Psych Rating Scale Flashcards
TRUE or FALSE: Psychiatric Rating Scales provides information is less comprehensie than in a routine clinical interview
FALSE. MORE COMPREHENSIVE
In measuring the psychiatric rating, whatare the issues to be considered? Give three
Format
Raters
Source of Info
TRUE or FALSE: The assessment of quality is based on biometrics
FALSE. PSYCHOMETRIC OR MIND-MEASURING
In the assessment of rating scales, this is the consistency or repeatability of ratings.
Reliability
This refers to conformity with truth. Gold standard that can stand for truth
Validity
What are the three standard ways to assess reliability?
Internal consistency
Interrater
Test-Retest
In this way of assessing reliability, agreement is assessed among the individual items in a measure
Internal consistency
Thi measures the reliability only to the extent that the subject’s true condition remains stable in the time interval.
Test-Retest
This is also called interjudge or joint reliability
Interrater
This is a measure of agreement between two or more observers evaluating the same subjects using the same information
Interrater
What are the issues in interpreting reliability data?
Nature of the sample
Training and experience of the raters
Test conditions
What are the divisions of validity assessment? (Give 3)
Face and content Validity
Criterion validity
Construct validity
This validity assessment is less focused on whether the items give the appearance of validity but ratherdescribes whether the measure provides good balaced coverage of the construct
Content validity
This is also called predictive or concurrent validity
Criterion validity
This refers to whether the items appear to assess the construct in question
Face validity
This validity is assessed when additional validity data are desired or when an adequate gold standard is not available
Construct validity
This is a variety of questionnares, interviews, checkliss, outcome assessments, and others for psychiatric practice, research and administration
Psychiatric Rating Scales
This measures disability along a number of parameters; self administered
WHODAS (WHO Disability Assessment Sched)
What are the parameters that measures disability?
Cognition
Interpersonal Relations
Work and Social Impairment
This psychiatric diagnosis begins with demographic info and clinical background
Structural Clinical Interview for DSM (SCID)
What are the 7 diagnostic groups?
Mood Psychotic Substance abuse Anxiety Somatic Eating Adjustment disorders
TRUE or FALSE: Formal training is required in SCID but training books or videos are not available to fcilitate this
FALSE. AVAILABLE ANG TRAINING BOOKS/VIDS
TRUE or FALSE: SCID is not recommended for use by lay interviewers
TRUE
This is developed in the late 1960s as a short scale for measuring the severity of psych symptomatoligy
BPRS (Brief Psychiatric Rating Scale)
This covers thought disturbance, emotional withdrawal and retardation, anxiety and depression, and hostility and suspiciousness
BPRS
TRUE or FALSE: The reliability of BPRS depends on the raters experience
TRUE. The more experienced/trained, the reliability of BPRS is good to excellent
This is developed in the 1980s to remedy perceived deficits in the BPRS in the assessment of positive and negative symptoms
PANSS (Positive and negative Syndrome scale)
What is the standard tool for assessing clinical outcome in treatment studies of schizo and other psychottic disorders?
PANSS
These are detailed assessment of positive and negative symptoms of schizo
SAPS & SANS (scale for assessment of positive/negative symptoms)
TRUE or FALSE: SAPS and SANS are used strictly in tandem
FALSE. MAY BE USED SEPARATELY OR IN TANDEM
This assesses hallucinations, delusions, bizarre behavior, and thought disorder
SAPS
This assesses affective flattening, poverty of speech, apathy, anhedonia, and inattentiveness
SANS
What diagnostic is mainly used to monitor treatment effects in research?
SAPS and SANS
This is a diagnostic in mood disorder which monitors severity of majr depression
HAM-D (Hamilton Rating Scale for Depression)
Rates depression severity
BDI (Beck Depression Inventory)
What are the two main focus of dimensions in depression in BDI?
Behavioral and Cognitive dimension
What is the most commonly used bersion of HAM-D?
17-item Version
What is the current version of BDI?
Beck-II
Which among the psychiatric diagnosis has a high reliability with excellent internal consistency and interrater reliability?
PANSS
TRUE or FALSE: HAM-D is less problematic in elderly and the medically ill
FALSE. MORE PROBLEMATIC BECAUSE THE ORESENCE OF SOMATIC SYMPTOMS MAY NOT BE INDICATIVE OF MD
The main use of this assessment of mood disorders is as an outcome measure of interventions for MD in clinical trials.
BDI
Why is the BDI sometimes used to screen for MD?
Becauses it is a self-report instrument
This anxiety rating scale assesses both the somatic and cognitive aspect in anxiety symptoms
HAM-A
What score in HAM-A is the threshold for clinically significant anxiety?
14
This is a brief rating scale for severity of panic disorder
PDSS (Panic Disorder Severity Scale)
TRUE or FALSE: PDSS is sensitive to change with treatment hence, it is not useful for monitoring panic disorder
FALSE. USEFUL SYA
What are the four criteria in CAPS?
The event itself
Re-experiencing of the event
Avoidance
Increased arousal
How may items is the CAPS composed of?
17
The items in CAPS may also be used to generate a total PTSD severity score. This is obtained by the sum of which two scales?
Frequency and Intensity scales for each item
TRUE or FALSE: CAPS is excellent for the diagnosis and severity assessment hence, it is recommended for use in clincal practice.
FALSE. NOT RECOMMENDED COZ ITS LENGTHY (45-60mins)
What is rating scale is used to measure the severity of symptoms in OCD,
YBOCS (Yale-Brown OC Scale)
How many items does the YBOCS conposed of?
10
What are the two conponents of the 10-item YBOCS?
First five: obsession
Next 5: compulsion
The amount of time that they consume, the degree to which they interfere with normal functioning, the distress that they cause, the patient’s attempt to resist them, and the patient’s ability to control them is asked on which part of the YBOCS?
Obsession part
What is the standard instrument used for assessing OCD severity?
YBOCS
This rating scale serves as a brief screen for significant alcohol problem
CAGE
What is the question in the ‘C’ of CAGE
Have you ever felt you should CUT down on your drinking?
A in CAGE corresponds to what question
Have people ANNOYED you by criticizing your drinking?
G corresponds to what question in CAGE?
Have you ever felt bad or GUILTY anout your drinking?
E in CAGE corresponds to what question?
Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover? (EYE-OPENER)
What score in CAGE needs follow up?
1 or more
What score in CAGE suggests alcohol problems?
2 or more
This is a qunatitative measure of symptoms and functional impairment due to alcohol or drug disorders
ASI (Addiction Severity Index)
This is the first inteeviewer based conprehensive assessment of eating disorders
EDE (Eating Disorder Examination)
In this version of EDE, the subjects are asked to make similar ratings of frequency and severity
Ede-Q (self report)
EDE provides both global severity ratings and ratings on what four subscales?
Restraint
Eating Concern
Weight Concern
Shape Concern
In this rating scale of eatingdisorder, the reliability and validity are excellent
EDE & EDE-Q
What is the score of a bulemic patient in the BULIT-R(Bulemia Test-Revised)?
> 110
If there is no eating disorder, the parient will score ___ in BULIT-R
What is the cut off in BULIT-R to screen for bulimia nervosa?
98-104
The MMSE is a cognitive test composed of how many points?
30pts
MMSE assesses cognitive fxn through these 4 conponents
Orientation Attention Memory Construction Language
Thi assesses behavioral symptoms often seen in AD and other dementing disorders
NPI (Neuropsychiatric intervention)
What are the other two versions of NPI?
NPI-NH (home interview version)
NPI-Q (self report)
This test attempts to measure general intelligence
SGIT (scored general intelligence test)
Personality Disorder Questionnaire is a self report of how may yes-no items?
85
Patients with personality disorder scores ___ in PDQ
> 30
What is the range of score of psychotherapy outpatients in PDQ?
20-30
This is a family of self rated instruments that survey a broad range of difficulties encounterd in children from preschool to adolescence
Child behavior checklist (CBCL)
In the CBCL, each version includes how many items?
100 items scored on a 3pt Likert scale
What are the three subscales in the CBCL?
Problem behavior
Academic functioning
Adaptive behaviors
In this rating scale for childhood disorders, both the children in parents can tolerate this well and can be used to ensure comprehensive diagnostic coverage
DISC (diagnostic interview sched for children)
This is a family of instruments designed to measure a range of childhood and adolescent psychopath
Conners rating scales
The conners rating scale is most commonly used in the assessment of what disorder?
ADHD
ADI-R is an assessment of autism and i conposed of how many items?
93
ADI-R is designed for individuals with a mental age of how many months?
> 18mos
What are the three broad areas covered in ADI-R?
Language and communication
Reciprocal social interactions
Restricted, repetitive and stereotyped behaviors and interests
What is a disability assessment rating scale?
WHODAS 2.0
What are the different psychiatric rating scales for psychiatric disorders?
SCID
BPRS
PANSS
SAPS & SANS
What are the different psychiatric rating scale for mood disorders?
HAM-D
BDI
Wht are the psychiatric rating scale for anxiety disorders?
HAM-A
PDSS
CAPS
YBOCS
What are the psychiatric rating scale used for substance use disorders?
CAGE
ASI
What psychiatric rating scales are used to assess eating disorders?
EDE
BULIT-R
What psych rating scales are used to assess cognitive disorders?
MMSE
NPI
SGIT
This psych ratibg scale is used to assess personality disorders and personality traits
PDQ
What psych ratibg scales are used for childhood disorders?
CBCL
DISC
CONNERS RATING SCALE
ADI-R
The psych rating scale for childhood disorder is usually composed of three versions. What are these
Version for:
Child
Parent
Teacher