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Modified Mini Screen (MMS)

The Modified Mini Screen (MMS) is a 22-item scale designed to identify persons in need of an assessment in the domains of Mood Disorders, Anxiety Disorders and Psychotic Disorders. The questions are based on gateway questions and threshold criteria found in the Diagnostic and Statistical manual IV (DSM-IV), the Structured Clinical Interview for Diagnosis (SCID) and the Mini International Neuropsychiatric Interview (M.I.N.I.).

Section A
1Have you been consistently depressed or down, most of the day, nearly every day, for the past 2 weeks?
2In the past 2 weeks, have you been less interested in most things of less able to enjoy the things you used to enjoy most of the time?
3Have you felt sad, low or depressed most of the time for the last two years?
4In the past month, did you think that you would be better off dead or wish you were dead?
5Have you ever had a period of time when you were feeling up, hyper or full of energy or full of yourself that you got into trouble or that other people thought you were not your usual self? (Do not consider times when you were intoxicated on drugs or alcohol)
6Have you ever been so irritable, grouchy or annoyed for several days, that you have arguments, verbal or physical fights, or shouted at people outside your family? Have you or others noticed that you have been more irritable or overreacted, compared to other people, even when you thought you were right to act this way?
Section B
7aHave you had one or more occasions when you felt intensely anxious, frightened, uncomfortable or uneasy even when most people would not feel this way?
7bIf yes, did these intense feelings get to be their worst within 10 minutes?
8Do you feel anxious or uneasy in places or situations where you might have the panic-like symptoms we just spoke about? Or do you feel anxious or uneasy in situation where help might not be available or escape might be difficult? Examples include:
  • Being in a crowd
  • Standing in a line
  • Being alone away from home or alone at home
  • Crossing a bridge
  • Traveling in a bus, train or car.
9Have you worried excessively or been anxious about several things over the past months? If no, skip question #10.
10Are these worries present most days?
11In the past month, were you afraid or embarrassed when others were others were watching or when you were the focus of attention? Were you afraid of being humiliated? Examples include:
  • Speaking in public
  • Eating in public or with others
  • Writing while someone watches
  • Being in a social situation.
12In the past month, have you been bothered by thoughts, impulses, or images that you couldn't get rid of that were unwanted, distasteful, inappropriate, intrusive or distressing? Examples include:
  • Were you afraid that you would act on some impulse that would be really shocking?
  • Did you worry a lot about being dirty, contaminated or having germs?
  • Did you worry a lot about contaminating others, or that you would harm someone even though you didn't want to?
  • Did you have fears or superstitions that you would be responsible for things going wrong?
  • Were you obsessed with sexual thoughts, images or impulses?
  • Did you hoard or collect lots of things?
  • Did you have religious obsessions?
13In the past month, did you do something repeatedly without being able to resist doing it? Examples include:
  • Washing or cleaning excessively
  • Counting or checking things over and over
  • Repeating, collecting, or arranging things
  • Other superstitious rituals
14Have you ever experienced or witnessed or had to deal with an extremely traumatic event that included actual or threatened death or serious injury to you or someone else? Examples include:
  • Serious accidents
  • Sexual or physical assault
  • Terrorist attack
  • Being held hostage
  • Kidnapping
  • Fire
  • Discovering a body
  • Sudden death of someone close to you
  • War
  • Natural disaster
15Have you re-experienced the awful event in a distressing way in the past month? Examples include:
  • Dreams
  • Intense recollections
  • Flashbacks
  • Physical reactions
Section C
16Have you ever believed that people were spying on you, or that someone was plotting against you, or trying to hurt you?
17Have you ever believed that someone was reading your mind or could hear your thoughts, or that you could actually read someone's mind or hear what another person was thinking?
18Have you ever believed that someone or some force outside of yourself put thoughts in your mind that were not your own, made you act in a way that was not your usual self? Or, have you ever felt that you were possessed?
19Have you ever believed that you were being sent special messages through the TV, radio, or newspaper? Did you believe that someone you did not personally know was particularly interested in you?
20Have your relatives or friends ever considered any of your beliefs strange or unusual?
21Have you ever heard things other people couldn't hear, such as voices?
22Have you ever had visions when you were awake or have you ever seen things other people couldn't see?