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Brief Psychiatric Rating Scale (BPRS) Version 4.

Nama Pasien : Jajang Age :26 tahun


NA 1 2 3 4 5 6 7
No Provide Examples Not Not Very
Mild Moderate
Moderately
Severe
Extremely
Assessed Present Mild Severs Severe
1 Somatic Concern Yes
2 Anxiety Yes
3 Depression Yes
4 Suicidality Yes
5 Guilt Yes
6 Hostility Yes
7 Elevanted Mood Yes
8 Grandiosity Yes
9 Suspiciousness Yes
10 Hallucinations Yes
Unusual Though
11 Yes
Content
12 Bizarre Behavior Yes
13 Self-Neglect Yes
14 Disorientation Yes
Rate items 15 trough 24 on the basis of patients observed behavior or speech during the interview
Conceptual
15 Yes
Disorganization
16 Blunted Affect Yes
17 Emotional Withdrawal Yes
18 Motor Retardation Yes
19 Tension Yes
20 Uncooperativeness Yes
21 Excitement Yes
22 Distractibility Yes
23 Motor Hyperactivity Yes
Mannerisms and
24 Yes
Posturing
Rate item 1 throught 14 on the basis of patients self-report during interview. Mark NA for
symptoms not assessed. Not items 7, 12, and 13 are also rated on observed behavior during the
interview

Total penilaian berjumlah: 55

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