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By Raymond W Lam; Erin E Michalak; Richard P Swinson

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Extra resources for Assessment scales in depression, mania, and anxiety

Example text

2 Feelings of Guilt 0 Absent. 1 Self reproach, feels he has let people down. 2 Ideas of guilt or rumination over past errors or sinful deeds.  Delusions of guilt. 4 Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations. 3 Suicide 0 Absent. 1 Feels life is not worth living. 2 Wishes he were dead or any thoughts of possible death to self. 3 Suicide ideas or gestures. 4 Attempts at suicide (any serious attempt rates 4). 4 Work and Activities 0 No difficulty. 1 Thoughts and feelings of incapacity, fatigue or weakness related to activities; work or hobbies.

The quality of life subscale assesses satisfaction with corresponding domains, in addition to global satisfaction with mental and physical health.  An initial evaluation of its psychometric properties in a large sample of psychiatric out­patients has shown promising results, although more information is needed about the scale’s responsiveness to change.  The DID uses an algorithmic approach (described in detail in the primary reference) to diagnosis of MDD that mirrors the DSM­IV diagnostic procedure.

4 Patient reports virtually only these feeling states in his spontaneous verbal and non­verbal communication.  Work and Activities 0 No difficulty. 1 Thoughts and feelings of incapacity, fatigue or weakness related to activities; work or hobbies. 2 Loss of interest in activities; hobbies or work—either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he has to push self to work or activities).  In hospital rate 3 if patient does not spend at three hours a day in activities (hospital job or hobbies) exclusive of ward chores.

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