Assessment Tools for Depression Beck Depression Inventory (BDI-II) 21-item self rating scale for depression Includes 2-week time requirement for assessing depres- sive symptoms (in conjuction with DSM-IV criteria) vs 1 week Reliability: coeffiecient alpha .92 Widely used instrument; 5 minutes to complete Copyrighted by Psychological Corporation (http://www.psychcorp.com) Beck AT, Ward CH, Mendelson M, Erbaugh J. An inventory for measuring depression. Arch Gen Psych 1961; 4:5363 Hamilton Rating Scale for Depression (HAM-D) 17 21 item observer-rated scale for determining depression severity Requires trained clinician (clinical interview skill/expertise); used mostly in clinical/research trials 30 minutes to administer Well validated/highly reliable Hamilton M: A rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23:5662 Geriatric Depression Scale (GDS) 15 30 item self-rated instrument specifically for geriatric depression Yesavage JA, et al.: Development and validation of a geri- atric screening scale: a preliminary report. J Psych Res1983; 17:3749 (See GDS, short version, in Assessment Tab) Assessment Tools for Anxiety Beck Anxiety Inventory (BAI) 21-item self-rated used to discriminate anxiety versus depression in adults, with reliability Anxiety assessment in clinical and research environments 11Pedersen-WEB 2/23/05 10:01 PM Page 221
Assessment Tools for Abnormal Movements (EPS)
Abnormal Involuntary Movement Scale (AIMS) 12-item instrument assessing abnormal movements for those on antipsychotics Assesses for tardive dyskinesia Quick (5 10 min) and reliable assessment tool Movements scored on facial-oral, extremity, and trunk movements Clinician or other trained rater (psychiatric nurse) Guy W: ECDEU Assessment Manual for Psychopharmacology, rev ed. Washington. DC: US Department of Health, Education, and Welfare, 1976 Barnes Akathisia Rating Scale (BARS) 4-item scale when akathisia is suspected; 10 15 minute completion time Barnes TRE: A rating scale for drug-induced akathisia. Br J Psychiatry 1989; 154:672676 Assessment Tool in Schizophrenia Positive and Negative Syndrome Scale (PANSS) 30-item clinician-rated scale for presence/severity of positive and negative symptoms in schizophrenics Experience with schizophrenia and trained in interview techniques Up to 40 minutes to complete Kay SR, Fiszbein A, Opler LA: The Positive and Negative Syndrome Scale for Schizophrenia. Schizophr Bull 1987; 13:261267.