Assessment Scales in Old Age Psychiatry by Gordon Wilcock

By Gordon Wilcock

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Emotionalism was present if the reply was positive to the above questions. 32 in the detection of depression.  Language function was also assessed (Frenchay aphasia screening test).  British Journal of Psychiatry 174:339–45 Time taken approximately 10 minutes Rating a trained rater Main indications For measuring the level of depression in comparative epidemiological studies.  Its validity has not, however, been checked against truly independent criteria, only other established scales.  Psychological Medicine 6:439–49.

Self­Esteem 0=No obvious loss of self­esteem or sense of inferiority.  May be unable to identify strengths and accomplishments.  May display feeling of worthlessness out of proportion to objective observations. 6=Persistent feelings of worthlessness that cannot be dispelled with reassurance.  Guilt Feelings 0=Absent. 2=Self­reproach.  May be overly concerned with ideas of guilt or past errors but can be reassured by others. 6=Preoccupied with guilty thoughts or feelings of shame.  Hopelessness/Helplessness 0=No evidence of hopelessness or helplessness.

What are your hopes for the future? e.  During the past month have you at any time felt you would rather be dead?  Do you enjoy things as much as you used to—say like you did a year ago?  If question 6 rated I, ask question 7.  Is it because you are depressed or nervous that you don’t enjoy things as much?  (Read out) Are you—very happy—fairly happy—not very happy or not happy at all? Not very happy or not happy at all 1 0 Total score /8 A score of 3 or greater indicates the probable presence of a depressive disorder which may need treatment and the patient should be assessed in more detail or referred for psychiatric evaluation.

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