Scales

Question 1

Depression

Answer 1

• HAM-D or BDI
• Remission = HAM-D <7

Question 2

Social Anxiety

Answer 2

• Scales: Liebowitz Social Anxiety Scale for Adults (LSAS); objective response <30 score
• Social phobia inventory (SPIN)
  -out of 4x17=68. Severity – none (less than 20), mild/mod/severe q10, very severe (51 or more)

Question 3

OCD

Answer 3

YBCOS = Yale Brown Obsessive Compulsive Scale (+ child version). Scored on 40. severe ≥24, remission <8, response ↓25%

Question 4

PTSD

Answer 4

• SCALES:
  PTSD Checklist (PCL-C; SR), Clinician-Administered PTSD Scale (CAPS; CR) – long to administer, 30 items. Remission <20

Question 5

Panic disorder

Answer 5

PDSS - panic d/o scale
<7 = response

Question 6

GAD

Answer 6

gad7: <4
HAM-A <7

Question 7

Psychosis

Answer 7

• PANSS: negative and positive symptoms
  
  • CGI - clinical global impression
  • BPRS - brief psychiatric rating scale (both positive and negative symptoms)
  • AIMS - abnormal invountary movements scale
  • BARS - for akathisia
    ESRS - extrapyramidal symptom scale
    Calgary depression scale

Question 8

SUD

Answer 8

• Prediction of Alcohol Withdrawal Severity Scale (PAWSS)

-Clinical Opiate Withdrawal Scale (COWS)
11 item, 5- 12 = mild; > 36 = severe withdrawal

Question 9

Eating disorder

Answer 9

• Scale: Eating D/o questionnaire (SR, 18 items, severity), Eating Attitudes Questionnaire (SR, short)

Question 10

Delirium

Answer 10

• CAM - confusion assessment method

Question 11

Sleep

Answer 11

• Epworth sleepiness scale: >11 men, >9 for women

-STOPBANG
0-2: Low risk of OSA.
3-4: Intermediate risk of OSA, may require further assessment.
5-8: High risk of OSA, strongly suggests a need for further evaluation.

Question 12

Transplant

Answer 12

Scales: Psychosocial Assessment of Candidates for Transplant (PACT) – CR, items around social support, psych sx, lifestyle, capacity

Question 13

Child Scales

Answer 13

• CBCL - Child Behavioral Checklist (anx, depression, somatic, social, thought d/o, attention, rule-breaking, aggression)
  
  • K-SADS: Kiddie Schedule For Affective Disorders and Schizophrenia. Semi-structured, interview parent + child, for dx mood d/o, anxiety, ADHD, psychosis, PTSD, ODD, CD
  • Conners, Weiss functional impairment
  • MASC - multidimensional anxiety scale
  • CY-BOSC: Children’s Yale-Brown Obsessive Compulsive scale
  • CDI = children’s depression inventory

Question 14

ADHD

Answer 14

• Scales: ASRS, connors, Weiss, CBCL (Child Behavior Checklist)

Question 15

ODD

Answer 15

• Scales: CBCL (Child Behavior Checklist)
  • Parent management training ; MST/day hospital if refractory

Question 16

Conduct d/o

Answer 16

• Scales: CBCL (Child Behavior Checklist), self-report delinquency scale

MST; if refractory residential treatment/foster care

Question 17

DMDD

Answer 17

• Scales: CBCL (Child Behavior Checklist)
  
  • Management: parent management training; if refractory MST/day hospital

Question 18

Personality disorders

Answer 18

Scales:
· PID-5 (DSM 5 Trait Model) *PD-DNA
o Psychoticism, Detachment, Disinhibition, Negative Affectivity, Antagonism
· SCID (DSM-IV – current fct), SNAP (LT fct), MMPI
· Projective: Rorschach, TAT

Question 19

ASPD

Answer 19

PCL-20 = psychopathy checklist revised (psychopathy, 2 factors); HCR-20 (if forensic case, historical/clinical/future risk factors)