This next section of questions is your memory. *Q119 Have you ever had any difficulty with your memory? 0. No 1. Yes 8. No answer 9. Not asked IF YES ASK Q120 OTHERWISE SKIP TO Q121 *Q120 Was/is that a problem for you? 0. No 1. Yes, moderate 2. Yes, severe 8. No answer 9. Not asked Q120 Rate as a problem if the respondent says that it is a problem *Q121 Have you tended to forget things recently? 0. No 1. Yes, several a week 2. Yes, at least daily 8. No answer 9. Not Q121 For this and the next two questions, rate only problems. DO NOT rate transient mistakes, A RATING of 1 implies it causes difficulty several times a week. A RATING of 2 relates to the frequency of the difficulty IF RATED 1 or 2 ask Q122 OTHERWISE SKIP TO Q124 *Q122 What kinds of things? Names of family and close friends? 0. No 1. Yes, several times a week 2. Yes, at least daily 8. No answer 9. Not asked Q122 This concerns family and close friends, not persons only met occasionally *Q123 What about where you have put things? 0. No 1. Yes, several times a week 2. Yes, at least daily 8. No answer 9. Not asked Q123 To rate here means that the subject suffers some degree of inconvenience *Q124 Have you ever been in your own neighbourhood and forgotten your way?
2. Feeling muddled - severe 8. No answer 9. Not asked Q140 Do you find you talk more slowly than is normal for you? 0. No 1. Yes 8. No answer 9. Not asked Q141 Do you find it difficult to make up your mind? (To make decisions?) Is that worse than usual? 0. No 1. Infrequently 2. Frequently/persistently 8. No answer 9. Not asked Q141 Here R finds difficulty in coming to decisions quite often about simple everyday matters. e.g. Such as what to cook, what to wear, whether to go to see a friend. IF RATED 1 OR 2 ASK Q142 OTHERWISE SKIP TO Q144 Q142 How long has that bothered you? How RATE PRESENT MOST DAYS FOR AT LEAST TWO WEEKS. 0. Not most days 1. Mild 2. Severe 8. No answer 9. Not asked Q142 Rate as present when either muddled thinking or indecisiveness has been present for most days for at least two weeks in the previous month. Q143 Have you felt like this continuously for the last two months? 0. No 1. Yes Q144 How are you coping with the things you have to do every day? 0. Coping well 1. Mild feeling of not coping 2. Severe feeling of not coping 8. No answer 9. Not asked Q144 Rate as present when R feels they are no longer able to undertake daily routines satisfactorily. A feeling that ordinary things are 'getting them down', a feeling that the housework is no longer being done satisfactorily or is getting on top of R, or work is becoming too difficult. Q145 How confident would you say you felt (in yourself)?
9 Not asked Q182 Other fish 0 Never 1 Seldom 2 Once a week 3 2-4 times a week 4 5-6 times a week 5 Once or more daily 7 Don’t know 8 No answer 9 Not asked Q182 Other fish (e.g. cod, tuna, haddock) Q183 bread 0 1 Seldom 2 Once a week 3 2-4 times a week 4 5-6 times a week 5 Once or more daily 7 Don’t know 8 No answer 9 Not asked SLEEP SECTION Q184 Have you had any trouble sleeping recently? 0. No trouble/no change in pattern 1. Yes 8. No answer 9. Not asked Q184 This item refers to any type of disturbance which R has noticed. If R has recently been admitted to an institution, sleep performance should be assessed on the one month prior to admission. IF YES ASK Q185, OTHERWISE SKIP TO Q194 Q185 Have you taken anything to help you sleep? Does it help? 0. Not taken anything 1. Mild/Infrequent problems despite 2. Severe/Persistent problems despite 3. & no problems 8. No answer 9. Not Q185 Rate here for the use of medication or alcohol to aid sleep. Medication refers to specific sleeping tablets or certain sedatives which are being used for the purpose of inducing or assisting the onset of sleep. Q186 How long has it been going on for? What used to happen? Q186 Rate for excessive sleep if R feels the need for several hours more sleep a
0. No persistent problem 1. Mild marked insomnia 2. Severe marked insomnia 3. Mild marked excessive sleep 4. Severe marked excessive sleep 8. No answer 9. Not night than usual and probably awakens the next morning still feeling tired. Rate most nights for at least two weeks in the last month. Q187 RATE HAS INSOMNIA MOST OF THE NIGHT AND SLEEPS MAINLY DURING THE DAY (If not established ASK When do you get any sleep?) 0. No 1. Infrequent 2. Frequent/Persistent 8. No answer 9. Not asked Q187 Rate here a reversal of sleep pattern whereby R lies awake most of the night or fails to go to bed and sleeps mainly during the day time. Q188 Have you had difficulty falling asleep (getting off to Do you lie awake for long periods of time (waiting for sleep)? 0. No 1. Yes 8. No answer 9. Not Q188 Rate as present if R is aware of a difficulty in getting to sleep. If taking sleeping tablets, ask how successful s/he would be in getting to sleep if they were not taken. For a positive rating the symptoms should have been present for several consecutive days. Q189 Is your sleep interrupted during the night? 0. No 1. Infrequent 2. Frequent/Persistent 8. No answer 9. Not asked Q189 Rate only if interrupted nights have lasted several consecutive days. Ignore here the cause of interrupted sleep. If R is taking sleeping tablets, rate how s/he considers they would sleep without them. IF RATED NO SKIP TO 191, IF YES CONTINUE TO Q190 Q190 RATE SLEEP INTERRUPTED DURING THE NIGHT MOST NIGHTS FOR AT LEAST TWO WEEKS IN THE LAST MONTH. 0. No 1. Yes
2. Severe belief persecution deserved 8. No answer 9. Not asked Q208 Do you really feel strongly about it? 0. No 1. Mild 2. Severe 8. No answer 9. Not asked Q208 Rate strength of feeling that the persecution is NOT deserved. Reserve a rating of 2 for considerable anger or distress. Q209 Do you think you could be mistaken? 0. Yes 1. Possibly 2. Definitely not 8. No answer 9. Not asked Q209 Rate 1 if there is any hesitation on R's part. Rate 2 when there is absolute conviction. IF YES SKIP TO Q214 Q210 they be trying to do you any real harm? (In what way?) For 'upset' read upset/distress/use 0. No 1. Mild belief trying to upset them 2. Severe belief trying to upset them 8. No answer 9. Not asked Q210 R is convinced others are trying to cause him/her distress, illness, or to use him/her for their own ends. Q211 RATE SUBJECT'S BELIEF SOMEONE’S TRYING TO KILL THEM OR COMMIT SERIOUS PHYSICAL HARM. 0. No 1. Mild belief trying to kill them 2. Severe belief trying to kill them 8. No answer 9. Not Q212 Do they resort to any tricks? 0. No 1. Yes 8. No answer 9. Not asked Q213 Do you feel able to tell me who it is?
0. No 1. Yes 8. No answer 9. Not asked CONCENTRATION Q228 How is your concentration? Can you concentrate on a television (radio, film) programme? (Can you watch it (listen to it) all the way through?). 0. No difficulty concentrating 1. Mild difficulty concentrating 2. Severe difficulty concentrating 8. No answer 9. Not asked Concentration may be lost for a number of reasons. However, if there is already evidence of delusions concerning thought (such as thought insertion, broadcasting, delusions of reference to television or radio or the content of reading matter) then a rating of 9 should be recorded for the relevant items. Q228 Do not rate changes in concentration which R attributes to old age. However, R might be wrong and if you believe the symptom has occurred only recently it should be rated. Q229 Do you read? Can you concentrate on something you read? (Can you read it right through?). 0. No difficulty concentrating 1. Mild difficulty concentrating 2. Severe difficulty concentrating 8. No answer 9. Not asked Q229 Rate as for last question. If R is unable to read because of blindness, visual disturbances or illiteracy rate 9. Q230 Do you have more difficulty in concentrating than is usual for you? 0. No 1. Yes 8. No answer 9. Not asked IF YES ASK Q231, OTHERWISE SKIP TO 232 Q231 How long has this difficulty bothered you? (How RATE DIFFICULTY MOST DAYS FOR AT LEAST TWO WEEKS.
AFFECTIVE RESPONSE TO DELUSIONS OR HALLUCINATIONS Q245 What do you feel these experiences? (Do you get angry, or sad, or frightened?) (How do you show it?) (Do you even enjoy it?) 0. No affective response 1. Mild marked affective response 2. Severe marked affective response 8. No answer 9. Not asked Q245 A marked affective response is one of depression, elation, irritability, anger or anxiety or any emotion in which R is moved by the experience. Rate 1 if R merely tells of the emotion. Rate 2 if s/he tells and exhibits emotional behaviours on observation. Q246 Do you deserve it? Is it your 0. No 1. Mildly indignant, undeserved 2. Severely indignant, undeserved 3. Mild feeling, deserved punishment 4. Severe feeling, deserved punishment 8. No answer 9. Not asked Q246 Rate 1: if R that on the whole the experiences are not deserved. Rate 2: if s/he is quite certain that they are not deserved. Rate 3: if R believes they are on the whole deserved. Rate 4: if quite certain they are deserved. Q247 RATE: IS THE RESPONDENT DEPRESSED? 0. No 1. Yes 8. No answer 9. Inapplicable . IF YES RATE 248 OTHERWISE SKIP TO Q249 Q248 RATE: HAVE THERE BEEN DELUSIONS OR HALLUCINATIONS FOR AS LONG AS 2 WEEKS IN THE ABSENCE OF PROMINENT MOOD SYMPTOMS (I.E. EITHER BEFORE Q248 If the delusions and hallucinations arise from the mood, then they are usually present with the mood. Rate 1 if the delusions or hallucinations have been present for two weeks
THE MOOD SYMPTOMS DEVELOPED OR AFTER THEY REMITTED). 0. Hallucinations with mood symptoms 1. Hallucinations without mood symptoms 8. No answer 9. Inapplicable WITHOUT THE MOOD ALSO BEING PRESENT. This would tend to indicate that the delusions or hallucinations were independent of the mood The next part of the interview is concerned with memory and concentration and you might need your reading glasses for some of the questions. You’ll find you will have been asked some of these questions before - this is because we are interested in change. Some of the questions I am to ask will seem rather easy. Having said that, no-one is expected to be able to manage them all, so please don’t worry if feel you have made a mistake. This section part of the cognitive examination. Some of the items (those marked with a star) are part of the Mini Mental State Examination. If you seem to be losing the subject’s co-operation ask these items as a priority. It is important that you speak slowly and clearly. If the subject appears not to have heard or understood, repeat the question (unless the item specifically prohibits repetition). Any item that is not attempted or refused mark as incorrect. DO NOT CORRECT IF A ANSWER IS GIVEN. * Q249 What is the season? 0. Incorrect 1. Correct 9. Not Allow flexibility when seasons change March= winter/spring June= spring/summer September= summer/autumn Late Nov/Dec = autumn/winter Can you tell me where we are now? For instance *Q250 What county are we in? 0. No