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  • 7/24/2019 pannsasas

    1/1

    Patient Name or ID :____________________ Rater:___________________________

    P1. Delusions

    P2. Conceptual disorganization

    P3. Hallucinatory e!a"ior

    P#. $%citement

    P&. 'randiosity

    P(. )uspiciousness* persecutionP+. Hostility

    N1. ,lunted a--ect

    N2. $motional it!draal

    N3. Poor rapport

    N#. Passi"e* apat!etic social it!draal

    N&. Di--iculty in astract t!in/ing

    N(. 0ac/ o- spontancity and -lo o- con"ersation

    N+. )tereotyped t!in/ing

    '1. )omatic concerns

    '2. n%iety'3. 'uilt -eelings

    '#. ension

    '&. annerisms and posturing

    '(. Depression

    '+. otor retardation

    '4. 5ncooperati"eness

    '6. 5nusual t!oug!t content

    '17. Disorientation

    '11. Poor attention

    '12. 0ac/ o- 8udgment and insig!t

    '13. Disturance o- "olition'1#. Poor impulse control

    '1&. Preoccupation

    '1(. cti"e social a"oidance

    )1. nger

    )2. Di--iculty in delaying grati-ication

    )3. --ecti"e laility

    PN))

    9ui/)core

    ormDepartment o- p!yc!iatry

    aculty o- edicine 5ni"ersity o- Indonesia

    )alema Raya (; sent

    2 > inimal

    3 > ild

    # > oderate

    & > oderate* )e"ere

    ( > )e"ere

    + > $%treme

    PN))

    9ui/)core

    ormDepartment o- p!yc!iatryaculty o- edicine 5ni"ersity o- Indonesia

    )alema Raya (;