Assessment scales in depression, mania, and anxiety by Raymond W Lam; Erin E Michalak; Richard P Swinson

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

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Sample text

Rate only the intensity and duration of the subjective mood.  Low productivity Decreased effectiveness or productivity at school, work, or home, as compared with nonpatients.  If subject is using medication, ask what he thinks it would be like without medication.  Diurnal mood variations Extent to which, for at least 1 week, there is a constant fluctuation of depressed mood and other symptomatology coinciding with the first or second half of the day.  However, for occasional subjects who are better in the afternoon and worse in the morning and evening, choose the one time that represents the greatest severity of symptoms.

0 My self­esteem has not been low. 1 Once in a while, my opinion of myself has been a little low. 2 I often think I am a failure. 3 I almost always think I am a failure. 4 I have been thinking I am a totally useless and worthless person. (12) During the past week, have you been thinking about death or dying? 0 No, not at all. 1 Yes, I have occasionally thought that life is not worth living. 2 Yes, I have frequently thought about dying in passive ways (such as going to sleep and not waking up). 3 Yes, I have frequently thought about death, and that others would be better off if I were dead.

Enter the highest score on either of the 2 psychomotor items (15 and 16) ___ TOTAL SCORE (Range 0–27) ___ Scoring Criteria Psychol Normal 6–10 Mild 11–15 Moderate 16–20 Severe ≥21 Very Severe This scale is in the public domain and can be reproduced without permission.  However, the scale does not possess any anchor points, which may result in decreased inter­rater reliability, and is not widely used in clinical settings at the present time. Scoring Items are rated on a frequency (0–5 scale, range 0–130) and severity scale (1–5 scale, range 26–130), with higher scores indicating greater severity of manic symptoms.

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