| RPT |
|.|.| Brief Psychiatric Rating Scale- Anchored (BPRS-A) |
TOTAL PATHOLOGY SCORE: <*Answer_7775*>||
Questions and Answers| |
1. Somatic Concern - Degree of concern over present bodily health is perceived as problem by the patient, whether the complaints have a realistic basis or not. Do not rate mere reporting of somatic symptoms. Rate only concerns for (or worrying a
bout) physical problems (real or imagined).| <*Answer_7831*>| |
2. Anxiety - Worry, fear, or over concern for present or future. Rate solely on the basis of verbal report of the patient's own subjective experiences. Do not infer anxiety from physical signs or from neurotic defense mechanisms. Do not rate if
restricted to somatic concern. | <*Answer_7832*> | |
3. Emotional Withdrawal - Deficiency in relating to the interviewer and to the interview situation.
| Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>|
Overt manifestations of this deficiency include poor/absence of eye contact, failure to orient
oneself physically toward the interviewer, and a general lack of involvement or engagement in the
interview. Distinguish from BLUNTED AFFECT, in which deficits in facial expression, body gesture,
and voice pattern are scored. [DO NOT SELECT Severe or Very Severe IF EXPLAINED BY
DISORIENTATION] | <*Answer_7833*> | |
4. Conceptual Disorganization - Degree of speech incomprehensibility. Include any type of formal thought disorder (e.g., loose associations, incoherence, flight of ideas, neologisms). DO NOT include mere circumstantiality or pressured speech,
even if marked. DO NOT rate on the patient's subjective impressions (e.g., "My thoughts are racing", "I can't hold a thought", "My thinking gets all mixed up"). Rate ONLY on the basis of observations made during the interview.| <*Answer_7834*>
| |
Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>|
5. Guilt Feelings - Overconcern or remorse for past behavior. Rate on patient's subjective experiences of guilt as evidenced by verbal report. Do not infer guilt feelings from depression, anxiety, or neurotic defenses. | <*Answer_7835*>| |
6. Tension - Rate motor restlessness (agitation) observed during the interview. DO NOT rate on the basis of subjective experiences reported by the patient. Disregard suspected pathogenesis (e.g., tardive dyskinesia).| <*Answer_7836*> | |
7. Mannerisms And Posturing - Unusual and unnatural motor behavior. Rate only abnormality of movements; do not rate simple heightened motor activity here. Consider frequency, duration, and degree of bizarreness. Disregard suspected pathogenesis.
| <*Answer_7837*> | |
8. Grandiosity - Inflated self-esteem (self-confidence), or inflated appraisal of one's talents, powers, abilities, accomplishments, knowledge, importance, or identity. Do not score mere grandiose quality of claims (e.g., "I'm the worst sinner i
n the world," "The entire country is trying to kill me") unless the guilt/persecution is related to some special exaggerated attribute of the individual. Also, the patient must claim exaggerated attributes: e.g., If patient denies talents, power
s, etc., even if he/she states that others indicate that he/she has these attributes, this item should not be scored.| <*Answer_7838*> | |
SSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
9. Depressive Mood - Subjective report of feeling depressed, blue "down in the dumps," etc. Rate only the degree of reported depression. Do not rate on the basis of inferences concerning depression based upon general retardation and somatic
complaints. | <*Answer_7839*> | |
10. Hostility - Animosity, contempt, belligerence, disdain for other people outside the interview situation. Rate solely on the basis of the verbal report of feelings and actions of the patient toward others. Do not infer hostility from neurotic
defenses, anxiety, or somatic complaints. |<*Answer_7840*> | |
11. Suspiciousness - Belief (delusional or otherwise) that others have now, or have had in the past, malicious or discriminatory intent toward the patient. On the basis of verbal report, rate only those suspicions which are currently held
whether they concern past or present circumstance.| <*Answer_7841*> | |
| Gender: <.Patient_Gender.>| | |
12. Hallucinatory Behavior - Perceptions (in any sense modality) in absence of identifiable external stimulus. Rate only experiences that have occurred during the last week. DO NOT rate "voices in my head" or "visions in my mind" unless the
patient can differentiate between these experiences and his or her thoughts.|<*Answer_7842*> | |
13. Motor Retardation - Reduction in energy level evidenced in slowed movements. Rate on the basis of observed behavior of the patient only. Do not rate on the basis of the patient's subjective impression of his or her own energy level.
| <*Answer_7843*> | |
14. Uncooperativeness - Evidence of resistance, unfriendliness, resentment, and lack of readiness to cooperate with the interviewer. Rate solely on the basis of the patient's attitude and responses to the interviewer and the interview situation.
Do not rate on the basis of reported resentment or uncooperativeness outside the interview situation. |<*Answer_7844*> | |
15. Unusual Thought Content - Severity of delusions of any type - consider conviction and effect on actions. Assume full conviction if patient has acted on his or her beliefs.| <*Answer_7845*>| |
Thinking Disturbance (S) : <*Answer_7771*>|
16. Blunted Affect - Diminished affective responsivity, as characterized by deficits in facial expression, body gesture, and voice pattern. Distinguish from EMOTIONAL WITHDRAWAL, in which the focus is on interpersonal impairment rather that
affect. Consider degree and consistency of impairment.| <*Answer_7846*> | |
17. Excitement - Heightened emotional tone, including irritability and expansiveness (Hypomanic affect). Do not infer affect from statements of grandiose delusions.|<*Answer_7847*> | |
18. Disorientation - Confusion Or Lack Of Proper Association For Person, Place Or Time.| <*Answer_7848*> | |
Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities. | |
Anxious Depression (D) : <*Answer_7772*>|
Copyright 2014, CDISC, all rights reserved.
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Paranoid Disturbances (P) : <*Answer_7773*>|
Withdrawal Retardation (R): <*Answer_7774*>||
|
