1 Smeding

Appendix (E)A-1

Disgust and Negligence

Has anything changed to the extent he or she finds things disgusting or he or she takes care of his/her self?

If yes than subquestions:

  1. Does he/she care less about dirt or stains?
  2. Does he/she find things more easily dirty?
  3. Does he/she tidy or clean more than before?
  4. Does he/she wash the hands more often?
  5. Does he/she take more often a bath/shower?
  6. Does he/she neglect his/herself or his/her environment?
  7. Is he/she more careless with their stuff?
  8. Is he/she more prudent with their stuff?

Frequency:

  1. occasionally, less than once per week
  2. often– about once per week
  3. frequently – several times per week but less than every day
  4. very frequently – once or more per day or continuously

Severity:

  1. mild – changes in disgust or negligence are present, but have not lead to changes in daily routine
  2. moderate – changes in disgust or negligence are present and have lead to repeated cleaning or evident neglected behavior
  3. severe – there are evident changes present in disgust or negligence that lead to compulsive behavior or are embarrassing for patient or caregiver.

Distress:

  1. not distressing at all 1. minimal 2. slight 3. moderate 4. severe 5. very severe or extreme

Sexual interest:

Are there changes in sexual interest or in sexual activity?

If yes than subquestions:

  1. Has his or her need for sexual contact decreased?
  2. Has his or her need for sexual contact increased?
  3. Has his or sexual activity decreased?
  4. Has his or sexual activity increased?
  5. Are there changes in sexual preferences?
  6. Are there changes in sexual habits?

Frequency:

  1. occasionally, less than once per week
  2. often– about once per week
  3. frequently – several times per week but less than every day
  4. very frequently – once or more per day or continuously

Severity:

  1. mild – changes in disgust or negligence are present, but have not lead to changes in daily routine
  2. moderate – changes in disgust or negligence are present and have lead to repeated cleaning or evident neglected behaviour
  3. severe – there are evident changes present in disgust or negligence that lead to compulsive behaviour or are embarrassing for patient or caregiver.

Distress:

  1. not distressing at all 1. minimal 2. slight 3. moderate 4. severe 5. very severe or extreme

Language and Speech

Are there any changes in speech?

If yes, than subquestions:

  1. Does he/she speak less than before?
  2. Does he/she speak more than before?
  3. Does he/she speak indistinctly? Is the speech poorly articulated or hesitating?
  4. Are there any word finding difficulties?
  5. Does he/she make errors during speaking?
  6. Has the voice changed?
  7. Has loudness of voice changed?
  8. Are there any problems with swallowing?
  9. Does he/she dribble more than before?
  10. Are there any other changes in speech I have not mentioned?

Frequency:

  1. occasionally, less than once per week
  2. often– about once per week
  3. frequently – several times per week but less than every day
  4. very frequently – once or more per day or continuously

Severity:

  1. mild – changes in speech or language are present, but have not lead to changes in daily routine
  2. moderate – changes in speech or language are present and intelligibility is fluctuating
  3. severe – there are evident changes present in speech or language and patient is hardly intelligible

Distress:

  1. not distressing at all 1. minimal 2. slight 3. moderate 4. severe 5. very severe or extreme

Cognitive changes

Are there any changes in thinking? Has he/she become forgetful; distractible or does he/she understand things less well?

If yes, than subquestions:

  1. Has he/she become forgetful?
  2. Has his/her concentration weakened?
  3. Does he/she not understand the right meaning of things that are said?
  4. Does he/she take everything literal?
  5. Can he/she change from mind for good reasons?
  6. Is he/she stubborn or rigid lately?
  7. Is he/she able to plan and organize complex activities?
  8. Is he/she easily distracted?
  9. Is he/she not able to persevere or complete activities?
  10. Is he/she less able to pay attention?
  11. Does he/she lose track easily?
  12. Does he/she often seem completely absent minded?
  13. Is he/she less aware of problems or changes?
  14. Does he/she show less judgment in taking decisions or in driving a car?
  15. Does he behave irresponsible or careless?

Frequency:

  1. occasionally, less than once per week
  2. often– about once per week
  3. frequently – several times per week but less than every day
  4. very frequently – once or more per day or continuously

Severity:

  1. mild – changes in cognition are present, but have not lead to limitations in social and professional life
  2. moderate – changes in cognition are present and lead to some limitations in social and professional life
  3. severe – there are evident changes present in cognition and patient is severely limited in social and professional life.

Distress:

  1. not distressing at all 1. minimal 2. slight 3. moderate 4. severe 5. very severe or extreme

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