Exam 4 - Lec 51 DSM-5 Flashcards
T or F: the DSM-5 was reorganized to reflect disorders across a continuum based on developmental and lifespan considerations
T
the DSM-5 begins with __________ disorders
neurodevelopmental
what neurodevelopmental disorders are in the DSM-5?
-intellectual disabilities and delays; communication disorders
-autism spectrum disorders
-ADHD
T or F: bipolar and depressive disorders are included in the same chapter
F (bipolar is found between schizo and depressive disorders, reflecting overlapping nature of bipolar disorder)
T or F: anxiety disorders and OCD and “trauma- and stressor-related disorders” are in separate chapters
T
3 types of anxiety disorders in DSM-5
GAD
Social anxiety disorder
Panic disorder
the substance-related disorders section no longer includes what two words with negative connotations?
abuse and dependence
which section does gambling disorder fall under?
substance-related disorders
which section of the DSM-5 was formerly known as dementia?
neurocognitive disorders
2 things to know about the neurocognitive disorders section
-categorized into major and mild
-specifiers include type (Alzheimer’s, etc)
2 clinically useful rating scales for depression
PHQ-9 (pt health questionnaire)
BDI (Beck depression inventory)
T or F: the PHQ-9 and the BDI are patient-rated
T
what does the PHQ-9 screen for?
depression and suicidal thinking
which questionnaire is a patient-rated screening tool for bipolar I?
a. PHQ-9
b. BDI
c. MDQ
d. MADRS
e. CGI
f. GAF
c. MDQ (mood disorders questionnaire)
two research rating scales for depression
-Hamilton Depression (HAM-D, HDRS)
-Montgomery-Asberg Depression Rating Scale (MADRS)
Are the HAM-D/HDRS and MADRS patient-rated or clinician-rated?
clinician-rated
T or F: the HDRS and MADRS are validated in clinical trials, and are considered gold standards
T
which rating scale is clinician rated by pt report of symptoms and is used for bipolar disorder?
a. MADRS
b. YMRS
c. PHQ-9
d. BARS
b. YMRS (Young mania Rating Scale)
what is the rating scale used for generalized anxiety?
a. YMRS
b. HAM-A
c. HAM-D
d. AIMS
b. HAM-A (Hamilton Anxiety Rating Scale)
what are the two gold standard, clinician-rated rating scales for schizophrenia in clinical trials?
-positive and negative syndrome scale (PANSS)
-brief psychiatric rating scale (BPRS)
two questionnaires for movement SE of antipsychotics
Simpson-Angus (SAS)
Barnes Akathisia Scale (BARS)
are the SAS and BARS patient-rated or clinician-rated?
clinician-rated
which rating scale evaluates drug-induced parkinsonian sx?
a. SAS
b. BARS
c. HAM-D
d. HAD-A
e. ESRS
a. SAS (Simpson-Angus)
which rating scale is used for observation of akathisia?
a. SAS
b. BARS
c. PANSS
d. BPRS
b. BARS (Barnes Akathisia Scale)
what is the rating scale for only tardive dyskinesia?
a. ESRS
b. AIMS
c. BPRS
d. BDI
b. AIMS (abnormal involuntary movement scale)
what rating scale is used to assess parkinsonian sx, akathisia, dystonia, and tardive dyskinesia?
a. AIMS
b. ESRS
c. SAS
d. BARS
b. ESRS (extrapyramidal symptoms rating scale)
T or F: the CGI has variable results based on clinician evaluation and experience
F (that is for GAF)
T or F: the CGI and GAF are both clinician-rated
F (GAF is clinician-rated, but CGI is observor-rated)
what are the two overall psychiatric functioning assessments?
CGI (clinical global impressions)
GAF (global assessment of functioning)
which of the following is observer-rated?
a. CGI
b. GAF
c. BDI
d. PHQ-9
a. CGI