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POSITIVE AND NEGATIVE SYNDROMES SCALE QUICKSCORE FORM

Nama Pasien : Tn.ZA

TANGGAL PEMERIKSAAN
POSITIVE AND NEGATIVE SYNDROMES SCALE
28/09/09 5/10/2009
POSITIVE SCALE
P1 Delusion 5 4
P2 Conceptual disorganization 4 3
P3 Hallucinatory behavior 5 1
P4 Excitement 3 1
P5 Grandiosity 4 1
P6 Suspiciousness/ persecution 3 3
P7 Hostility 3 1
TOTAL POSITIVE SCALE 27 14 0
NEGATIVE SCALE
N1 Blunted affect 1 1
N2 Emotional withdrawal 1 1
N3 Poor rapport 1 1
N4 Passive/apathetic social withdrawal 1 1
N5 Difficulty in abstract thinking 5 5
N6 Lack of spontaneity and flow of conversation 1 1
N7 Stereotyped thinking 1 1
TOTAL NEGATIVE SCALE 11 11 0
GENERAL PSYCOPATOLOGY SCALE
G1 Somatic concern 1 3
G2 Anxiety 1 1
G3 Guilt feeling 1 1
G4 Tension 1 1
G5 Mannerism and posturing 1 1
G6 Depression 1 3
G7 Motor retardation 1 1
G8 Uncooperativeness 1 1
G9 Unusual thought content 4 4
G10 Disorientation 3 3
G11 Poor attention 2 1
G12 Lack of judgement and insight 7 5
G13 Disturbance of volition 1 1
G14 Poor impulse control 3 1
G15 Preoccupation 1 1
G16 Active social avoidance 3 3
TOTAL GENERAL PSYCHOPATOLOGY SCALE 32 31 0
TOTAL PANNS 70 56 0
ADDITIONAL SCALE
S1 Anger
S2 Difficulty in delaying gratification
S3 Affective lability
TOTAL ADDITIONAL SCALE
POSITIVE AND NEGATIVE SYNDROMES SCALE QUICKSCORE FORM

Nama Pasien :

TANGGAL PEMERIKSAAN
POSITIVE AND NEGATIVE SYNDROMES SCALE

POSITIVE SCALE
P1 Delusion
P2 Conceptual disorganization
P3 Hallucinatory behavior
P4 Excitement
P5 Grandiosity
P6 Suspiciousness/ persecution
P7 Hostility
TOTAL POSITIVE SCALE 0 0 0
NEGATIVE SCALE
N1 Blunted affect
N2 Emotional withdrawal
N3 Poor rapport
N4 Passive/apathetic social withdrawal
N5 Difficulty in abstract thinking
N6 Lack of spontaneity and flow of conversation
N7 Stereotyped thinking
TOTAL NEGATIVE SCALE 0 0 0
GENERAL PSYCOPATOLOGY SCALE
G1 Somatic concern
G2 Anxiety
G3 Guilt feeling
G4 Tension
G5 Mannerism and posturing
G6 Depression
G7 Motor retardation
G8 Uncooperativeness
G9 Unusual thought content
G10 Disorientation
G11 Poor attention
G12 Lack of judgement and insight
G13 Disturbance of volition
G14 Poor impulse control
G15 Preoccupation
G16 Active social avoidance
TOTAL GENERAL PSYCHOPATOLOGY SCALE 0 0 0
TOTAL PANNS 0 0 0
ADDITIONAL SCALE
S1 Anger
S2 Difficulty in delaying gratification
S3 Affective lability
TOTAL ADDITIONAL SCALE

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