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Psychiatry > Rating Scales > Flashcards

Rating Scales Flashcards

1
Q

Is Beck’s Depression Inventory self-rated?

A

Yes

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2
Q

Is the Edinburgh postnatal depression scale clinician-rated?

A

No - self-rated

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3
Q

What is GHQ used for?

A

First-level assessment in epidemiological studies before detailed schedules employed

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4
Q

What is the purpose of GHQ?

A

Screening tool to detect those likely to have or be at risk of developing a psychiatric disorder

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5
Q

Which diagnostic schedules can be used by trained primary care workers?

A

Hopkins Symptom Check List

58 items

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6
Q

Who developed the Composite International Diagnostic Interview?

A

WHO

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7
Q

Which diagnostic schedule uses both ICD and DSM?

A

Composite International Diagnostic Interview

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8
Q

What does Diagnostic Interview Schedule study?

A

Lifetime DSM diagnosis initially, then current diagnosis

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9
Q

What does Hopkins symptoms check list measure?

A

Neurotic symptom distress in OP

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10
Q

What does present state examination do?

A

Provides clinical diagnosis in line with ICD

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11
Q

Aim of Schedule for Affective disorders and schizophrenia?

A

Covers all major mental illness.

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12
Q

Which diagnostic schedule has a kids version?

A

Schedule for affective disorders and schizophrenia - Kiddie-SADs

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13
Q

Which diagnostic schedule has replaced the present state examination?

A

Schedule for assessment in neuropsychiatry

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14
Q

Name some clinician-rated depression rating scales

A

Hamilton depression scale

Montgomery-Asberg depression rating scale

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15
Q

Easiest scale to quantify depression severity?

A

Visual analogue scale

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16
Q

How many items in Hamilton depression rating scale?

A

17-21

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17
Q

How many items in the Montgomery-Asberg depression rating scale?

A

10

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18
Q

How many items in Beck depression inventory?

A

21

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19
Q

Max score in Beck depression inventory?

A

63

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20
Q

Disadvantages of Beck Depression Inventory

A

Lacks discriminatory power among severely ill

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21
Q

How many items in Zung Depression inventory?

A

20

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22
Q

Advantage of Zung Depression Inventory

A

Avoids imbalance towards psychological factors such as Becks

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23
Q

When is depression rating scale appropriate for children?

A

7 years

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24
Q

Name two depression rating scales for children

A

Reynolds Child Depression Scale

Children’s Depression Inventory

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25
Q

At what age can Becks Depression Inventory be used?

A

14 +

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26
Q

Which depression rating scale is NICE approved and has a parent version?

A

Mood and Feelings Questionnaire

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27
Q

Perinatal depression rating scales

A

Becks Depression Inventory
Edinburgh Postnatal depression scale
Center for Epidemiological Studies - depression scale

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28
Q

Characteristics of Geriatric depression scale?

A

Fewer somatic symptoms
Symptoms in past week
Yes/no answers

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29
Q

Depression rating scales for patients with cognitive deficits

A

Cornell Scale for Depression in Dementia - for caregiver

Hamilton Rating Scale for Depression

30
Q

Which depression rating scale is for use in hospital?

A

Brief Assessment Schedule Depression cards - avoids patients being overhead - choose from a deck of 19 cards

31
Q

Depression rating scale for those with schizophrenia?

A

Calgary Depression Scale for Schizophrenia

32
Q

Score suggestive of dependence drinking in women and men in AUDIT?

A

13 - women

15 - men

33
Q

Which alcohol questionnaire is recommended by WHO for primary care use?

A

AUDIT

34
Q

How many items does CIWA consist of?

A

10

35
Q

Which scale is used for DSM-based diagnosis in children?

A

Diagnostic interview schedule for children

36
Q

Which rating scale is commonly used to assess ADHD?

A

Conners Rating Scale

37
Q

Which rating scale is used to assess changes in cognitive function in anti-dementia drug trials?

A

Alzheimers Disease Assessment scale

38
Q

What does BEHAVE-AD measure?

A

Behavioural symptoms in patients with Alzheimers

39
Q

What does Neuropsychiatric Inventory measure?

A

Records severity of associated behavioural symptoms in dementia over ten domains

40
Q

What does MOUSEPAD stand for?

A

Manchester and Oxford Universities Scale for the Psychopathological Assessment of Dementia

41
Q

Who is MOUSEPAD administered to?

A

To carers by clinicians

42
Q

What does Clifton assessment procedure for the elderly measure?

A

Level of disability and estimate need for care

43
Q

How many items in Positive and Negative Symptoms Scale?

A

30

44
Q

Which eating disorder scale has high sensitivity

A

SCOFF

45
Q

Is Brief Psychiatric Rating scale self-report?

A

No

46
Q

Results of Brief Psychiatric Rating Scale?

A 
Hostility-suspiciousness
withdrawl-retardation
Thinking disturbance
Depression-anxiety
Activation
47
Q

What does SF-36 assess?

A 
Limitations on physical activities due to illness
Limitations in social activities
Limitations in role performance
Bodily pain
General mental distress and well-being
Limitations in role performance due to emotional problems
Vitality
General health perceptions
48
Q

What is the most widely used psych rating scale in the NHS?

A

Health of the Nation Outcome scale

49
Q

Items in Health of the nation Outcome scale?

A

12 measuring behaviour, impairment, symptoms and social functioning

50
Q

What is face validity?

A

Subjective measure of deciding whether the test measures the construct of interest on its face value

51
Q

What is construct validity?

A

Does the test measure the concept that its intended to measure

52
Q

What is content validity?

A

Whether the test is representative of all aspects of the construct

53
Q

How can content validity be measured?

A

Cannot be statistically tested

Experts called to comment

54
Q

What is criterion validity?

A

Performance against an external criterion such as another instrument (concurrent) or future diagnostic possibility (predictive)

55
Q

What is concurrent validity?

A

Ability of a test to distinguish between subjects who differ concurrently in other measures (other instruments)

56
Q

What is convergent validity?

A

Agreement between instruments that measure some construct e.g. BDI and Hamilton for depression.
This agreement can be tested in contrast groups e.g. depressed and non-depressed

57
Q

What is discriminant validity?

A

Degree of disagreement between two scales measuring different constructs

58
Q

What is the clinical approach to risk assessment?

A

Clinicians subjective, intuitive judgement informed by experience and knowledge is used to estimate risk and decide treatment

59
Q

How many clinical judgements on risk have been fond to be correct?

A

33%

60
Q

What does actuarial risk approach not tell you?

A

Does not inform clinician about risk factors requiring targeting to minimize risk

61
Q

Problems of actuarial tools?

A

Historical aspects given more importance
High false positive rates
Generalisation to another setting is difficult
Focused on static and stable factors

62
Q

Who created the Historical Clinical Risk HCR-20?

A

Webster

63
Q

What does HCR-20 consist of?

A

10 historical items
5 Clinical
5 Risk management

64
Q

What is SARA?

A

Spousal Assault Risk Assessment

65
Q

What is SVR-20?

A

20-item scale for sexual violence risk

66
Q

What does Becks Hopelessness Scale consist of?

A

20 True/false statements focused on pessimism and about the future

67
Q

Purpose of PCL-R (Hare)?

A

Diagnose psychopathy, inform risk assessment and treatment decisions.

68
Q

How many items and score range in PCL-R?

A

20 items

0-40 score range

69
Q

Cut off for diagnosis of psychopathy in PCL-R?

A

25

70
Q

Who is Static 99 used in?

A

Male adult sex offenders at least 18 years of age at time of release into community

Psychiatry (10 decks)

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