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The SPAQ is a screening instrument for seasonal affective disorder (SAD), a recurrent major depressive disorder that typically affects its victims during the fall and winter months. It was first developed by American psychiatrist Norman E. Rosenthal and his National Institute of Mental Health colleagues in 1984, and continues to be widely used.
The SADS also allows more flexibility than fully structured interviews: Interviewers can use their own words and rephrase questions, and some clinical judgment is used to score responses. There are three versions of the schedule, the regular SADS, the lifetime version (SADS-L) and a version for measuring the change in symptomology (SADS-C).
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology.This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
The clinician must choose the possible responses to each question by interviewing the patient and by observing the patient's symptoms. Designed by psychiatrist Max Hamilton in 1960, the Hamilton Depression Rating Scale is one of the two most commonly used among those completed by clinicians and researchers in assessing the effects of drug therapy.
Light therapy has been shown in studies to have mixed results; in some studies, 20% to 50% of those diagnosed with SAD did not gain adequate relief from the use of light therapy. [22] Individuals may also explore alternative treatments if they are unable to commit to the time required and the recurrence of the treatment that is necessary. [23]
Light therapy is preferred over antidepressants in the treatment of SAD because it is a relatively safe and easy therapy. [20] Two methods of light therapy, bright light and dawn simulation, have similar success rates in the treatment of SAD. [21] It is possible that response to light therapy for SAD could be season dependent. [22]
The K-SADS-PL is used to screen for affective and psychotic disorders as well as other disorders, including, but not limited to Major Depressive Disorder, Mania, Bipolar Disorders, Schizophrenia, Schizoaffective Disorder, Generalized Anxiety, Obsessive Compulsive Disorder, Attention Deficit Hyperactivity Disorder, Conduct Disorder, Anorexia Nervosa, Bulimia, and Post-Traumatic Stress Disorder. [4]
A study looking at the agreement between scales for depression diagnosis found 79.4% agreement between the DSM-III and the WSAS in a sample of 107 children. [ 3 ] The test is a 56-item self-report test to be completed by the child or young adult that takes an average of 3–5 minutes to complete.
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