SCID-I/NP or P W/PSY SCREEN (for DSM-IV-TR)

Psychotic Symptoms

(JAN 2007)

B/C. 1

B/C PSYCHOTIC SCREENING MODULE (FOR SCID-I/NP OR P W/PSYCHOTIC SCREEN)

THIS MODULE IS FOR CODING PSYCHOTIC AND ASSOCIATED SXS THAT HAVE BEEN PRESENT AT ANY POINT IN THE PERSON'S LIFETIME. IT CAN BE USED FOR CLINICAL AND RESEARCH SETTINGS WHERE THOSE WITH A HISTORY OF PSYCHOTIC SXS THAT ARE NOT DUE TO SUBSTANCE USE OR A GENERAL MEDICAL CONDITION OR THAT OCCUR OUTSIDE THE CONTEXT OF A MOOD DISORDER ARE TO BE EXCLUDED. FOR EACH PSYCHOTIC SYMPTOM CODED "3," DESCRIBE THE ACTUAL CONTENT AND INDICATE THE PERIOD OF TIME DURING WHICH THE SYMPTOM WAS PRESENT. FOR ANY PSYCHOTIC AND ASSOCIATED SYMPTOMS CODED "3," DETERMINE WHETHER THE SYMPTOM IS DEFINITELY "PRIMARY" OR WHETHER THERE IS A POSSIBLE OR DEFINITE ETIOLOGIC SUBSTANCE (INCLUDING MEDICATIONS) OR GENERAL MEDICAL CONDITION. THE FOLLOWING QUESTIONS MAY BE USEFUL IF THE OVERVIEW HAS NOT ALREADY PROVIDED THE INFORMATION: Just before (PSYCHOTIC SXS) began, were you using drugs? ...on any medications? ...did you drink much more than usual or stop drinking after you had been drinking a lot for a while? ...were you physically ill? IF YES TO ANY: Has there been a time when you had (PSYCHOTIC SXS) and were not (USING DRUGS/TAKING MEDICATION/CHANGING YOUR DRINKING HABITS/ILL)? Now I am going to ask you about unusual experiences that people sometimes have. DELUSIONS False personal beliefs based on incorrect inference about external reality and firmly sustained in spite of what almost everyone else believes and in spite of what constitutes incontrovertible and obvious proof or evidence to the contrary. The belief is not one ordinarily accepted by other members of the person's culture or subculture. Code overvalued ideas (unreasonable and sustained beliefs that are maintained with less than delusional intensity) as "2." ? 1 2 3 Delusion of reference, i.e., events, objects, or other people in the 1 3 individual's immediate environment have a particular or unusual significance. POSS/DEF PRISUBST/ GMC MARY BC1

Has it ever seemed like people were talking about you or taking special notice of you?

BC2

IF YES: Were you convinced they were talking about you or did you think DESCRIBE: it might have been your imagination? What about receiving special messages from the TV, radio, or newspaper, or from the way things were arranged around you?

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true

SCID-I/NP or P W/PSY SCREEN (for DSM-IV-TR) What about anyone going out of their way to give you a hard time, or trying to hurt you?

Psychotic Symptoms

(JAN 2007)

B/C. 2
BC3

Persecutory delusion, i.e., the individual ? 1 2 3 (or his or her group) is being attacked, harassed, cheated, persecuted, or 1 3 conspired against. POSS/DEF PRIDESCRIBE:
SUBST/ GMC MARY

BC4

Have you ever felt that you were especially important in some way, or that you had special powers to do things that other people couldn't do?

Grandiose delusion, i.e., content ? 1 2 3 involves exaggerated power, knowledge or importance, or a special relationship 1 3 to a deity or famous person. POSS/DEF PRIDESCRIBE:
SUBST/ GMC MARY

BC5

BC6

Have you ever felt that something was very wrong with you physically even though your doctor said nothing was wrong...like you had cancer or some other terrible disease? Have you ever been convinced that something was very wrong with the way a part or parts of your body looked? Have you ever felt that something strange was happening to parts of your body? Have you ever had any unusual religious experiences? Have you ever felt that you had committed a crime or done something terrible for which you should be punished? Were you ever convinced that your spouse or partner was being unfaithful to you? IF YES: How did you know they were being unfaithful? Did you ever feel you had a special, secret relationship with someone famous, or someone you didn't know very well?

Somatic delusion, i.e., content involves change or disturbance in body appearance or functioning. DESCRIBE:

1 1

3 3

BC7

BC8

POSS/DEF PRISUBST/ MARY GMC

Other delusions Check if: ___ religious delusions ___ delusions of guilt ___ jealous delusions ___ erotomanic delusions DESCRIBE:

1 1

3 3

BC9

POSS/DEF PRISUBST/ MARY GMC

BC10 BC11 BC12 BC13 BC14

?=inadequate information

1=absent or false

2=subthreshold

3=threshold or true