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The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. 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 clinical global impression – severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis.
The development methodology was based on several advances that the field of personality assessment was witnessing at the time. Due to the fuzzy nature of constructs (concepts) in psychology, it is very difficult to use criterion-referenced approaches, such as those used in some parts of medicine (e.g. pregnancy tests).
The Global Assessment of Functioning (GAF) is a numeric scale used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of an individual, i.e., how well one is meeting various problems in living. Scores range from 100 (extremely high functioning) to 1 (severely impaired).
Some depression rating scales are completed by patients. The Beck Depression Inventory, for example, is a 21-question self-report inventory that covers symptoms such as irritability, fatigue, weight loss, lack of interest in sex, and feelings of guilt, hopelessness or fear of being punished. [11]
The Holmes and Rahe stress scale (/ r eɪ /), [1] also known as the Social Readjustment Rating Scale, is a list of 43 stressful life events that can contribute to illness.The test works via a point accumulation score which then gives an assessment of risk.
Many large-scale clinical tests are normed. For example, scores on the MMPI are rescaled such that 50 is the middlemost score on the MMPI Depression scale and 60 is a score that places the individual one standard deviation above the mean for depressive symptoms; 40 represents a symptom level that is one standard deviation below the mean. [30]
PHQ-15 scores correlated with medically unexplained symptom counts (r=.52) measured via an independent psychiatric review [2] and with the General Health Questionnaire-15. [36] Discriminative validity Excellent Sensitivity was 78% and specificity was 71% for a DSM-IV diagnosis of somatoform disorder, [28] corresponding to an AUC of .76. [28]