A rating scale for acute drug-induced akathisia: development, reliability, and validity

Sachdev, Perminder S.

doi:10.1016/0006-3223(94)91257-2

Cited by 68 publications

(51 citation statements)

References 21 publications

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“…diphenhydramine (25 to 50 mg, dosed at the investigator's discretion). Our diagnostic criteria (Table 2), explicitly derived from the Prince Henry Hospital Rating Scale of Akathisia, required a pre-determined minimal increase in both subjective symptoms and objective signs of restlessness (9,16). The severity of drug-induced akathisia was graded using a standard 17-point scale (Table 2), the details of which have been previously described (9,11,13).…”

Section: Methodsmentioning

confidence: 99%

Diphenhydramine in the treatment of akathisia induced by prochlorperazine

Vinson

2004

The Journal of Emergency Medicine

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Section: Methodsmentioning

confidence: 99%

Diphenhydramine in the treatment of akathisia induced by prochlorperazine

Vinson

2004

The Journal of Emergency Medicine

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“…Several studies have addressed the reliability, validity, and clinical utility of the scale, and supported the validity and practicality of BARS (8). The scale has been standardized in many languages and also used to examine concurrent validity of other akathisia rating scales (8,12,13,14,15). It has also been used to establish concurrent validity of objective methods to assess akathisia including actigraphic monitoring (16,17).…”

Section: Discussionmentioning

confidence: 99%

Reliability and Validity of the Turkish Version of the Barnes Akathisia Rating Scale

Bayram¹,

Levent²,

Tezcan³

et al. 2017

tnd

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Objective: Akathisia, characterized by a sense of inner restlessness and a constant need for motion is a condition that relies on subjective symptoms. Thus, physicians can easily overlook akathisia due to the lack of objective findings. In this study, we aimed to investigate the validity and reliability of the Turkish version of the Barnes Akathisia Rating Scale (BARS) to help with the diagnosis and to provide an objective tool for research studies. Materials and Methods:The BARS was translated and back-translated by a group of five doctors. Forty patients with schizophrenia who were taking antipsychotic drugs were evaluated using the Turkish version of the BARS by two raters independently. Cronbach's alpha for internal consistency and Cohen's kappa for inter-rater reliability was calculated. Results:In terms of internal consistency, Cronbach's alpha values for each rater were above 0.8 (0.820 and 0.836), which show high reliability for the scale. In terms of inter-rater reliability, all Cohen's kappa values were above 0.7 (0.706, 0.804, 0.864, 0.881), showing high agreement between the raters. Conclusion:High values of inter-rater reliability for all items in the scale and high internal consistency values indicate that the Turkish version of the BARS can be used reliably. Keywords: Akathisia, reliability, validityAmaç: İçsel huzursuzluk hissi ve sürekli hareket ihtiyacıyla karakterize olan akatizi subjektif şikayetlere dayanan bir durumdur. Bu nedenle klinisyenler, objektif bulguların yokluğundan dolayı akatiziyi kolaylıkla gözden kaçırabilmektedir. Biz bu çalışmada tanıya yardımcı olması ve araştırmalara nesnel bir araç sağlaması amacıyla Barnes Akatizi Değerleme Ölçeği'nin 'Barnes Akathisia Rating Scale' (BARS) Türkçe sürümünün geçerlik ve güvenirliğini araştırmayı amaçladık. Gereç ve Yöntem:BARS'nin beş doktoru kapsayan bir grup tarafından çeviri ve geri-çevirisi yapıldı. Antipsikotik ilaç kullanan kırk şizofreni hastası iki değerleyici tarafından bağımsız olarak BARS'nin Türkçe sürümü ile değerlendirildi. İçsel tutarlılık için Cronbach alfa ve değerleyiciler arası güvenirlik için Cohen'in kappa katsayısı hesaplandı. Bulgular: İçsel tutarlılık açısından, her değerleyici için Cronbach alfa değerleri ölçeğin güvenirliğinin yüksek olduğunu gösteren 0,8'in üzerindeydi (0,820 ve 0,836). Değerleyiciler arası güvenirlik açısından, Cohen'ın kappa katsayılarının tümü değerleyiciler arasında yüksek bir uyum olduğunu gösteren 0,7'nin üzerindeydi (0,706, 0,804, 0,864 ve 0,881

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“…This tradition has been continued with the TAKE scale, which conceptualises akathisia as part of the Parkinsonian syndrome and rates it on the basis of subjective symptoms (Owens, 1999). More recently, scales specifically dedicated to the condition have been developed: the Rating Scale for DrugInduced Akathisia (the Barnes scale; Barnes, 1989), the Hillside Akathisia Scale (Fleischhacker et al, 1989) and the Prince Henry Hospital Akathisia scale (Sachdev, 1994). All three scales include both subjective and objective items and a global item.…”

Section: Rating Scales For Antipsychoticinduced Akathisiamentioning

confidence: 99%

Assessment of drug-related movement disorders in schizophrenia

Gervin¹,

Barnes²

2000

Adv. psychiatr. treat

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Conventional antipsychotic drugs remain one of the mainstays of treatment of schizophrenia and related psychotic disorders. The therapeutic efficacy of these drugs is well established, both for treatment of acute symptoms and in relapse prevention. Unfortunately, they are associated with a broad range of side-effects, the most prominent of which is the development of a variety of movement disorders (see Box 1). Compared with the conventional antipsychotic agents, the newer, atypical antipsychotics have a lower liability for the acute extrapyramidal side-effects (EPS) and, for a few of the new drugs, there is some evidence of a lower risk of tardive dyskinesia (Barnes & McPhillips, 1999). Nevertheless, even with these newer agents, movement disorders are seen in a significant proportion of patients.

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A rating scale for acute drug-induced akathisia: development, reliability, and validity

Cited by 68 publications

References 21 publications

Diphenhydramine in the treatment of akathisia induced by prochlorperazine

Diphenhydramine in the treatment of akathisia induced by prochlorperazine

Reliability and Validity of the Turkish Version of the Barnes Akathisia Rating Scale

Assessment of drug-related movement disorders in schizophrenia

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