From: Relationship between interRAI HC and the ICF: opportunity for operationalizing the ICF
interRAI MOOD items | ICF |
---|---|
 | B 152 Emotional functions |
1. INDICATORS OF POSSIBLE DEPRESSION, ANXIETY, SAD MOOD | Specific mental functions related to the feeling and affective components of the processes of the mind. |
Code for indicators observed in past 3 days, irrespective of the assumed cause (note whenever possible, ask person) | Â |
0 not present | Â |
1 present but not exhibited in last 3 days | Â |
2 Exhibited on 1–2 of last 3 days |  |
3 Exhibited daily in last 3 days | Â |
a. Made negative statements e.g., "Nothing matters; Would rather be dead; What's the use; Regret having lived so long; Let me die" | Inclusions: functions of appropriateness of emotion, regulation and range of emotion, affect, sadness, happiness, love, fear, anger, hate, tension, anxiety, joy, sorrow, lability of emotion, flattening of affect. |
b. Persistent anger with self or others e.g., easily annoyed, anger at care received | Exclusion: temperament and personality functions, energy and drive functions. |
c. Expressions (including non-verbal) of what appear to be unrealistic fears e.g., fear of being abandoned, being left alone, being with others; or intense fear of specific objects or situations | Qualifier: 0. No problem 1. Mild problem 2. Moderate problem 3. Severe problem 4. Complete problem 8. Not specified 9. Not applicable |
d. Repetitive health complaints e.g., persistently seeks medical attention, incessant concern with body functions | Â |
e. Repetitive anxious complaints/concerns (non-health related) e.g., persistently seeks attention/reassurance regarding schedules, meals, laundry, clothing, relationships | Â |
f. Sad, pained, or worried facial expression – e.g., furrowed brow, constant frowning |  |
g. Crying, tearfulness | Â |
h. Recurrent statements that something terrible is about to happen – e.g., believes he or she is about to die, have a heart attack |  |
i. Withdrawal from activities of interest – e.g. long-standing activities, being with family/friends |  |
k. Expressions, including non-verbal, of a lack of pleasure in life (anhedonia) – e.g. | I don't enjoy anything anymore |
2. SELF-REPORTED MOOD | Â |
0 not in last 3 days | Â |
1. not in last 3 days but often feels that way | Â |
2. in 1–2 of the last 3 days |  |
3 daily in last 3 days | Â |
8 person could not (would not) respond | Â |
Ask: "in the last 3 days, how often have you felt..." | Â |
a. Little interest or pleasure in things you normally enjoy | Â |
b. Anxious, restless, uneasy | Â |
c. Sad, depressed, hopeless | Â |