Use of the brief psychiatric rating scale to facilitate differential diagnosis at acute inpatient admission

Citation
Dr. Hopko et al., Use of the brief psychiatric rating scale to facilitate differential diagnosis at acute inpatient admission, J CLIN PSY, 62(4), 2001, pp. 304-312
Citations number
46
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psychiatry,"Clinical Psycology & Psychiatry
Journal title
JOURNAL OF CLINICAL PSYCHIATRY
ISSN journal
0160-6689 → ACNP
Volume
62
Issue
4
Year of publication
2001
Pages
304 - 312
Database
ISI
SICI code
0160-6689(200104)62:4<304:UOTBPR>2.0.ZU;2-E
Abstract
Background: The advent of managed care has necessitated strategies for quic kly and accurately diagnosing psychiatric disorders. The aim of the present study was to ascertain whether the Brief Psychiatric Rating Scale-Anchored (BPRS-A) would be a useful adjunct to more traditional diagnostic strategi es at acute inpatient admission. Method: Using a sample of 207 inpatients admitted during an S-month index p eriod, we examined the utility of the BPRS-A in predicting whether patients were more likely to be diagnosed with schizophrenia, bipolar disorder. or major depression (DSM-IV). Results: Discriminant function analyses were used to correctly predict 68%. 60%, and 71% of patients diagnosed with schizophrenia, bipolar disorder, a nd major depression, respectively. The main predictors of diagnostic catego ry, in descending order, were BPRS-A depressed mood item, BPRS-A positive s ymptoms scale, BPRS-A excitement item, BPRS-A guilt feelings item, BPRS-A m annerisms and posturing item, and number of previous episodes. Conclusion: As efforts are directed toward continuous quality improvement w ithin mental health settings, an emphasis must be placed on improving the e fficiency and accuracy of diagnostic procedures. The BPRS-A shows promise a s a time-efficient assessment instrument that may be useful in facilitating differential diagnosis at inpatient admission and may increase the likelih ood that efficacious prerelease interventions and appropriate aftercare ser vices are implemented.