| RPT |
| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
| Gender: <.Patient_Gender.>
|
| CDSS Total Score = <-CDSS->
|
| A score higher than 6 has an 82% specificity and 85% sensitivity
| for predicting the presence of a major depressive episode.
|
|Questions and Answers:
|
|Calgary Depression Scale for Schizophrenia (CDSS)
| I. DEPRESSION: How would you describe your mood over the last two
| weeks? Do you remain reasonably cheerful or have you been very
| depressed or low-spirited recently? In the last two weeks, how
| often have you (own words) every day? All day?
| <*Answer_9257*>
| II. HOPELESSNESS: How do you see the future for yourself? Can you
| see any future? Or has life seemed quite hopeless? Have you
| given up or does there still seem some reason for trying?
| <*Answer_9258*>
| III. SELF-DEPRECIATION: What is your opinion of yourself compared
|
| to other people? Do you feel better, not as good, or about the
| same as others? Do you feel inferior or even worthless?
| <*Answer_9259*>
| IV. GUILTY IDEAS OF REFERENCE: Do you have the feeling that you are
| being blamed for something or even wrongly accused? What about?
| (Do not include justifiable blame or accusation. Exclude delusions
| of guilt.)
| <*Answer_9260*>
| V. PATHOLOGICAL GUILT: Do you tend to blame yourself for little
| things you may have done in the past? Do you think that you
| Date Given: <.Date_Given.>
| deserve to be so concerned about this?
| <*Answer_9261*>
| VI. MORNING DEPRESSION: When you have felt depressed over the last
| two weeks, have you noticed the depression being worse at any
| particular time of day?
| <*Answer_9262*>
| VII. EARLY WAKENING: Do you wake earlier in the morning than is normal
| for you? How many times a week does this happen?
| <*Answer_9263*>
| VIII. SUICIDE: Have you felt that life wasn't worth living? Did you
| Clinician: <.Staff_Ordered_By.>
| ever feel like ending it all? What did you think you might do?
| Did you actually try?
| <*Answer_9264*>
| IX. OBSERVED DEPRESSION: Based on interviewer's observations during
| the entire interview. The question "Do you feel like crying?",
| used at appropriate points in the interview, may elicit information
| useful to this observation.
| <*Answer_9265*>
|
|Information contained in this note is based on a self-report assessment
| Location: <.Location.>
|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.
|
| Veteran: <.Patient_Name_Last_First.>
| SSN: <.Patient_SSN.>
|
