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The Bush- Francis Catatonia Rating Scale (BFCRS) is a standardised, quantifiable examination of catatonia designed to screen and diagnose. Tab. 1: According to the item Bush-Francis Catatonia Rating Scale (BFCRS), here partially modified and partially reported, the severity of catatonia is. PDF | Objective: This article aims to describe the adaptation and translation process of the Bush-Francis Catatonia Rating Scale (BFCRS) and.

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Composite scores based on this principal component analysis were calculated. A home of its own.

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For severity, items are rated using a scale of We found low concurrent validity in criteria terminology and suggest that a new approach to detection of catatonia is warranted.

The presence of two or more of the screening items for 24 hours or longer meets the diagnosis for catatonia proposed by Bush et al. Patients with a psychotic or mood disorder as a primary diagnosis had the most prominent catatonic symptom profiles see Figure 1. In our study, no significant differences in overall prevalence of catatonia between the psychosis group and the combined mood disorder group could be seen.

As demonstrated by Stompe and colleagues, the detection of catatonia can be improved if the clinician relies on a greater number of specific signs with precise reference definitions. The catatonia rating scales were developed to detect and measure the severity of catatonia but they may lack the sensitivity necessary to measure improvement.


There are reasons to believe that the profile of catatonic symptomatology may depend on the underlying pathology 15 The SAS is used to measure extrapyramidal symptoms.

Bush-Francis Catatonia Rating Scale (BFCRS) – PsychTools

Patients presenting with the following catatonic signs would not be admitted or treated if one followed DSM-IV-TR criteria; these include echopraxia, peculiarities of speech, stereotypies, mannerisms, and grimacing. Antipsychotics were taken by Similarly, six patients received a diagnosis of personality disorder 4.

Another limitation of the study is the lack of a depression scale. Catatonia is a complex neuropsychiatric syndrome that occurs with primary psychiatric disorders or secondary to general medical conditions. Where have all the catatonics gone? Although some critics have suggested the syndrome is much more uncommon than a century ago or may even be disappearing, catatonia is still highly prevalent 2.

A rating scale and extrapyramidal motor symptoms. In conclusion, there was a high prevalence of catatonic symptomatology.

The word catatonia is Greek for tension insanity, a concept developed by Kahlbaum to describe a new illness. Catatonia in an intensive care facility: Various criteria and rating scales have been applied to catatonia. Consequently, these divergent findings raise two interesting points. Kontaxakis and colleagues found this subscale to intercorrelate with the Hamilton Depression subscale Depending on which criteria are being used, the more strict DSM-criteria versus the more liberal criteria suggested by Bush and colleagues i.

There were no exclusion criteria for participation. Uber Wesen und Bedeutung katatonischer Symptome. Fink M, Taylor MA.


Expanding horizons in catatonia research. Barriers to the Validity of Catatonia The terminology used in the diagnostic criteria for catatonic schizophrenia has been a concern catatonai may include 5 to 57 signs. Out of the patients that were admitted to an enclosed psychiatric ward, patients While there are several catatonia rating scales, these scales are not routinely taught or included in educational programs as valuable diagnostic instruments.

An unifying pathogenesis of catatonia that explains all motor, vegetative, and behavioral symptoms remains elusive.

First, behavior problems are overemphasized in deference to motor disorders signs.

Frontiers | Prevalence of the Catatonic Syndrome in an Acute Inpatient Sample | Psychiatry

Another important finding is the fact that the catatonic presentation may vary depending on the underlying pathology, although an unambiguous delineation between these catatonic presentations cannot be made. His concept of catatonia was later marginalized by Kraepelian psychiatry to frnacis subtype of schizophrenia and was largely ignored in most medical and psychiatric settings.

A Clinician’s Guide to Diagnosis and Treatment. Larger scale trials are needed to replicate our findings. The catatonia rating scale must detect patients who may exhibit catatonia and identify catatonic signs reliably. Rating scale and standardized examination. Demographic and clinical correlates in the chronic phase.