• PANDAS

    Pediatric Acute Neuropsychiatric Symptom Scale*
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    Pick a Date
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    Pick a Date
  • SYMPTOM SEVERITY RATING SCALE (Use these anchor points for each of the symptoms)

    0 - NONE: No evidence of specific symptoms and behaviors

    1 - MINIMAL: Specific symptoms and/or behaviors are present but are only evident occasionally and not a major source of difficulty

    2 - MILD: Specific symptoms and/or behaviors are present during the past week, and are episodically a source of some distress and difficulty

    3 - MODERATE: Specific symptoms and/or behaviors are present every day and are a source of distress and difficulty

    4 - SEVERE: Specific symptoms and/or behaviors are present every day and are severe resulting in a great deal of distress and difficulty

    5 - EXTREME Specific symptoms and/or behaviors are always present and are extremely severe resulting in an extreme degree of distress and difficulty

  • Please answer each question with these indicators: 

    "B" = Symptom severity BEFORE the onset of the first episode of illness or show of symptoms

    "O" = Symptom severity during the week following the initial ONSET of symptoms or the worst symptoms have ever been if there is no specific onset date

    "C" = CURRENT symptom severity during the past week

     

    EACH ROW NEEDS TO HAVE A "B", "O" AND A "C"

  • Here is an example of the indicators:

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  • "B" = Symptom severity one week BEFORE the onsent of the first episode of illness

    "O" = Symptom severity during the week following the initial ONSET of symptoms

    "C" = CURRENT symptom severity during the past week

     

    EACH ROW NEEDS TO HAVE A "B", "O" AND A "C"

  • II. Associated Symptoms

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  • "B" = Symptom severity one week BEFORE the onsent of the first episode of illness

    "O" = Symptom severity during the week following the initial ONSET of symptoms

    "C" = CURRENT symptom severity during the past week

     

    EACH ROW NEEDS TO HAVE A "B", "O" AND A "C"

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  • "B" = Symptom severity one week BEFORE the onsent of the first episode of illness

    "O" = Symptom severity during the week following the initial ONSET of symptoms

    "C" = CURRENT symptom severity during the past week

     

    EACH ROW NEEDS TO HAVE A "B", "O" AND A "C"

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  • Impairment Rating

    Same as the above sections the impairment rating needs a "B", "O", and "C" in the right column as depicted below.

    This rates how much symptoms have affected day-to-day life for you/the patient.

  • Here is an example of using the indicators with the Impairment Rating:

  • "B" = Symptom severity one week BEFORE the onsent of the first episode of illness

    "O" = Symptom severity during the week following the initial ONSET of symptoms

    "C" = CURRENT symptom severity during the past week

     

    EACH ROW NEEDS TO HAVE A "B", "O" AND A "C"

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  • *Based on the clinical experience of Susan Swedo, M.D., Miroslav Kovacevic, M.D., Beth Latimer, M.D., and James Leckman, M.D., with the help of Diana Pohlman, Keith Moore and many other parents.

    **Six Obsessive-compulsive symptoms domains are presented. Rate all of them. Howevere, on the above tabel only enter the score of the most severe domain (times 3; 0-35)

    ***Seven Associated symptom domains are presented. Rate all of them. However, for each domain one or more symptom sets are listed. On the above table, only enter the score of the most severe symptom set for each domain (0-5).

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