Psych and neuropsych assessments

What is a semi-structures interview that applies DSM-V criteria to a patient that covers most of the major disorders?

takes upwards of 2 hours to complete

structured clinical interview for DSM-V (SCID)

What is a shorter alternative to the 2 hour long structured clinical interview for DSM-V? (SCID)

mini-international neuropsychiatric interview (takes 15-30 minutes, administered by clinician)

what aims to quantify the severity of depression in patients who have already had a diagnosis of major depression?

can be used to create tx plans

Hamilton rating scale for depression (HAM-D)

a self-report measure comprised of 21 items reflecting specific cognitive, affective, and physical symptoms of depression

may be used as a screening tool or to determine the degree of improvement over time

Beck depression inventory

18-item scale for psychotic symptoms, depression, and anxiety.

Used for treatment monitoring

Brief Psychiatric Rating Scale (BPRS)

Assesses schizophrenia symptoms.

Used in antipsychotic drug trials

Positive and Negative Symptom Scale (PANSS)

What is the most widely used scale for measurement of anxiety?

Hamilton rating scale for anxiety

What do we use to measure OCD severity?

yale-brown obsessive compulsive scale

What are some brief screenings for anxiety and depression?

GAD-7 and PHQ-9

• Most widely used cognitive screening tool.

• Assesses orientation, recall, attention, and language.

• Administered in <10 minutes

Folstein Mini-Mental State Examination (MMSE)

• Detects mild cognitive impairment (MCI).

• Covers executive function, memory, language, and attention.

• Scoring: 26+ = Normal

Montreal Cognitive Assessment (MoCA)

Measures verbal IQ, performance IQ, and full-scale IQ

has scores ranging from <69-130+ (intellectual impairment to very superior intellect)

Wechsler Adult Intelligence Scale (WAIS)

objective test

567-item true/false test.

Assesses psychopathology & personality traits.

Includes validity scales to detect false reporting

Minnesota Multiphasic Personality Inventory (MMPI-2)

10 symmetrical inkblots.

Assesses thought processes, perception, emotions.

Requires specialized training

Rorschach Inkblot Test

20 image cards depicting interpersonal interactions.

Patient creates a story, revealing unconscious conflicts

Thematic Apperception Test (TAT)

• Patient completes phrases like:

  • “I regret…”

  • “The happiest time in my life was…”

  • “I feel…”

• Reveals thoughts, fears, and motivations

Sentence Completion Test

• Comprehensive but time-consuming.

• Assesses cognitive impairments & brain damage

Halstead-Reitan Battery

• Used to assess cognitive impairment & dementia severity.

• Measures attention, initiation, construction, conceptualization, and memory

Dementia Rating Scale (DRS-2)

• Quick screening tool for dementia & head injury.

• Measures: Memory, attention, visual-spatial ability, and language

Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

Rorschach Inkblot Test: objective or projective?

projective

TAT (Thematic Apperception Test): objective or projective

projective

Sentence completion test: objective or projective?

projective

MMPI-2 (Minnesota Multiphasic Personality Inventory): objective or projective

objective

MCMI-III (Millon Clinical Multiaxial Inventory): objective or projective?

objective

What test is not a self-administered test but can be administered by non-clinicians?

Folstein mini-mental state examination

What is the difference between an objective test vs a projective test?

objective test: structured test with a fixed numerical score, interpretation not needed (traits and symptoms)

projective test: open-ended, with ambiguous stimuli, based off subjective qualitative interpretation by both patient and clinician