Assessments Flashcards
PAI- what do the treatment scales measure and what are they (5)
they measure what factors may complecate treatment.
5 factors
AGG; aggfression scale (anger and hostility)
SUI: suicidal ideation
STR: recent stressors
NON: non support scale, lack of percieved social support
RXR: treatment rejection, lack of motivation to change
what are the clinical scales of PAI (11 scales)
what do they measure? psychiatric diagnostic categories
– SOM: Preoccupation with health complaints typically associatedwith somatization of conversion disorders
– ANX: symptoms and signs of anxiety
– ARD: symptoms and behaviours or specific anxiety disorders
– DEP: symptoms and phenomena of depressive disorders
– MAN: mania and hypomania
– PAR: paranoid disorders and personality
– SCZ: symptoms of schizophrenic disorders– BOR: features of borderline personality disorder, includingunstable relationships, affective instability and lability, andimpulsivity
– ANT: illegal acts, authority problems, lack of empathy andexcitement seeking
– ALC and DRG: problematic consequences of alcohol or drug useand features of substance dependence
What invalidates PAI?
18 or more items left unanswered (which equals more than 5%)
scores on a scale or subscale should not be interpreted if more than 20% or the items on that scale were left unanswered.
What are the steps with interpreting the PAI
- look at the validity scales
- compare scores against community norms.
(if in clinical range then use clinical norms)
a score of 70t is roughly 96th percentile (unusual in general population – clinical) - interpret the individual scales and their component parts (examine them)
DASS
stress scale represents:
Difficulty in being able towind down, nervousarousal, easilyupset/agitated,irritable/over–reactive,impatient. GAD
DASS
Anxiety scale represents:
Autonomic arousal,muscular effects,situational anxiety,subjective experience ofanxiety. Panic, phobias,social anxiety
HOW MANY ITEMS ON PAI
344 items, which form 22 non–overlapping scales
Respondents are asked to rate their responses on a 4–point graduatedscale (false, somewhat true, mainly true, very true)
What’s the PAI
Multi–scale self–report test of personality Age: 18 years and older
Fourth grade reading is required
Scoring of the PAI:
scores? mean and SD?
age?
Scores: T scores (M – 50 / SD – 10
Age: 18 with minimum 4th year reading
wHAT’S THE PURPOSE OF USING THE PAI
To provide information relevant to: – Clinical diagnosis
– Treatment planning
– Screening for psychopathology
PAI interpersonal scales (2)
Dominance (DOM): Assesses the extent to which a person iscontrolling and independent in personal relationships. This scalereflects a bipolar dimension, with a dominant style at the high end anda submissive style at the low end.*
Warmth (WRM): Assesses the extent to which a person is interested insupportive and empathic personal relationships. This scale reflects abipolar dimension, with a warm, outgoing style at the high end and acold, rejecting style at the low end.
PAI
administation and feedback
administration: in person either individual setting or group setting
feedback: begin with positive aspects (such as personal strengths) or things client is already aware of.
DASS
Purpose:
Scoring?
Depression, anxiety stress scale.
long version: 42 (14 questions per domain
short version 21 (7 questions per domain)
Items are scored between 0 – 3
not a diagnostic measure.
can give clinician important feedback and can assist with monitoring progress
What does the PAI skyline represent and how do you interpret it
the skyline provides a reference point for scores that are in the clinical setting.
The top of the skyline is 2 SD above the mean of the CLINICAL setting.
K10 / Kessler–10
what is it used for?
Brief measure of psychological distress used to screen formental disorders in primary care settings
GPs include K10 scores in referrals to psychologists as part of aMental Health Care Plan
DASS
depression scale represents?
Dysphoria, hopelessness, devaluation of life, self–deprecation, lack of involvement,anhedonia and inertia. (Assess for depression)
PAI VALIDITY SCALES?
what do they measure
– ICN: consistency of the respondent’s answers throughout theinventory – - – INF: careless or random responding
– NIM: presentation of exaggerated negative experiences
– PIM: presentation of a very favourable impression
They measure the persons approach to the test, faking good or bad, Malingering
– Defensiveness
– Under reporting substance abuse
You have a 16 and 10-month-old kid and you think he has an intellectual delay. What test would you use?
WISC-V
what disorders are screened for in K10?
(9)
Depression Dysthymia
Bipolar disorder
Panic disorder
Social phobia
Agoraphobia
GAD
Substance use disorder
OCD
PTSD
K10 Questionnaire layout?
Scoring?
10 questions with a 5– point response scale.
minimum score 10 / maximum score 50
Normal: 10–19
Mild disorder: 20–24
moderate disorder: 25–29
severe disorder: 30–50
18+ years
What are the mean and SD of WISC-V
Mean: 100 SD 15
How many core subscales in the WISC-V are used to calculate FSIQ?
7
How many core subscales in the WISC-V
10
how many index scales in WISC and what are they?
5
VCI; verbal comprehension index
VSI: visual spacial index (measures non verbal reasoning and concept formulation
FRI: fluid reasoning (ability to solve novel problems)
WMI: working memory index
PSI: processing speed index
WISC: What does VCI measure and core subtests?
measures communication of knowledge.
core subtests: similarities and vocabulary (both used in FSIQ)
WISC: What does VSI measure and core subtests?
measures ability to evaluate visual details and understand visual spacial reltionships. ability to construct geometric designs from a model.
Core: block design (FSIQ)
Visual puzzles
WISC: What does FRI measure and what are the core and sup tests
FRI measures abstract reasoning.
Detects relationships between visual objects.
uses resoning to identify and apply rules.
Fluid intelligence
Core subtests: matrix reasoning, figure weights (FSIQ)
suplementary tests: picture concepts and arithmetic.
WISC: What does WMI measure and what are the core and sup tests
measures concentration / attention and mental control
Core: digit span (FWIQ) and picture span
sup: letter numbering sequence
WISC: What does PSI measure and what are the core and sup tests
measures short term visual memory / cognitive flexibility.
Core: coding (FWIQ) and symbol search.
Sup: cancellation
WISC:
Age range?
Mean & SD?
Age: 6-16:11
mean: 100 SD 15
how many core subtests in WISC-V and what are they?
7
VCI: similarities & vocabulary
VSI: Block design
FRI: matrix and figure weights
WMI: digit span
PSI: coding.
WISC-V FSIQ score descriptors (7)
extremely high: 130+
very high: 120-129
high average: 110-119
average: 90-109
low average: 80-89
very low: 70-79
extremely low: 69-
WAIS-IV: what’s the purpose:
how many indexes and what are they
intelligence / cognitive delay / learning difficulties / ID and giftedness
Indexes: 4
VCI: verbal comprehension
PRI: perceptual reasoning
WMI
PSI
WAIS: what does VCI measure
knowledge from ones environment
verbal acquired knowledge
ability to understand, use and think with spoken language
WAIS: how many core subtests and what are they in VCI
3 core
similarieites
vocab
information
WAIS: what does PRI measure
Perceptual Reasoning Index:
measures a person’s ability to interpret, organise and think with visual information
Fluid / requires visual perceptual abilities
WAIS: PRI core subtests??? (3)
Block design
matrix reasoning
visual puzzles
WAIS: what does WMI measure?
personas ability to take in and hold info and then perform mental operation with that info
WAIS: how many core subtests in WMI and what are they
digit span
arithmetic
WAIS: PRI - what does it measure
Perceptual reasoning index:
person’s ability to process visual information quickly and efficiently. Measures visual and motor speed.
WAIS: PSI - how many core subtests and what are they?
2
symbol search
coding
WAIS; what’s the age range, mean and SD
Age: 16 - 90:11
Mean: 100 SD: 15
WAIS: what indexes are used to calculate GAI
VCI and PRI
WAIS: when do you calculate GAI over FSIQ?
23+ point difference between any index scores calculate GAI and not FSIQ.
if 23+ between VCI and PRI and report individual.
WISC: 1. How do you establish rapport before testing? What do you say to children to explain the purpose of the assessment?
Tell the child that you are going to show him or her some blocks, ask some questions, and look at some pictures. Try to avoid the phrase intelligence test
A six year old child suspected of having an intellectual delay presents for assessment? What test would you use? WISC- V, beginning with the 6-year-old (lowest age) start point or WPPSI IV?
To ensure the availability of a sufficient number of items to assess a child’s ability adequately, the WPPSI-IV should be used with 6-year-olds who are below the average range because it provides significantly easier items than the WISC-V
A 16 year 11 month old who is struggling at school, would you do WISC or WAIS?
WISC
If the examinee receives full credit for the first item administered but not the second, the first item is counted to meet the reversal criteria of two consecutive perfect scores. True or False?
true
WISC: What should you do if the child asks for clarification of an item while you are timing?
Unless stated otherwise, the item instructions may be repeated upon request. However, do not stop timing in order to clarify or repeat instructions. The repetition time is included in the completion time for that item. Note any deviation in the procedures on the Record Form and consider carefully when interpreting test scores.
- WISC: Which subtests require the use of a separate booklet
Coding
Symbol Search
Cancellation
WISC: What should you do if you are not certain if the discontinue rule has been met?
Be careful not to discontinue prematurely. Administer additional items until you are certain the discontinue criterion has been met. If, after review, you find that the child was given items beyond the point at which testing should have been discontinued, award no points for those items, beyond the correct discontinue pint, even if the child’s responses would ordinarily have earned credit.
WISC: When are you supposed to query a response?
Clinical judgment when an examinee’s responses are vague or ambiguous
WISC-V lists responses to Vocabulary, Similarities,
Comprehension, and Information
items that should be queried.
Do not query a child if he or she spontaneously produced an incorrect or zero-point response, unless a Q appears in parentheses next to the same or a similar response in the manual.
E.g., “Tell me more about …” or “Explain what you mean …”
WISC: When are you supposed to query a response?
Clinical judgment when an examinee’s responses are vague or ambiguous
WISC-V lists responses to Vocabulary, Similarities,
Comprehension, and Information
items that should be queried.
Do not query a child if he or she spontaneously produced an incorrect or zero-point response, unless a Q appears in parentheses next to the same or a similar response in the manual.
E.g., “Tell me more about …” or “Explain what you mean …”
What is the mean and SD of the WISC in scaled scores?
mean: 10 SD: 3
WISC: how may substitutions are allowed for each index score
none
WISC: How many substitutions are allowed when calculating FSIQ?
one
WISC: what is the GAI and when should you use it?
general ability index.
The GAI is an optional index score. The GAI is derived from the 2 Verbal Comprehension 2 Fluid Reasoning and 1 Visual Spatial subtests. The GAI provides an estimate of general intellectual ability, with reduced emphasis on working memory and processing speed relative to the FSIQ.
The GAI should be used when a FSIQ cannot be derived or when administering to examinees presenting with working memory and/or processing speed difficulties
WISC: When are both FSIQ and GAI non interpretable?
You get a referral from dr who has been working with women in 40s and had minor car accident while at work a couple of years ago and has some neck pain and back pain and hasn’t been able to work since then. You think as part of your clinical assessment do PAI. What is the main reason for doing PAI
1. Ensure compressive assessment of personality
2. Determine whether client disability is valid
3. Check if exaggerating symptoms by neg scale
4. Give accurate interpretation to GP
5. Formulate presenting problem
- Ensure compressive assessment of personality
DON’T FALL INTO ASSUMPTIONS! ASSUMPTION HERE IS THAT SHE’S FAKING. You can’t tell that her neck and back pain is valid.
Need to check question. Main reason for doing PAI is to do a comprehensive assessment of personality.