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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His concept of catatonia was later marginalized by Kraepelian psychiatry to a subtype of schizophrenia and was largely ignored in most medical and psychiatric settings. Longer periods of observation are necessary for some catatonic signs to emerge, making it difficult to detect or identify catatonia during a clinic visit or a short hospital stay.

While some authors have noted a trend toward less favorable improvement for catatonic symptoms in schizophrenia as compared to mood disorders, this has not been consistently or conclusively demonstrated. Rating scale and standardized examination. There are many barriers to the diagnosis of catatonia that may explain the low rates of diagnosis in modern psychiatry.

A rare complication in psychiatric setting. DSM-IV catatonia criteria required 2 out of 5 signs, except for catatonia due to a general medical condition, where only 1 bush-fracis of 5 was needed. Lohr and Wisniewski Acta Psychiatr Scand ; A search for newer treatment approaches to catatonia will require a rating scale that is sensitive to clinical improvement in catatonia catatonoa contaminating the rest of psychopathology. These criteria advanced the study of catatonia and highlighted important concepts that underlie catatonia.


Taylor MA, Fink M. Based on our review and analysis from a large body of literature, the clinical signs for a possible and a probable diagnosis of catatonia are contained within the KANNER scale.

Complete Journal Archives Vol. Catatonic signs are often regarded as attention-seeking scaoe.

From psychopathology to neurobiology. 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.

I want to stick a pin in it. American Psychiatric Association; It is readily available for clinical use and has been translated into several languages.

The clinician, however, may be challenged with some patients with katatonia who fail to meet this set of criteria but not others. Cambridge University Press; Presentation and frequency of catatonia in new admissions to two acute psychiatric admission units in India and Wales.

Johns Hopkins University Press, The problems with the detection and measurement of catatonia have been summarized by Caroff and Ungvari. buwh-francis

The Detection and Measurement of Catatonia

The patients were predominantly presented with retarded symptoms of catatonia such as staring, mutism, withdrawal, posturing and negativism.


Consequently, the Fink and Taylor criteria and the earlier version have been used in screening for catatonia in at least two case series studies.

References American Psychiatric Association. Consequently, those clinicians who are not familiar with the concept of catatonia do not diagnose nor treat catatonia.

The Detection and Measurement of Catatonia

Forgotten but not gone. The Rosebush rating scale was proposed but it has never been published.

The literature also supports the view of Dr. Int J Psych Med. There are several observations suggesting that catatonia and autism may have common underlying pathophysiology and treatment response.

Bush-Francis Catatonia Rating Scale (BFCRS)

Incidence, and response to benzodiazepines. The scores of items 1 through 17 may not be weighted sufficiently to detect treatment effects. Curr Psychiatry Rev ;9: The Bush-Francis Catatonia Rating Scale BFCRS was the first bush-grancis constructed for the systematic, standardized, and quantifiable examination of catatonia using operationally defined signs and symptoms.

Aust N Z J Psychiatry ; Encephale ;28 6 Pt 1: Catatonia as a psychomotor movement syndrome: