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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The catatonia rating scale must detect patients who may exhibit catatonia and identify catatonic signs reliably.

Prevalence of catatonia in an acute psychiatric patient sample according to different criteria. Catatonia in psychiatric classification: The total patient sample was divided in four groups: Results Catatonia Symptomatology Catatonic symptomatology was highly prevalent in our patient sample.

The Detection and Measurement of Catatonia

Compr Psychiatry Patients who did not respond to scael trial were given ECT. Distribution of catatonic signs. All of the patients who were admitted to the psychiatric intensive ward were included in the study. Indian J Psychiatry ; Incidence of catatonia in children and adolescents in a paediatric psychiatric clinic. Lethal catatonia responding to high-dose olanzapine therapy. From psychopathology to neurobiology. J Nerv Ment Dis ; There is a need to replace these terms with more common and easily understandable terms or to provide concise and clear definitions.

It is composed of 10 items and signs. It measures the severity of 23 catatonic signs. First, the impact of medication could be a confounding factor in our study.


The use, distribution or reproduction in other forums is permitted, provided the buwh author s or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.

Out of the patients that were admitted to an enclosed psychiatric ward, patients Girish K, Gill NS. American Psychiatric Press, Inc; A vast number of patients were taking benzodiazepines at the time of testing, which could have masked more severe presentations of the catatonic syndrome.

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

Curr Psychiatry Rev ;9: Second, motor signs related to volition will are subject to psychological interpretations instead of careful observation and description i. We found low catagonia validity in criteria terminology and suggest that a new approach to detection of catatonia is warranted. Catatonia is often neglected when screening and examining psychiatric patients.

Swartz C, Galang RL. Another limitation of the study is the lack of a depression scale.

Depending on which criteria are being used, the more strict DSM-criteria versus the more liberal criteria suggested by Bush and colleagues i. Given that items grasp reflex and waxy flexibility had a zero variance, these items were excluded from the analysis.

A clinical review of the treatment of catatonia. A Clinician’s Guide to Diagnosis and Treatment. Antipsychotics were taken by Verlag August Hirshwald; No use, distribution or reproduction is permitted which does not comply with these terms.

The Detection and Measurement of Catatonia

Consequently, these divergent findings raise two interesting points. The lack of precise definitions and validity of catatonia has hindered the detection of catatonia, thus delaying diagnosis and appropriate treatment. Introduction Catatonia is a psychomotor symptom cluster characterized by a heterogeneous group of mental, motor, vegetative, and behavioral signs.


Frequency, clinical presentation and response to lorazepam. Fink M, Taylor MA. Catatonia in psychiatric classification: Banerjee A, Sharma LN. It caatatonia also be noted that the most prevalent catatonic symptoms were not the strictly motor symptoms, which mostly seem associated with the traditional view on catatonia. In an exploratory open label study design, each patient admitted to a psychiatric intensive ward bhsh a period of 12 months was assessed for catatonic and clinical symptomatology.

Schizophrenia and other psychotic spectrum disorders were more commonly presented as catatonia as compared to mood disorders. 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. Barriers to the Detection of Catatonia We have identified the following barriers to the detection of catatonia. Rating scale and standardized examination.

Our current findings demonstrate the presence of at least frwncis symptom that is labeled as being catatonic by the BFCRS in most of the patients admitted to an enclosed psychiatric ward.

J Neuropsychiatry Clin Neurosci ; Other studies also show that the syndrome is highly prevalent in both psychotic and mood disorders