The Bush- Francis Catatonia Rating Scale (BFCRS) is a standardised, quantifiable examination of catatonia designed to screen and diagnose. Page 1. Page 2. The aim of the present study was to examine the suitability and accuracy of using the Bush-Francis Catatonia Rating Scale (BFCRS) in chronic schizophrenia.

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To assess onset, clinical profile, diagnostic break up, treatment response and outcome in patients diagnosed as Catatoniareported to a tertiary care hospital. Subjective rating scales as a workload. Wilson, Niu, Nicolson, Levine and Heckers also found it to have low reliability at the low severity level but good reliability at the moderate to severe level. Epidemiological data suggests culture-bound beliefs and expectations to generate and direct symptom expression and we argue that culture-bound psychogenesis can accommodate the endemic distribution.

Catatonia is a syndrome characterized by mutism, stupor, immobility, negativism, posturing, stereotypy, and echophenomena. Conclusion Catatonia is a movement disorder as well as a neuropsychiatric syndrome; thus, a catatonia rating scale is akin to a movement disorder examination. Acta Psychiatrica Scandinavica, 93, A brief online module improved resident physicians’ knowledge of catatonia.

Prog Neuropsychopharmacol Biol Psychiatry Transformations of subjective data between category scales were found to be feasible with unipolar scales ratin a larger number of scalar points providing the greatest accuracy of transformation.

Cannabis Induced Periodic Catatonia: Appropriate interventions should be instituted as quickly as possible to avoid complications like dehydration or deep vein thromboses.

The Detection and Measurement of Catatonia

These are the first three published cases of catatonia in adults older than ratint years of age with IDs. Rating catatonia in patients with chronic schizophrenia: His concept of catatonia was later marginalized by Kraepelian psychiatry to a subtype scae schizophrenia and was largely ignored in most medical and psychiatric settings. Bipolar disorder BD has caratonia linked with the manifestation of catatonia in subjects with autism spectrum disorders ASD. Materials and Methods Study Design In an exploratory open label study design, each patient admitted to a psychiatric intensive ward during a period of 12 months was assessed for catatonic and clinical symptomatology.


Construction of a Bilingual Attitude Rating Scale. 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. Early recognition and treatment is vital for the quality of life of these patients, and may in some cases be life-saving.

The currently prevailing stress hypothesis fails to account for the regional distribution and contributes little to treatment. Second, motor signs related to volition will are subject to psychological interpretations instead of careful observation and description i. It measures the severity of 23 catatonic signs.

Bush-Francis Catatonia Rating Scale (BFCRS)

Introduction Neurologic deterioration occurring days to weeks after a cerebral hypoxic event accompanied by diffuse white matter demyelination bbush called delayed post-hypoxic leukoencephalopathy DPHL. Consequently, our results seem to point out that catatonic features, and more broadly psychomotor symptoms, may deserve a dimensional approach, much ratign cognitive symptoms associated with these psychiatric illnesses Catatonia is an underdiagnosed syndrome that may occur in severely ill patients.

There was complete resolution of catatonic symptoms on the third day in all patients. Building on this theoretical framework we propose a neurobiological model of RS in which the impact of overwhelming negative expectations are directly causative of the down-regulation of higher order and lower order behavioral systems in particularly vulnerable individuals.

This yielded six symptom clusters see Table 3: Psychiatry, 03 December https: Patients with catatonia that required psychiatric intervention in various settings of a medical center were included. Rapidly-progressive catatonia responsive to zolpidem in a patient with cataatonia teratoma-associated paraneoplastic encephalitis. The inpatients in a tertiary psychiatric ward in Ahmedabad, India, between and who presented with two or more catatonic signs present for more than 24h period were assessed on Structured Clinical Interview for DSM IV tool.


This article is part of the Research Topic Psychomotor symptomatology in psychiatric illnesses.

Results Thirty-one articles met the inclusion criteria. Case series and qualitative literature review. Published by Elsevier B. The BFCRS was tested on a sample of 28 acutely ill patients presenting with catatonic syndrome from an acute psychiatric inpatient clinic and a university hospital.

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The Modified Cooper-Harper MCH scale which is a sensitive indicator of workload in several different types of aircrew tasks was examined. Consequently, a re-evaluation of diagnostics and treatment is required. However, Kahlbaum was uncertain about the nosological position of catatonia and considered it a syndrome, buhs “a temporary stage or a part of a complex picture of various disease forms”.

A search for newer treatment approaches to catatonia will require a rating scale that is sensitive to clinical improvement in catatonia without contaminating the rest of psychopathology. Barriers to the Validity of Catatonia The terminology used in the diagnostic criteria for catatonic schizophrenia has been a concern and may catatomia 5 to 57 signs.

The mean age of the sample was There are reasons to believe that the profile of catatonic symptomatology may depend on the underlying pathology 15 ,