Psychological Testing and Clinical Diagnosis (1)

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Dec 6, 2023

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1 Psychological Testing and Clinical Diagnosis CNL-523-0501 Assessments, Test, and Measurements Carlos Amos Grand Canyon University Alana Breneman 9/6/2923
2 Introduction Schizophrenia is a type of mental illness that affects millions of Americans, but there is no cause or cure for this disorder. While there is no known cause or cure of schizophrenia, there are treatment options including medication and therapy that can help reduce the symptoms of schizophrenia as well as help improve an individual’s quality of life. There are a number of tools used to help diagnose individuals with schizophrenia including the Brief Psychiatric Rating Scale, the Clinical Assessment Interview for Negative Symptoms, as well as the Personality Assessment Inventory. Personality assessments as well as these other tools are often used due to their validity and reliability and help aid mental health professionals in coming up with a proper treatment plan for their clients. Schizophrenia Schizophrenia is a mental illness that millions of Americans suffer from. There is no official cause of schizophrenia, but there is a connection to genetic makeup, environment and brain chemistry playing a role in this diagnosis. Schizophrenia is typically diagnosed between the ages of 16 and 30, sometimes showing symptoms earlier in males compared to females. Schizophrenia and the symptoms associated vary from person to person, but they can be categorized into three categories including psychotic, negative, and cognitive. Some psychotic symptoms that can present with someone suffering from schizophrenia include hallucinations, delusions, thought disorders and movement disorders. Negative symptoms can present as loss of motivation, loss of interest and/or enjoyment in daily activities, withdrawing from social life, and difficulty functioning in daily activities (National Institute of Mental Health, 2023). Tools Used for Schizophrenia Diagnosis
3 The DSM-5 Cross-Cutting Symptom Measure assesses mental health domains that are important across psychiatric diagnosis (Clarke & Kuhl, 2014). This is an important tool because it offers a number of assessments, based off of what age the individual is, and what symptoms they are experiencing. This tool is disorder-specific, allowing a mental health professional to verify the diagnosis of the individual. The Clinical Assessment Interview for Negative Symptoms (CAINS) is an effective and validated tool for measuring negative symptoms that are associated with schizophrenia (Kumari, Malik, Florival, Manalai, & Sonje, 2017). This tool is beneficial because it provides a broader coverage of negative symptoms than some other tools that are used for diagnosing schizophrenia. Both the Brief Psychiatric Rating Scale (BPRS) and the Psychopathology Rating Schedule (PRS) are frequently used in helping diagnose an individual with schizophrenia as well (Yildiz, Incedere, Gurcan, & Osman, 2021). Validity and Reliability of Recommended Tests A tool used to help diagnosis an individual with schizophrenia is the Clinical Assessment Interview for Negative Symptoms (CAINS). This tool has been validated by neurobiological and psychological research on emotion, motivation, and processing (Malik, et al, 2017). CAINS has been shown to have a high internal reliability as well as divergent validity, when it comes to diagnosing schizophrenia. BPRS has been researched as a transdiagnostic measurement, meaning that it is capable of reliably capturing symptoms specific to schizophrenia. BPRS has been show to be both reliable and have validity. Personality Assessment
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4 When it comes to diagnosing schizophrenia, there are no diagnostic tests. There are personality tests that are specifically designed to help diagnose psychiatric conditions like schizophrenia. The Minnesota Multiphasic Personality Inventory (MMPI) is an example of an assessment that looks specifically at an individual’s personality traits and psychopathology. When diagnosing an individual with schizophrenia, it is appropriate to administer a thorough assessment of their personality as a part of their schizophrenia diagnosis. The personality assessment inventory (PAI) is a self-report measure of personality and psychopathology. This assessment includes a schizophrenia scale (SCZ) that is designed to measure symptoms that are often associated with schizophrenia. Using this type of assessment tool would be appropriate in helping diagnose an individual with schizophrenia. Additional Information The time required for administering the CAINS assessment is generally around 25 minutes. While the PANSS assessment is the preferred tool used in helping diagnose schizophrenia, the time it takes to administer this assessment is between 30-40 minutes, which could be seen as a limitation. On the other hand, the BPRS only takes about 15-30 minutes to administer. While there may be a cost for treatment and therapy for schizophrenia, these assessments are typically done through an individual’s provider, which are often covered by their insurance. Conclusion Schizophrenia is a common mental illness that affects individuals starting as early as the age of 16. There is no definite cause of schizophrenia and there is no cure, but an individual’s quality of life can greatly benefit from treatment that includes both therapy and medication.
5 There are plenty of resources available for mental health professionals to help diagnose schizophrenia, so individuals should seek treatment as soon as symptoms appear. References Clarke, D. E., & Kuhl, E. A. (2014). DSM-5 cross-cutting symptom measures: a step towards the future of psychiatric care?. World psychiatry : official journal of the World Psychiatric Association (WPA), 13(3), 314–316. https://doi.org/10.1002/wps.20154 Cohen, R. J., Schneider, W. J., & Tobin, R. M. (2022). Psychological testing and assessment: An introduction to tests and measurement (10th ed.). McGraw-Hill Companies. ISBN-13: 978126083702 Kumari, S., Malik, M., Florival, C., Manalai, P., & Sonje, S. (2017). An Assessment of Five (PANSS, SAPS, SANS, NSA-16, CGI-SCH) commonly used Symptoms Rating Scales in Schizophrenia and Comparison to Newer Scales (CAINS, BNSS). Journal of addiction research & therapy, 8(3), 324. https://doi.org/10.4172/2155-6105.1000324 Yildiz, M., Incedere, A., Gürcan, M. B., & Osman, E. (2021). Brief Clinical Assessment Scale for Schizophrenia (BCASS): Development, Validity, and Reliability Study. Noro psikiyatri arsivi, 59(1), 14–20. https://doi.org/10.29399/npa.27592