The derogation is compiled in1975,90 questions, and the symptom effect is reflected by 10 factor. Including various mental symptoms.
Factors: somatization, anxiety, depression, obsessive-compulsive symptoms, terror, paranoia, hostility, psychotic interpersonal sensitivity and others (reaction to sleep and diet)
Scope: Psychiatric and psychological clinic, with limited assessment of mania and schizophrenia.
Test: self-evaluation, the time is now or in the last week, using a five-level scoring system (1~5 never, very light, medium, heavy, serious, giving 1, 2, 3, 4, 5 points).
Total score: 90~450 (single item added) Factor score: the arithmetic average of the included item score is 1~5.
Number of positive items: if the sum of items with single item ≥2 exceeds 43 items, it can be screened as positive.
Truncation value of positive total score: 70 total score exceeds the positive truncation value of 160.
Reduction rate: total score before treatment-total score after treatment/total score before treatment.
Total average score: total score /90
Average score of positive items: total score of positive items (which can be understood as total score minus negative items)/number of positive items.
Second, the self-rating depression scale SDS psychological and behavioral problems assessment
Scope: To find patients with depression and evaluate the severity of depressive symptoms and their changes in treatment. The subjects were adults with depressive symptoms. It is difficult to evaluate depressed patients with severe block symptoms.
Mode: symptom frequency grade: each item is divided into four grades according to the symptom frequency, and the score is 1~4 (no or little time * positive is 1, negative is 4 *, a little time, quite a lot of time, most of the time is full-time). 10 positive score, 10 negative score. ***20 projects. Time: Last week
Total score: (x) Add the scores of 20 items to get the total score.
Standard score: multiply the rough score by 1.25 and take the integer part to get the standard score (y) y =1.25x.
The cut-off value of SDS standard score: 53 points, 53~62 points for mild depression, 63~72 points for moderate depression, and more than 72 points for severe depression.
Three States of depression: three low symptoms, low mood, decreased interest and decreased energy.
Asymptomatic despair, helplessness and incompetence
Self-blame, self-blame, suicide.
Thirdly, the psychological and behavioral problems of SAS are evaluated.
Grade: each item is divided into four grades according to the frequency of symptoms, with the score of 1~4 (no or little time * positive is 1, negative is 4 *, a little time, quite a lot of time, and most of the time is full-time). 15 plus 5 minus. ***20 projects. Time: Last week
The cut-off value of SAS standard score: 50, 50~59 is mild anxiety, 60~69 is moderate anxiety, and above 69 is severe anxiety.
Subjects: Adults with anxiety symptoms have little effect on differentiating neurosis, because they are the same symptoms of neurosis.
SAS and SDS formulas: Zhang compiled two self-assessments (SDS1965SAS1971).
The grading standards are all the same (frequency four-level grading method)
The critical value should be distinguished by adding nine sentences respectively.
Diagnosis combined with key symptoms
Four, Hamilton Depression Scale (24th Edition) 1960 evaluation of psychological and behavioral problems.
Function: It can reflect and evaluate adult severe depression, but it can't distinguish anxiety from depression.
It is mainly used to evaluate the severity of depressive symptoms, and it is the most commonly used tool to evaluate depressive symptoms in the world.
Time: At that time or 2-6 weeks before, two appraisers will conduct re-evaluation and comparison, and score independently after the inspection. An assessment takes 15~20 minutes.
Standard: five-level scoring method, 0~4 points (none, mild, moderate, severe, extremely severe). A few projects adopt the three-level scoring method of 0~2 points (none, mild ~ moderate, severe).
Factors: 7 1, anxiety/somatization 2, weight 3, cognitive impairment 4, diurnal variation 5, retardation 6, sleep disorder 7, sense of despair. The arithmetic sum of each factor score is the factor score.
Methods: Observation and interview.
Total score: 0~96. The lighter the symptoms, the lower the total score, and the heavier the symptoms, the higher the total score. The critical value is 35 points.
A total score of more than 35 may be major depression.
More than 20 points may be mild or moderate depression.
If the score is less than 8, there is no depressive symptom.
Judgment of pathological depression: including symptom standard, severity standard and course standard.
Pathological depression often has two of the three core symptoms: depression, loss of interest and pleasure, decreased energy or fatigue. At the same time, personal social function is affected or causes pain or adverse consequences to me, and lasts for more than two weeks.
Formula: HAMD Adult Depression 60 Compilation Factor 7
Grade five, grade thirty-five and grade twenty are meaningful.
Pathological depression: three lows and one evaluation 15~20 minutes.
Verb (abbreviation of verb) Hamilton Anxiety Scale to evaluate psychological and behavioral problems HAMA 1959
Scope: To evaluate the anxiety level of neurosis and other patients. Can't tell anxiety from depression. Other assessment tools
Structure: Topic 14 Factor 2 Physical anxiety and mental anxiety
Time: At that time or 2-6 weeks before, two appraisers will re-evaluate and compare, and score independently after the inspection. Time 15~30 minutes
Standard: five-level scoring method, 0~4 points (none, mild, moderate, severe, extremely severe)
Methods: Observation and interview.
Total score: 0~56 points.
Total score: more than 29 points, which may be serious anxiety. If the score exceeds 2 1, there must be obvious anxiety; If the score exceeds 14, there must be anxiety, prompting referral. There may be anxiety above 7 points, such as no anxiety symptoms below 7 points.
Pathological anxiety: cognitive disproportion (out of proportion to the actual situation), accompanied by autonomic nervous disorder and excitement symptoms.
Social function is damaged and cannot be eliminated in a short time.
Formula: HAMA59 System 14 Item 2 Coefficient
The grading standard includes five grades: 29 2 1 14 7.
14 has clinical significance, and pathological anxiety is unrealistic.
Sixth, the brief psychiatric rating scale BPRS 1962 evaluation of psychological and behavioral problems.
Function: Assess psychotic symptoms.
Structure: ItemNo. 18
Time: now or nearly a week, generally every 2-6 weeks from now on, and the evaluation time is 20-30 minutes.
Factors: anxiety and depression, lack of vitality, thinking disorder, activation, hostility and suspicion.
Scope of application: Most severe mental patients with psychotic symptoms, especially schizophrenics.
Scoring method: other professional evaluations
Scoring standard:1~ 7,7-level scoring method (asymptomatic, suspicious or very light, mild, moderate, severe and extremely heavy).
Total score: the range from 18 to 126 is the arithmetic sum of all scores. The higher the total score, the more serious the condition. -35 is divided into moderate and severe mental illness.
Factor score: the arithmetic average of the item scores contained in the factor is between 0 and 7.
Mental disorders: hallucinations, delusions, impaired insight, and detachment from reality.
Mental disorder: When mental disorder shows psychotic symptoms and partially or completely loses insight, then
This mental disorder can be called psychosis.
Formula: BPRS evaluates severe diseases (moderate or severe) 62, and compiles 18 items.
Grade 7 scoring factor 5 enters standard 35.
Mental disorders should be clear.
Seven. Evaluation of psychological and behavioral problems of Beck-Raphson Mania Scale BRMS (1978)
Function: The manic item of bipolar disorder evaluates the severity of manic state.
Scope: Adult affective psychosis manic episode and schizophrenia affective psychosis patients.
Time: now or nearly a week, and then generally once every 2~6 weeks, each time for 20 minutes.
Standard: five-level scoring method, 0~4 points (none, mild symptoms, moderate symptoms, obvious symptoms and serious symptoms).
Total score: The higher the total score, the more serious the illness. 0~5 points have no obvious manic symptoms, 6~ 10 points are positive manic symptoms, and more than 22 points are severe manic symptoms.
Manic attacks are divided into three serious levels: hypomania without hallucinations and delusions, no social function damage or only mild damage.
Mania without psychotic symptoms obviously affects the social function of patients.
Manic attacks with hallucinations, delusions or symptoms of catatonic syndrome.