PDSS_SR v.1
The PDSS-SR is the self-reported version of the PDSS which helps to gather an assessment from the patient of their anxiety state and severity of panic attacks during the previous week. For score interpretation, please see detailed model description.
The PDSS-SR helps to gather an assessment from the patient of the severity of their panic disorder during the previous week. It comes in a questionnaire format made up of 7 questions related to panic attacks or limited symptom attacks used to indicate further if a more formal diagnostic method may be needed.
To be considered a \"panic attack\" (a sudden rush of fear or discomfort) the patient needs to have experienced at least 4 of the symptoms decribed below with these symptoms peaking within 10 minutes. To be considered a \"limited symptom attack\" which is similar to a panic attack, the patient has to have experienced fewer than 4 symptoms described below. The symptoms are: Rapid or pounding heartbeat, Chest pain or discomfort, Numbness or tingling, Sweating, Nausea, Chills or hot flushes,Trembling or shaking, Dizziness or faintness, Fear of losing control or going crazy, Breathlessness, Feelings of unreality, Fear of dying, Feeling of choking The PDSS-SR items are scored on a scale of 0 to 4 providing a raw score (adding up the scores across the seven questions) and providing a composite score which is made up of the average scores per seven questions. Thus the raw score ranges from 0 to 28 and the composite scores from 0 to 4. The scores are interpreted by grouping the patients into those with or those without agoraphobia in the following ways: Without Agoraphobia: Normal: 0-1 ; Bordeline: 2-5 ; Slightly ill: 6-9 ; Moderately ill: 10-13 ; Markedly ill: >= 14 With Agoraphobia: Normal: 0-2 ; Bordeline: 3-7 ; Slightly ill: 8-10 ; Moderately ill: 11-15 ; Markedly ill: >= 16
The PDSS-SR tool should not be used to diagnose panic disorder or any other form of mental distress alone. An abnormal score should alert the clinician that further investigation should be done.
Ref. 1: Shear MK, Brown TA, Barlow DH, Money R, Sholomskas DE, Woods SW, Gorman JM, Papp LA. Multicenter collaborative Panic Disorder Severity Scale. American Journal of Psychiatry 1997;154:1571-1575 Ref. 2: Furukawa, T. A., M. Katherine Shear, et al. (2009). \"Evidence-based guidelines for interpretation of the Panic Disorder Severity Scale.\" Depress Anxiety 26(10): 922-9.
OBSERVATION.pdss_sr.v1, EVALUATION.panic_disorder_severity_scale_assessment.v1
