome scale- Excitatory Component! Evaluates 5 items: Poor impulse control Tension Hostility Uncooperativeness Excitement/tension ``` 1=absent, 4=moderate, 7=extreme Higher score more ill Most studies use score of 14 or 15 for inclusion

Answer 28

``` 10 items from zero to 4 Ratings include observations during interviews as well as average occurrence for each item during last 7 days 32-40 extremely severe sx 24-31 severe sx 16-23 moderate sx 8-15 Mild sx 0-7 subclinical ``` Response - at least 25% reduction in sx , remission score <8

Answer 29

``` Young mania rating scale Assess severity of abnormality Clinician rated Screening symptom severity 11 items max score 60 25 severe mania *not used to evaluate treatment ```

Answer 30

Manic state rating scale Assess severity of manic sx Useful for pts who are difficult to interview 26 items with 0-5 frequency and 1-5 intensity score Clinical rated for screening and sx severity

Answer 31

Assesses both manic and depressive scores 15 items on 10 pt scale 0 not at all 9 very much so most of time

Answer 32

Clinic chain rated Assess severity depression 17 items multiple versions 7-29 ?'s Response : score 22very severe depression

Answer 33

``` Response : <10 10 items 0-6 sx absent 7-19 mild depression 20-34 moderate depression 35-60 severe depression ```

Answer 34

``` Assessment severity Response score < 12 30 items < 12 normal 13-22 mildly ill 23-30 moderately ill 31-38 moderately to severely ill ```

Answer 35

``` Self rated Screening tool and assessment of sx Response < 50 20 items 70 severe depression ```

Answer 36

``` Self rated Dx and assessment of behavioral manifestations of depression Response: score <9 21 items 0-9 minimal 10-16 mild 17-29 moderate 30-63 severe ```

Answer 37

``` Self rated 16 item version of IDS Assess severity Response score < 5 0-5 normal 6-10 mild 11-15 moderate 16-20 severe >20 very severe ```

Answer 38

Self rated for dx and assess tx response 9 items Response = drop of 5 pts from baseline 5 pt drop is adequate response 2-4 pt drop prob inadequate response 1 pt drop - no change, or increase - inadequate response