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Protocol - Multi-dimensional Assessment of Antipsychotic Medication Side Effects

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Description:

The Glasgow Antipsychotic Side-effect Scale (GASS) is a 22-item, self-administered checklist that captures a patient’s viewpoint about suffering from excessive side effects from the antipsychotic medication. Questions 1-20 relate to the previous week and questions 21-22 to the last three months. For questions 1-20, "never" = 0 points, "once" = 1 points, "a few times" = 2 points, and "everyday" = 3 points. For questions 21- 22, "yes" = 3 points and "no" = 0 points. All items are added together to give a total score and higher scores reflect more frequent experience of side effects.

Protocol:

Glasgow Antipsychotic Side‐effect Scale (GASS)

Name:______________________________________
Age:______________________________________
Sex:M / F
Please list current medication and total daily doses below:______________________________________

Please list current medication and total daily doses below:

This questionnaire is about how you have been recently. It is being used to determine if you are suffering from excessive side effects from your antipsychotic medication.

Please place a tick in the column which best indicates the degree to which you have experienced the following side effects. Tick the end box if you found that the side effect distressed you.

Over the past week:

Never

Once

A few times

Everyday

Tick this box if distressing

1. I felt sleepy during the day

2. I felt drugged or like a zombie

3. I felt dizzy when I stood up and/or have fainted

4. I have felt my heart beating irregularly or unusually fast

5. My muscles have been tense or jerky

6. My hands or arms have been shaky

7. My legs have felt restless and/or I couldn’t sit still

8. I have been drooling

9. My movements or walking have been slower than usual

10. I have had, or people have noticed uncontrollable movements of my face or body

11. My vision has been blurry

12. My mouth has been dry

13. I have had difficulty passing urine

14. I have felt like I am going to be sick or have vomited

15. I have wet the bed

16. I have been very thirsty and/or passing urine frequently

17. The areas around my nipples have been sore and swollen

18. I have noticed fluid coming from my nipples

19. I have had problems enjoying sex

20. Men only: I have had problems getting an erection

Tick yes or no for the following questions about the last three months

No

Yes

Tick this box if distressing

21. Women only: I have noticed a change in my periods

22. Men and women: I have been gaining weight

© 2007 Waddell & Taylor

Scoring

For questions 1-20 award 1 point for the answer "once," 2 points for the answer "a few times," and 3 points for the answer "everyday."

Please note zero points are awarded for an answer of "never."

For questions 21 and 22, award 3 points for a "yes" answer and 0 points for a "no." Total for all questions =

For male and female patients a total score of:
        • 0-12 = absent/mild side effects
        • 13-26 = moderate side effects
        • over 26 = severe side effects

Side effects covered by questions
        • 1-2 sedation and CNS side effects
        • 3-4 cardiovascular side effects
        • 5-10 extra‐pyramidal side effects
        • 11-13 anticholinergic side effects
        • 14 gastro‐intestinal side effects
        • 15 genitourinary side effects
        • 16 screening for diabetes mellitus
        • 17-21 prolactinaemic side effects
        • 22 weight gain

The column relating to the distress experienced with a particular side effect is not scored but is intended to inform the clinician of the service user’s views and condition.

Protocol Name from Source:

Glasgow Antipsychotic Side-effect Scale (GASS)

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult

Participants:

Adults, ages 18 years and older

Specific Instructions:

The Glasgow Antipsychotic Side-effect Scale (GASS) should be completed in proximity to another mental health professional or person to discuss any questions or issues.

Selection Rationale

Glasgow Antipsychotic Side-effect Scale (GASS) is a valid, reliable tool that could aid systematic clinical assessment, particularly in view of its brevity and user-friendly language. GASS is suitable for busy clinical environments and as part of routine clinical monitoring.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Mental Health Antipsychotic Agent Side Effect Assessment Scale 5628244 CDE Browser
Derived Variables

None

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

Waddell, L., & Taylor, M. (2008). A new self-rating scale for detecting atypical or second-generation antipsychotic side effects. Journal of Psychopharmacology, 22(3), 238-243.

General References

Day, J. C., Wood, G., Dewey, M., & Bentall, R. P. (1995). A self-rating scale for measuring neuroleptic side-effects. Validation in a group of schizophrenic patients. British Journal of Psychiatry, 166, 650-653.

Lambert, M., Conus, P., Eide, P., Mass, R., Karow, A., Moritz, S., Golks, D., & Naber, D. (2004). Impact of present and past antipsychotic side effects on attitude toward typical antipsychotic treatment and adherence. European Psychiatry, 19, 415-422.

Protocol ID:

661701

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
Research Domain Information
Measure Name:

Multi-dimensional Assessment of Antipsychotic Medication Side Effects

Release Date:

January 17, 2017

Definition

A questionnaire to assess the suffering side effects from antipsychotic medication

Purpose

This measure assesses a patient’s wellbeing recently and determine if the patient is suffering from excessive side effects from antipsychotic medication.

Keywords

Early psychosis, psychosis, antipsychotic medication side effects, Glasgow Antipsychotic Side-effect Scale, GASS, side effect