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Bcpp > Scales > Flashcards

Scales Flashcards

0
Q

Depression inventory that allows patients to self rate

A

Becks depression inventory (BDI)

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1
Q

Cgi scale = clinical global impression scale

A

Global measure of improvement where 1 = very much improved, 2 much impr, 3 minimally impr, 4 no change, 5 minimally worse, 6 much worse, 7 very much worse

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2
Q

Panss

A 
Positive and negative symptoms score
30 items each scored 1-7
7 positive items
7 negative items
16 general psychopathology
Results:
Mild sx 50s to 60s
Moderate sx 70s to 80s
Marked sx 90s to 100s
Severe sx over 110
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3
Q

Gad 7

A 
For anxiety
7 items , 3 pts each 
5-9 = mild
10-14 moderate
15-21 = severe
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4
Q

Internal state scale

A 
Both manic and depressive sx
Self rates (not clinician)
15 items on 10 pt scale
0= rarely or none
9= very much so, most of time
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5
Q

Children’s depression rating revised - CDRS-R

A 
Clinical purpose 
Clinician rated 
Dx and screening clear
Sum of rating on 17 items most on 7 point scale 
** no standard interp of #'s!!
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6
Q

Children’s depression inventory

CDI

A 
Clinical purpose
Self rated
Dx and screening value both
27 items on 3 pt scale, scores range  from 0-54
Response = <18 points
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7
Q

First few days depression sx improve in:

A

Appetite
Agitation
Insomnia sleep

1-3 weeks
Activity 
Sex drive
Self care
Concn
Memory 
Movements
2-4 weeks
Depressed mood relief
Pleasure
Fewer hopeless feelings
Subsiding  of suicidal thoughts
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8
Q

Upsdrs

unified Parkinson’s disease rating score

A

Total of 195 pts with higher score meaning worsening disability

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9
Q

Modified hoehn and yahr scale

A

Parkinson’s disease

Stages I to V with worsening disability at higher scores

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10
Q

Schwab and England ADL scale

A

For Parkinson’s disease

Rated 0 to 100% with LOWER percentages represent worsening disease (higher percents mean better ADL accomplishment)

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11
Q

Mmpi 2

A

Minnesota multiphasic personality inventory 2
Personality disorder
Diagnosis by clinical rated
567 true false items

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12
Q

PAI

A

For personality disorder
Personality assessment inventory
By clinician for diagnosis
344 responses on 2 part sheet

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13
Q

MCMI-III

A

Millikan clinical multiracial inventory
- assessment of DSM-IV related personality disorders and clinical syndromes
By clinician for diagnosis

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14
Q

Scale for behavioral sx in dementia

A

Neuropsychiatric Inventory NPI

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15
Q

Scale for assessment of response to dementia Pharm tx (hope to slow decline)

A 
Adas
Alzheimer's disease assessment scale
21 items
1 to 5, 5 being worst 
Goal: short term improve 4 pts
Long term > 12 months maintain baseline
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16
Q

BPRS

A

Brief psychotic rating scale
- response = 20 to 40% reduction

18 items version commonly used
7 point scale: 1= not present, 7=most server
Sx measured include observations by clinician (tension emotional withdrawal mannerisms motor sx uncooperativeness disorientation)

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17
Q

Panss

A

Positive and negative symptom scale
Response = 20-30% reduction
30 items - sub scales for pos neg and general psychopathology rated on 1-7 1=not present, 7=extremely severe

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18
Q

SANS

A

Scale for the Assessment of Negative Sx
Response = variable
25 items - 20 individual 5 global
Rated on 0-5 scale global summary 0-25,

5 domains including affective flattening/blunting, alogia, avolition, anhedonia/asociality, attention

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19
Q

CGI

A

Clinical global impression
Two different - assessment and improvement
CGI-S =severity of illness scale - measures level of illness
CGI improvement scale 1 v much improve 4 no change 7 v much worse

Response - mostly much improve to v much improved
Clinician or self rated
Symptom assessment
1-7 severity rating with 3 sub scales
1=normal or very much improved , 7= most extremely ill or very much worse

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20
Q

GAF

A

Global Assessment of Functioning

Assess functional level (most impaired) 0-100 (highest functioning)

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21
Q

Calgary Depression Scale for Schizophrenia

A

Assessment of depressive sx
9 pt scale (from 0-3) to assess depressive sx other than pos, neg, and extrapyramidal
** score above 6 has an 82% specificity and 85% sensitivity for predicting presence of major depressive episode

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22
Q

SAPS

A

Scale for assessment of positive symptoms
Response: generally 30%
Assesses pos sx : hallucinations delusions bizarre behavior and positive formal thought disorder
34 items (30 individual and 4 global items) 0-5 scale: 0=none 5=severe
Individual items 0-150
Global summary 0-20
Domains: hallucinations , delusions, bizarre behavior, pos formal thought disorder)

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23
Q

Barnes scale

A

Akathisia

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24
Q

Simpson angus scale

A

Eps

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25
Q

Tardiff dyskinesia scales

A

Aims
Discus
- complete baseline and at least biannually

26
Q

Bars

A

Barnes akathisia rating scale
Screen for akathisia
2 or more implies akathisia

27
Q

SAS

A 
Simpson angus scale
For Parkinsonism and other eps
10 item scale each on 0-4 continuum 
Global score - total
Points divided by items - 0.3 or less is wnl, more is problem
28
Q

ESRS

A

Extra pyramidal symptom score
Screen for eps incl Parkinsonism akathisia dystonia tardive dyskinesia
6 questions on subjective experience 7 rater assessed items
Response not defined
May not differentiate between dystonia and dyskinesia

29
Q

AIMS

A

Abnormal involuntary movement scale
To assess for dyskinesia like TD- not diagnostic but quantifies involuntary movements to aid in diagnostics
- response score not defined
12 items 0-4, 2 yes no, scales 0-40 measure subject awareness and incapacitation

30
Q

Discus

A

Dyskinesia identification system condensed user scale
** score of 5 or above =RED FLAG
Assessment for monitoring TD
15 items 0-4

31
Q

PSQI

A

Pittsburgh sleep quality index
Subjective assessment of sleep quality, latency, duration, disturbances and sleep meds used and daytime functioning
19 items produce 7 component scores that yield a global score. First 4 questions are quantitative follower by 0-3 scle
Score rabge 0-21, >5 suggests poor sleep quality

32
Q

ESS

A

Epworth Sleepiness Scale
Self rated clinician scored
Assesses likelihood of falling a asleep in a given situation (watching tv in a car reading etc)
8 questions 0-3 each (0=no chance 3=high chance)
Pts who score >10 should seek medical attention, 10-15= excessively/very sleepy, >16=dangerously sleepy

33
Q

SSS

A 
Stanford sleepiness scale
Self rated 
Rates daytime alertness
Likert 1-7, 1=active, 7=struggling to stay wake 
Simple
34
Q

ISI

A

Insomnia severity index
Self rated
Assessed pt perception o insomnia
7 items each 0-4 with total score up to 28,
Higher scores more indicative of insomnia

35
Q

DBAS

A

Dysfunctional beliefs and attitudes about sleep questionnaire
Evaluates negative sleep cognitive
Self rated
Multiple versions
30 items on 100mm analog
0=strongly disagree, 100=agree strongly
Bigger scores indicate more negative sleep attitudes

36
Q

AHi

A 
Apnea Hypopnea index
# apneaa or hypoppneas per hr
AHI>= 5 associate with cv risk
5-14 mild
15-19 moderate 
>30 seberw
37
Q

BFI

A

Brief Fatigue Inventory
OSA
Subjective scale measuring fatigue and impact on ADL
Self rated
9 items 0-10 Likert scale with huger score more severe

38
Q

PDSS

A

Pediatric daytime sleepiness scale
For OSA
Measure of subjective daytime sleepiness for middle school kids
Self rated
8 questions 0-4 solar 0=never 4=very often but #3 inversely scored
Score >15 associated wit poorer academic achiever
Abnormal: >26 for 6/7th and >30 8th graders

39
Q

RLSQ

A 
RLS symptoms questionnaire 
Self an spouse rated for sx severity
10 questions on scale of 0-4 (0 none , 4 severe)
Total score: 
1-10 mild
11-20 moderate
21-30 severe
31-40 very severe
40
Q

IRLS

A 
International RLS rating scale 
Clinician rating
Same rating as RLSQ
10 questions on 0-4 scale none-very
Total score 
1-10 mild
11-20 moderate
21-30 severe
31-40 very severe
41
Q

CH-RLSq

A

Cambridge Hopkins
RLS questionnaire

7 items
Definite RLS defined by answers to certain questions
Validated and provided sens 87% spec 94%

45
Q

CIWA-Ar

A

Clinical institute if withdrawal assessment - alcohol, revised
- gold std withdrawal assessment, part of sx triggered approach
- clinician admin
- 10 items max score 67
Scores:
18 severe withdrawal
— lower score implies less alcohol withdrawal severity, higher scores indicate need for medications

46
Q

AUDIT

A

Alcohol use disorders identification test
Evaluates quant, freq, physiological dependence on alcohol, harmful use
10 items, score 0-40
Score 8 or above identified heavy drinkers
“Zones” of interventions based on score

47
Q

CAGe

A 
Cut down
Angry/annoyed
Guilty 
Eye opener
- self or clin 
- 4 questions- yes to 2 or more likely problem- prompts for further assessment
48
Q

ASI

A 
Addiction severity index 
-past 30 days or lifetime
Semi structured interview that addresses 7 problem areas:
Medical status
Employment and support
Alcohol use
Drug use
Legal status
Family social status
Psychiatric status

Frequency, durations, severity of problems
Pt and interviewe rating included
Problem severity measured by: “need for additional treatment” + composite score to measure problem severity
Compare to national database /”:9 to previous composite scores (eg baseline)

49
Q

COWS

A

Clinical opiate withdrawal scale
Purpose: Monitor course of withdrawal sx an effectiveness of med regimens
Scoring 0 to 5- 4 I 5 severely symptomatic
Total score:
5-12 mild
13-24 moderate25-36 moderately severe
>36 severe withdrawal

50
Q

ASI

A

Addiction severity index
Assessment for 30 days or lifetime
Patient and interviewer ratings
Composite score compare to nationwide Database as well as to pt earlier previous scores

51
Q

Overt aggression scale

A 
Four categories
Clinician rated 
Checklist for observable aggressive/violent behavior
4 domains:
Verbal aggression
Physical aggression against self
Physical aggression vs objects
Physical aggression vs others
Higher score indicates more observed aggression
52
Q

CMAI

A 
Assesses agitated behaviors in elderly
Cohen Mansfield agitation inventory
Scores 0-30
C- m - I agitated!
(Cmai)
53
Q

CABS

A

Corrigan agitated behavior scale
Degree to which specific behaviors are observed
Degree ratings from 1 absent to 4 extreme, score from 14-56
Cabs are never zero!

54
Q

Panss-EC

A 
Positive and negative syndrome scale- Excitatory Component!
Evaluates 5 items:
Poor impulse control
Tension
Hostility
Uncooperativeness 
Excitement/tension

1=absent, 4=moderate, 7=extreme
Higher score more ill
Most studies use score of 14 or 15 for inclusion

55
Q

Ybocs

A 
10 items from zero to 4
Ratings include observations during interviews as well as average occurrence for each item during last 7 days
32-40 extremely severe sx
24-31 severe sx
16-23 moderate sx
8-15   Mild sx
0-7 subclinical

Response - at least 25% reduction in sx , remission score <8

56
Q

YMRS

A 
Young mania rating scale
Assess severity of abnormality 
Clinician rated
Screening symptom severity
11 items max score 60 
25 severe mania
*not used to evaluate treatment
57
Q

MSRS

A

Manic state rating scale
Assess severity of manic sx
Useful for pts who are difficult to interview
26 items with 0-5 frequency and 1-5 intensity score
Clinical rated for screening and sx severity

58
Q

ISS

Internal state scale

A

Assesses both manic and depressive scores
15 items on 10 pt scale
0 not at all
9 very much so most of time

59
Q

Hamilton depression scale
Ham D
HSRD

A

Clinic chain rated
Assess severity depression
17 items multiple versions 7-29 ?’s
Response : score 22very severe depression

60
Q

Madrs

Montgomery Asberg depression rating scale

A 
Response : <10
10 items
0-6 sx absent
7-19 mild depression
20-34 moderate depression
35-60 severe depression
61
Q

IDS

Inventory of depressive symptomatology

A 
Assessment severity 
Response score < 12
30 items
< 12 normal
13-22 mildly ill
23-30 moderately ill
31-38 moderately to severely ill
62
Q

Zung self rating depression scale

A 
Self rated 
Screening tool and assessment of sx
Response < 50
20 items
70 severe depression
63
Q

Beck depression inventory

BDI

A 
Self rated 
Dx and assessment of behavioral manifestations of depression 
Response: score <9
21 items 
0-9 minimal
10-16 mild
17-29 moderate
30-63 severe
64
Q

Quick inventory of depressive symptomatology

QIDS-SR

A 
Self rated
16 item version of IDS
Assess severity
Response score < 5
0-5 normal
6-10 mild
11-15 moderate
16-20 severe
>20 very severe
65
Q

PHQ-9

Patient Health Questionairre 9

A

Self rated for dx and assess tx response
9 items
Response = drop of 5 pts from baseline
5 pt drop is adequate response
2-4 pt drop prob inadequate response
1 pt drop - no change, or increase - inadequate response

Bcpp (16 decks)

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