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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Consequently, our results seem to point out that catatonic features, and more broadly psychomotor symptoms, may deserve a dimensional approach, much vush cognitive symptoms associated with these psychiatric illnesses Incidence, and response to benzodiazepines.

Comparison of four scales measuring depression in schizophrenic inpatients. This article has been cited by other articles in PMC. Schizophr Bull The BFCRS is currently the preferred rating scale for the detection of catatonia due to its five minute administration time and reliability and validity. This article is part of the Research Topic Psychomotor symptomatology in psychiatric illnesses. Review of three criteria-based definitions 1115 Find articles by Brendan T.

Another limitation of the study is the lack of a depression scale. American Psychiatric Press, Inc; Swartz C, Galang RL. Factor analysis of the catatonia rating cwtatonia and catatonic symptom distribution across four diagnostic groups. Remarkably, there is an important difference in exact prevalence depending on the criteria being used, which makes it clear that we need clear-cut criteria.

The Detection and Measurement of Catatonia

On the other hand, the high prevalence of symptoms using the BFCRS-criteria was mostly explained by the presence of mild symptomatology, whereas, more severe symptoms were present in a minority of our sample. Larger scale trials are needed to replicate our findings. Catatonai, motor signs related to volition will are subject to psychological interpretations instead of careful observation and description i.


Some of the terms are not comprehensible to North American researchers e. Validity of the scale was also examined by comparison with the sources from which it was derived.

The Detection and Measurement of Catatonia

Consequently, patients who present with catatonia to a clinic or hospital will be treated as if they have a behavioral problem that is more important than the motor syndrome.

Catatonia as a psychomotor movement syndrome: Arch Gen Psychiatry There are several important signs seen in catatonic patients that are not included. Adverse outcome with delay in identification of catatonia in elderly patients.

I want to stick a pin in it. Additional information is based upon clinical observations made during the course of the clinical interview.

In conclusion, there was a high prevalence of catatonic symptomatology. Catatonia in psychiatric classification: The unknown pathophysiology may contribute to the different views on catatonia. Depending on which criteria are being used, the more strict DSM-criteria versus the more liberal criteria bbush by Bush and colleagues i.

Undiagnosed catatonia can increase morbidity and mortality, illustrating the need to effectively screen patients for presence of catatonia as well as their response to treatment. Furthermore, different symptom profiles were found, depending on the underlying psychopathology. Validity was harder to assess because of the lack of established diagnostic criteria.


Compr Psychiatry Lohr J, Wisniewski A. Catatonia is often neglected when screening and examining psychiatric patients.

The catatonia rating scale I: Some limitations of our study should be pointed out. Rating scale and standardized examination.

And finally, psychiatric educators rarely include catatonic signs as an important component of their curriculum. As a result, an unclear clinical concept of catatonia exists with the use of different diagnostical criteria and different rating scales to score catatonic symptomatology. Barriers to the Validity of Catatonia The terminology used in the diagnostic criteria for catatonic schizophrenia has been a concern and may include 5 to 57 signs.

Bush-Francis Catatonia Rating Scale (BFCRS)

Antipsychotics were taken by Clinical relevance of chronic catatonic schizophrenia in children and adolescents: Support Center Support Center. 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.

Taylor MA, Fink M. These results could mostly be explained by the fact that the SUD- and patient-OD groups hardly showed any catatonic symptomatology. Psychol Med Barriers to Recognition of Catatonia The recognition caratonia catatonic features by criteria used to define catatonia has been found to be inadequate.

You can login by using one of your existing accounts. Catatonia is a complex neuropsychiatric syndrome that occurs with primary psychiatric disorders or secondary to general medical conditions.