The DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure as a Screening Tool

Abstract

The DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure was developed to aid clinicians with a dimensional assessment of psychopathology; however, this measure resembles a screening tool for several symptomatic domains. The objective of the current study was to examine the basic parameters of sensitivity, specificity, positive and negative predictive power of the measure as a screening tool. One hundred and fifty patients in a correctional community center filled out the measure prior to a psychiatric evaluation, including the Mini International Neuropsychiatric Interview screen. The above parameters were calculated for the domains of depression, mania, anxiety, and psychosis. The results showed that the sensitivity and positive predictive power of the studied domains was poor because of a high rate of false positive answers on the measure. However, when the lowest threshold on the Cross-Cutting Symptom Measure was used, the sensitivity of the anxiety and psychosis domains and the negative predictive values for mania, anxiety and psychosis were good. In conclusion, while it is foreseeable that some clinicians may use the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure as a screening tool, it should not be relied on to identify positive findings. It functioned well in the negative prediction of mania, anxiety and psychosis symptoms.

Multidimensional Assessment of COVID-19-Related Fears (MAC-RF): A Theory-Based Instrument for the Assessment of Clinically Relevant Fears During Pandemics

“…A sample item is “little interest or pleasure in doing things” (related to the symptom domain of depression). The CCSM has demonstrated adequate psychometric properties in the DSM field trials ( 16 ) and many studies across the world ( 17 , 18 ). Internal consistency (Cronbach’s alpha value) of the CCSM in the current study was.89.…”

Assessing physical activity in people with mental illness: 23-country reliability and validity of the simple physical activity questionnaire (SIMPAQ)

“…The 23-item DSM-5 Self-rated Level 1 Cross-cutting Symptom Measure [31] was used to assess symptom severity. This measure consists of 23 questions that assess 13 psychiatric domains, including depression, anger, mania, anxiety, somatic symptoms, suicidal ideation, psychosis, sleep problems, memory, repetitive thoughts and behaviours, dissociation, personality functioning, and substance use [31].…”

“…The 23-item DSM-5 Self-rated Level 1 Cross-cutting Symptom Measure [31] was used to assess symptom severity. This measure consists of 23 questions that assess 13 psychiatric domains, including depression, anger, mania, anxiety, somatic symptoms, suicidal ideation, psychosis, sleep problems, memory, repetitive thoughts and behaviours, dissociation, personality functioning, and substance use [31]. Each question asks about how much (or how often) the individual has been bothered by the specific symptom during the past two weeks and is rated on a 5-point scale (0 = none or not at all; 1 = slight or rare, less than a day or two; 2 = mild or several days; 3 = moderate or more than half the days; and 4 = severe or nearly every day).…”

Assessing physical activity in people with mental illness: 23-country reliability and validity of the Simple Physical Activity Questionnaire (SIMPAQ)

“…The 23-item DSM-5 Self-rated Level 1 Cross-cutting Symptom Measure [27] was used to assess symptom severity. This measure consists of 23 questions that assess 13 psychiatric domains, including depression, anger, mania, anxiety, somatic symptoms, suicidal ideation, psychosis, sleep problems, memory, repetitive thoughts and behaviours, dissociation, personality functioning, and substance use [27].…”

“…The 23-item DSM-5 Self-rated Level 1 Cross-cutting Symptom Measure [27] was used to assess symptom severity. This measure consists of 23 questions that assess 13 psychiatric domains, including depression, anger, mania, anxiety, somatic symptoms, suicidal ideation, psychosis, sleep problems, memory, repetitive thoughts and behaviours, dissociation, personality functioning, and substance use [27]. Each question asks about how much (or how often) the individual has been bothered by the specific symptom during the past two weeks and is rated on a 5-point scale (0=none or not at all; 1=slight or rare, less than a day or two; 2=mild or several days; 3=moderate or more than half the days; and 4=severe or nearly every day).…”