Psychiatric Rating Scales-rrfinal

Psychiatric Rating Scales

-George Gregory

clinical impressions

Administered by: Time to complete:

 

Symptom

Somatic concern Anxiety Depression Suicidality Guilt Hostility Elated Mood Grandiosity Suspiciousness Hallucinations Unusual thought content Bizarre behaviour

Positive Symptoms Code P1-7

Negative Symptoms Code N1-7

General Psychopathology G1-16

Supplemental aggression risk

Appropriate for: Administered by: Time to complete:

YMRS 1: Elevated Mood

YMRS 2: Increased Motor Activity

YMRS 3: Sexual Interest

YMRS 1: Elevated Mood

YMRS 2: Increased Motor Activity

YMRS 3: Sexual Interest

YMRS 4: Sleep

YMRS 5: Irritability

YMRS 6: Speech

YMRS 7: Language/Thought Disorder

YMRS 8: Content

YMRS 9: Disruptive-Aggressive Behavior

YMRS 10: Appearance

YMRS 11: Insight

Administered by: Time to complete:

MontgomeryAsberg Depression Rating Scale

Montgomery – Åsberg Depression Rating Scale is a 10-item scale to measure the core symptoms and cognitive features of clinical depression Originally a subscale of Comprehensive Psychopathological Rating Scale, or CPRS (Asberg et al. 1978) Symptoms are rated on a scale from 0-6 Anchor points at ratings of 0, 2, 4, and 6

Representing despondency, gloom and despair (more than just transient low spirits) reflected in speech, facial expressions, and posture. Rate by depth and inability to brighten up. Rate by observation

0 1 2 3 4 5 6

Representing reports of depressed mood, regardless of whether it is reflected in appearance or not. Rate according to intensity, duration and the extent to which the mood is reported to be influenced by events.

0 1 2 3 4 5 6

Representing feelings of ill defined discomfort, edginess, inner turmoil, mental tension mounting to either panic, dread, or anguish. Rate according to the intensity, frequency, duration, and the extent of reassurance called for.

0 1 2 3 4 5 6

Probe for and rate any sleep related issues, including restless sleep and any trouble falling asleep Distinguish if symptom is normal (e.g., if an infant is in the household, broken sleep could be considered normal)

Representing the experience of reduced duration or depth of sleep compared with the subject’s normal pattern when well. Rate past week.

0 1 2 3 4 5 6

Frequently underrated item: This item measures both appetite and interest in eating. Raters must ask about both symptoms Do not assume a change in weight reflects an increase/decrease in appetite or interest in eating Use all scripted probing questions, even if patient reports appetite is normal

Representing the feeling of loss of appetite compared with when well. Rate by desire for food or the need to force oneself to eat.

0 1 2 3 4 5 6

Rate only difficulty with concentration, regardless of circumstances If patient reports no need to concentrate (e.g., on vacation, not working), probe on ability to concentrate on other normal activities (reading paper, conversations, etc) Use the script, ask all questions

Representing difficulties in collecting one’s thoughts mounting to incapacitating lack of concentration. Rate according to the intensity, frequency, and degree of incapacity produced.

0 1 2 3 4 5 6

Rate the ability to start activities or tasks Determine if tasks/activities were actually started Probe to determine if normal daily living activities were affected If affected, determine if outside assistance was required (such as friends or family members

Representing a difficulty getting started or slowness initiating and performing everyday activities.

0 1 2 3 4 5 6

Probe for subject’s normal level of activities in which he/she participates Determine the level of disinterest (if appropriate) in participating. Ask the subject why the level has changed. Determine if subject is able to connect with others, such as family or friends

Representing the subjective experience of reduced interest in the surroundings or activities that normally give pleasure. The ability to react with adequate emotion to circumstances or people is reduced.

0 1 2 3 4 5 6

Determine the occurrence and severity of pessimistic thoughts/lack of optimism Determine if subject feels as if they have let others down or have done something wrong Determine if feelings are justified/rational Probe for subjective awareness of guilt

Representing thoughts of guilt, inferiority, self-reproach, sinfulness, remorse, and ruin.

0 1 2 3 4 5 6

It is important to evaluate the frequency or severity of suicidal thoughts Determine if the subject has made any plans for suicide For safety, subjects that have current plans for suicide should be treated appropriately

Representing the feeling that life is not worth living, that a natural death would be welcome, suicidal thoughts, and preparation for suicide. Suicidal attempts should not, in themselves, influence the rating.

0 1 2 3 4 5 6