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sso.uptodate.com

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mentalhealth.bmj.com

Background To drive improvement in clinical services, an important innovation will be to regularly assess patients’ psychotic experiences in order to guide, monitor and, when needed, alter treatment provision. The great heterogeneity in presentations of psychosis means that a comprehensive assessment battery is impractical. A plausible solution is computerised adaptive testing (CAT), which uses real-time computation to present the most informative questions to an individual. Fewer questions are needed to reach similar precision as a full questionnaire.Objective We tested the potential of a CAT for paranoia to halve the number of items that need to be presented.Methods We used the established item response theory psychometric properties of the 10-item Revised Green et al Paranoid Thoughts Scale (Persecution) to run CAT simulations in four datasets in which participants had completed the full scale: a representative survey of 10 382 UK adults; a clinical trial with 319 patients with psychosis; a cohort study of 836 National Health Service (NHS) male patients with psychosis; and a clinical trial with 89 patients with persecutory delusions. The CAT algorithm used the graded response model and the test was concluded when the SE of estimation dropped below 0.3 or five items had been answered.Findings On average, the CAT administered 4.2, 4.0, 4.2 and 4.0 items to each person in the four datasets. The correlations between the CAT score and the full-scale paranoia score were 0.95, 0.94, 0.94 and 0.87. Minimal systematic error in paranoia estimation occurred (mean bias scores=−0.01, –0.06, −0.07 to –0.10). Estimation was the least precise for people at the boundary of normal and elevated levels of paranoia.Conclusions In datasets with people across the whole paranoia continuum, accurate estimates of paranoia can be provided by a CAT with fewer than half the items of the full scale. Tailored testing may work well with people with psychosis.Clinical implications CAT may be a w

thebms.org.uk

BMS provides education, information and guidance to healthcare professionals specialising in all aspects of post reproductive health.

psykiatriforskning.se

Syftet med modulen Lugna rummet är att kunna erbjuda patienterna en plats för avslappning och välbefinnande, stödja dem att utveckla egna lugnande eller aktiverande strategier samt att öka patienttillfredsställelsen.

pubmed.ncbi.nlm.nih.gov

Gates Foundation, St Jude Children's Research Hospital.

journalpulmonology.org

A 59-year-old woman presented to the Department of Thoracic Surgery with an anterior mediastinal mass detected on routine physical examination.

lupronprostatecancer.com

Find answers to common questions about prostate cancer and treatment with LUPRON DEPOT.

doctoreckstein.de

Klärendes Reinigungsgel für Gesicht und Körper. Angenehm erfrischend, reinigt die Haut sanft und effektiv, ohne die Haut auszutrocknen.

dic.hankyung.com

한경 경제용어사전, 성공을 부르는 습관 한국경제신문 한경닷컴

medicina.trend.sk

Reforma záchraniek je riziko pre každého z nás, tvrdí lekár Ivan Majling Návrh reformy záchraniek, ktorú predstavil minister Kamil Šaško podporili nemocnice či lekári na urgentných prímoch. Záchranári tak naklonení už nie sú a hovoria o rizikách nielen pre systém, ale najmä pre pacientov. O téme sme sa rozprávali s lekárom záchranárom a viceprezidentom Slovenskej