From Ventura, Green, Shaner & Liberman (1993) Training and quality assurance with the brief psychiatric rating scale: "The drift buster" International Journal of Methods in Psychiatric Research.
This form consists of 24 symptom constructs, each to be rated in a 7-point scale of severity ranging from 'not present' to 'extremely severe' If a specific symptom is not rated, mark 'NA' (not assessed). Circle the number headed by the term that best describes the patient's present condition.
1
|
2
|
3
|
4
|
5
|
6
|
7
|
not
present
|
very
mild
|
mild
|
moderate
|
moderately
severe
|
severe
|
extremely
severe
|
1 | Somatic concern | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
2 | Anxiety | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
3 | Depression | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
4 | Suicidality | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
5 | Guilt | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
6 | Hostility | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
7 | Elated Mood | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
8 | Grandiosity | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
9 | Suspiciousness | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
10 | Hallucinations | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
11 | Unusual thought content | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
12 | Bizarre behaviour | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
13 | Self-neglect | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
14 | Disorientation | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
15 | Conceptual disorganisation | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
16 | Blunted affect | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
17 | Emotional withdrawal | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
18 | Motor retardation | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
19 | Tension | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
20 | Uncooperativeness | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
21 | Excitement | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
22 | Distractibility | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
23 | Motor hyperactivity | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
24 | Mannerisms and posturing | NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 |