Table 2 |
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Example of crosswalk between the interRAI HC assessment and the ICF |
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interRAI MOOD items |
ICF |
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B 152 Emotional functions |
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1. INDICATORS OF POSSIBLE DEPRESSION, ANXIETY, SAD MOOD |
Specific mental functions related to the feeling and affective components of the processes of the mind. |
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Code for indicators observed in past 3 days, irrespective of the assumed cause (note whenever possible, ask person) |
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0 not present |
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1 present but not exhibited in last 3 days |
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2 Exhibited on 1–2 of last 3 days |
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3 Exhibited daily in last 3 days |
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a. Made negative statements e.g., "Nothing matters; Would rather be dead; What's the use; Regret having lived so long; Let me die" |
Inclusions: functions of appropriateness of emotion, regulation and range of emotion, affect, sadness, happiness, love, fear, anger, hate, tension, anxiety, joy, sorrow, lability of emotion, flattening of affect. |
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b. Persistent anger with self or others e.g., easily annoyed, anger at care received |
Exclusion: temperament and personality functions, energy and drive functions. |
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c. Expressions (including non-verbal) of what appear to be unrealistic fears e.g., fear of being abandoned, being left alone, being with others; or intense fear of specific objects or situations |
Qualifier: 0. No problem 1. Mild problem 2. Moderate problem 3. Severe problem 4. Complete problem 8. Not specified 9. Not applicable |
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d. Repetitive health complaints e.g., persistently seeks medical attention, incessant concern with body functions |
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e. Repetitive anxious complaints/concerns (non-health related) e.g., persistently seeks attention/reassurance regarding schedules, meals, laundry, clothing, relationships |
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f. Sad, pained, or worried facial expression – e.g., furrowed brow, constant frowning |
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g. Crying, tearfulness |
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h. Recurrent statements that something terrible is about to happen – e.g., believes he or she is about to die, have a heart attack |
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i. Withdrawal from activities of interest – e.g. long-standing activities, being with family/friends |
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k. Expressions, including non-verbal, of a lack of pleasure in life (anhedonia) – e.g. |
I don't enjoy anything anymore |
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2. SELF-REPORTED MOOD |
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0 not in last 3 days |
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1. not in last 3 days but often feels that way |
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2. in 1–2 of the last 3 days |
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3 daily in last 3 days |
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8 person could not (would not) respond |
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Ask: "in the last 3 days, how often have you felt..." |
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a. Little interest or pleasure in things you normally enjoy |
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b. Anxious, restless, uneasy |
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c. Sad, depressed, hopeless |
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Berg et al. BMC Health Services Research 2009 9:47 doi:10.1186/1472-6963-9-47 |
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