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funky monkey > mental health assessments > Flashcards

mental health assessments Flashcards

1
Q

What does DASS stand for

A

Depression, Anxiety and Stress Scale

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2
Q

How long is the DASS

A

42 items long

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3
Q

How longs is the shortened DASS

A

21 items

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4
Q

How many questions do the 3 domains have on the DASS

A

14 on the full version and 7 on the shortened version

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5
Q

What scale is the DASS scored on

A

A 4 point likert scale from 0 to 3

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6
Q

Is the DASS a diagnositic measure

A

No it can not replace a well-constructed clinical interview

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7
Q

What can the DASS be used for

A

feedback about progress

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8
Q

WHat are the 7 domains of depression assessed by the DASS

A
  1. Dysphoria
  2. Hopelessness
  3. Devaluation of life
  4. Self-deprecation
  5. Lack of involvement
  6. Anhedonia
  7. Inertia
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9
Q

What are the 4 domains of anxiety assessed by the DASS and how many items are there for each

A
  1. Autonomic arousal
  2. Muscular effects
  3. Situational anxiety
  4. Subjective experience of anxiety
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10
Q

What are the 5 domains of stress measured by the DASS and how many items are there for each domain

A
  1. Difficulty winding down
  2. Nervous Arousal
  3. Easily upsetd
  4. Irritable
  5. Impatient
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11
Q

Does the DASS have good pyschometric properties for adolescent populations?

A

YES!

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12
Q

What is the Kessler 10

A

A brief measure of psychological distress

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13
Q

What is the K10 used for

A

Screener mental disorders in primary care settings

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14
Q

What is the most common use of the K10

A

GP’s for referrals to psychologists as part of a mental health care plan

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15
Q

What theory is the K10 based on

A

THat people who experience a wide range of mental disorders have high scores on a dimension of non-specific distress

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16
Q

What is the K10 particularly good at measuring

A

sensitivity to symptom change - changes in anxious cognitions

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17
Q

What is a limitation of the K10

A

inconsistent evidence that it is valid for culturally diverse groups.

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18
Q

Has the K10 been used with Aboriginal and Torres Strait Islanders?

A

No - modified version known as the K5 has been used to assess levels of distress in indigenous and non-indigenous adults from 2 national surveys

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19
Q

What is the K10

A

A 10 question scale that measures emotional states and distress using a 5 point likert scale

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20
Q

How are the questions on the K10 structured

A

Each question asks how often in the past 30 days the respondent has felt nervous, hopeless, sad and so on. The respondent then identifies whethere it was 1- none of the time 5 - all of the time

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21
Q

How is the K10 scored

A

The scores of the 10 items are summed

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22
Q

what is the minimum and maximum score on the K10

A

10 and 50

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23
Q

What does a score between 20 and 24 indicate on the K10

A

a mild disorder

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24
Q

What does a score of 25 to 29 indicate on the K10

A

A moderate disorder

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25
Q

What does a score of 30 to 50 indicate on the K20

A

A severe disorder

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26
Q

What is the SDQ

A

The Strengths and Difficulties Questionnaire and it is a widely used brief screening questionnaire assessing emotional and behavioural problems in children and adolescents

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27
Q

What is the main purpose of the SDQ

A

To identify young people who should be referred for further assessment or intervention

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28
Q

What else is the SDQ used for

A

Evaluating treatment outcomes and during initial assessment in child and adolescent mental health services across Australia

29
Q

What is the main part of the SDQ

A

A 25 item questionnair with 5 subscales

30
Q

What are the 5 subscales of the SDQ

A
  1. Conduct problems
  2. Hyperactivity
  3. Emotional problems
  4. Peer problems
  5. Pro social behaviours
31
Q

How many items align with each subscale of the SDQ

A

5 items for each subscale

32
Q

HOw does one get the total difficulties scores for the SDQ

A

By summing the 4 deficit focused subscales

33
Q

What population can the internalising problem scale and externalising problem scale be used in relation to the SDQ

A

Low risk populations

34
Q

What is the internalising problem scale on the SDQ

A

It is the sum of emotional and peer symptoms

35
Q

What is the externalising problem scale on the SDQ

A

It is the sum of the conduct and hyperactivity symptoms

36
Q

What is the impact supplement on the SDQ

A

It asks the respondent to identify if the young person has a problem

37
Q

What 4 areas does the impact supplement on the SDQ assesss

A
  1. Chronicity
  2. Distress
  3. Social Impairment
  4. Burden to others
38
Q

What is the second component of the SDQ

A

A follow up version with 25 basic items, the impact quetion and two follow up questions for use after an intervention

39
Q

What are the 2 questions asked in the follow up SDQ

A
  1. Has the intervention reduced problems

2. Has the intervention helped in other wasy, for example making the problems more bearable

40
Q

What is the age range of the SDQ

A

4 to 17 year olds

41
Q

Is there a version of the SDQ for younger children

A

There is a modified version for parents and preschool teachers of 2 to 4 year olds

42
Q

What age range can complete the self-report version of the SDQ

A

11 to 17 year olds

43
Q

What reliability and validity does the SDQ demonstrate

A
  1. Internal consistency
  2. Test-retest reliability
  3. External validity
  4. Convergent validity
44
Q

Can the SDQ be used with aboriginal children

A

IT has been demonstrated to have acceptable fit among urban aboriginal children from NSW

45
Q

What scale is perhaps less reliable and not appropriate for use with aboriginal children

A

Peer problems scale and it should be interpreted with caution

46
Q

What are 5 advantages of the SDQ

A
  1. Brevity
  2. acccessible
  3. Free
  4. Multiple informant versions to allow comprehensive assessment
  5. Focuses on strengths as well as difficulties
47
Q

Are there australian norms for the SDQ

A

yes!

48
Q

What is the PHQ-9

A

It is the Patient Health Questionnaire 9-item

49
Q

What is the purpose of the PHQ-9

A

It can used to screen as well as diagnose mental health disorders like depression, anxiety, alcohol, somatoform and eating disorders

50
Q

What is the mood module of the PHQ

A

It is a abrief scale for depression

51
Q

Where were the 9 items of the PHQ-9 sourced from

A

The DSM-IV criteria for Major depression

52
Q

What are the 3 uses of the PHQ-9

A
  1. Diagnose depression
  2. Monitor severity of depression
  3. Inform and monitor the treatmen tof depression in primary care settings
53
Q

When is the PHQ -9 used

A

When depression is the mental health condition of itnerest

54
Q

What is the SAD triad

A

Somatic, anxiety and depression symptoms

55
Q

WHat is the PHQ-SADS

A

a screener used when indiviudals have a co-occurence of somatic and anxiety symptoms

56
Q

What does each item on the PHQ-9 begin with

A

Over the last 2 weeks how often have you been bothered by the following

57
Q

What is th 4 point likert response scale on the PHQ-0

A
  1. 0 not at all
  2. 1 several days
  3. 2 more than half the days
  4. 3 nearly every day
58
Q

What is the age range of the PHQ-9

A

Adults

59
Q

What is the PHQ-9 often administered as part of

A

It is administerd as part of the PRIME MD PHQ which is 3 pages longer and takes 5 to 10 minutes to administer

60
Q

WHat is the primary use of teh PHQ-9

A

To derive severity scores for depression

61
Q

What does a score of 0 to 4 indicate on the PHQ-9

A

minimal depressive symptoms

62
Q

What does a score of 5 to 9 indicate on the PHQ-9

A

mild depressive symptoms

63
Q

What does a score of 10 to 14 indicate on the PHQ-9

A

Moderate depressive symptoms or mild depression

64
Q

What does a score of 15 to 18 indicate on the PHQ-9

A

Moderately severe major depression

65
Q

What does a score of 20 or greater indicate on the PHQ-9

A

Severe major dperession

66
Q

When is Major depression diagnuosed using the PHQ-9

A

5 of the 9 depressive symptoms have been present more than half of the days . anhedonia or feeling down or depressed

67
Q

What does a positive response to item 9 demand

A

Item 9 refers to thought around being better of dead or hurting yourself and it requires a response by the clinician - like a risk assessment

68
Q

Are there australian norms for the PHQ-9

A

No there is not

69
Q

What does a high stress and mild anxiety score potentially indicate on the DASS

A

GAD

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