Scale for the Assessment of Positive Symptoms (SAPS) - derailment loose association scale

General Details:

Name:
Scale for the Assessment of Positive Symptoms (SAPS) - derailment loose association scale
Steward:
NINDS
Definition:
Subject's likelihood to participate in speech derailment and loose associations, as part of the Scale For The Assessment of Positive Symptoms (SAPS)- Aggressive Agitated Behavior indicator
Registration Status:
Qualified

Permissible Values:

Value Type:
Value List
Unit of Measure:
Ids:
Value Code Name Code Code System Code Description
None None None
Questionable Questionable Questionable
Mild Mild Mild: Occasional instances of derailment, with only slight topic shifts
Marked Marked Marked: Frequent instances of derailment. Subject is often difficult to follow
Moderate Moderate Moderate: Several instances of derailment. Subject is sometimes difficult to follow
Severe Severe Severe: Derailment so frequent and/or extreme that the subject's speech is almost incomprehensible

Designations:

Designation:
Scale for the Assessment of Positive Symptoms (SAPS) - derailment loose association scale
Tags:
Designation:
Derailment (Loose Associations) A pattern of spontaneous speech in which the ideas slip off one track onto another which is clearly but obliquely related, or onto one which is completely unrelated. Things may be said in juxaposition which lack a meaningful relationship, or the subject may shift idiosyncratically from one frame of reference to another. At times there may be a vague connection between the ideas, and at others none will be apparent. This pattern of speech is often characterized as sounding "disjointed." Perhaps the commonest manifestation of this disorder is a slow, steady slippage, with no single derailment being particularly severe, so that the speaker gets farther and farther off the track with each derailment without showing any awareness that his reply no longer has any connection with the question which was asked. This abnormality is often characterized by lack of cohesion between clauses and sentences and by unclear pronoun references. Example: Interviewer: "Did you enjoy college?" Subject: "Um-hum. Oh hey well, I oh, I really enjoyed some communities I tried it, and the, and the next day when I'd be going out, you know, um, I took control like uh, I put, um, bleach on my hair in, in California. My roommate was from Chicago, and she was going to the junior college. And we lived in the Y.M.C.A., so she wanted to put it, um, peroxide on my hair, and she did, and I got up and looked at the mirror and tears came to my eyes. Now do you understand it, I was fully aware of what was going on but why couldn't I, I . . . Why, why the tears? I can't understand that, can you?"
Tags:
Question Text

Designations:

Definition:
Subject's likelihood to participate in speech derailment and loose associations, as part of the Scale For The Assessment of Positive Symptoms (SAPS)- Aggressive Agitated Behavior indicator
Tags:

Reference Documents:

ID:
Title:
URI:
Provider Org:
Language Code:
Document:
Voss T et al. Performance of the scale for assessment of positive symptoms in Parkinson's disease psychosis. Mov Disord. 2010 Jan 15;25(1):124-125.

Identifiers:

Source:
NLM
Id:
v8GQ3y2cxOV
Version:
3.1
Source:
NINDS
Id:
C09488
Version:
3
Source:
BRICS Variable Name
Id:
SAPSDerLosAsscScale
Version: