Question 112 marks
Question
(a) Explain how dopamine can cause impulse control disorders. [2] (b) Describe the Kleptomania Symptom Assessment Scale (K-SAS). [4] (c) Explain one strength and one weakness of the type of data collected from the K-SAS. [6]
Mark scheme
1(a) Explain how dopamine can cause impulse control disorders. 2 Award 1 mark for a basic explanation of the term/concept. Award 2 marks for a detailed explanation of the term/concept. For example: Dopamine stimulates the reward centre in the brain and makes a person feel happy/pleasure. (1) It may be that when the person engages in an impulsive behaviour (e.g. kleptomania) this causes dopamine to be released. (1) Other appropriate responses should also be credited. 1(b) Describe the Kleptomania Symptom Assessment Scale (K-SAS). 4 Award 1–2 marks for a basic answer with some understanding of the topic area. Award 3–4 marks for a detailed answer with clear understanding of the topic area. A self-report measure to assess the severity of Kleptomania in a patient. Measures impulses, thoughts feelings and behaviours related to stealing. There are 12 items that lead to a score out of 70. The higher the score, the more severe the symptoms. Examples from the scale include: During the past week, how much were you able to control your thoughts of stealing? 0 (very much) to 4 (No Control) Other appropriate responses should also be credited. 1(c) Explain one strength and one weakness of the type of data collected 6 from the K-SAS. Strengths could include • Ability to compare/analyse data as quantitative results are used. • Comparisons can be made from the results to averages for the population to determine if the person suffers from kleptomania. or not. • As the responses are quantitative the person completing it (or telling their doctor their response) may find it easier to do this rather than explain their behaviour and symptoms in depth which could be embarrassing for someone with kleptomania. • Good retest reliability. • Compared with Global Assessment of Functioning Scale and found to have good concurrent validity. Weaknesses could include: • Just having quantitative data so cannot collect detailed responses as to why the person with kleptomania has had these thoughts and urges in the past week. • May be easier to lie about symptoms as no explanation is required. • Just assessing the past week. The patient’s symptoms could either be very severe or very mild in the past week which might not represent their typical symptoms. Mark according to the levels of response criteria below: Level 3 (5–6 marks) • Candidates will show a clear understanding of the question and will • discuss one strength and one weakness. • Candidates will provide a good explanation with clear detail. Level 2 (3–4 marks) • Candidates will show an understanding of the question and will discuss one appropriate weakness in detail or one appropriate strength in detail. OR one weakness and one strength in less detail. • Candidates will provide a good explanation. Level 1 (1–2 marks) • Candidates will show a basic understanding of the question and will attempt a discussion of either a strength or a weakness. This could include both but just as an attempt. • Candidates will provide a limited explanation. Level 0 (0 marks) No response worthy of credit. Other appropriate responses should also be credited.