Clinical Value of the London Psychogeriatric Rating Scale

Abstract

The London Psychogeriatric Rating Scale (LPRS) was developed in answer to the demand for a reliable psychometric rating scale suited to a psychogeriatric population. All inpatients on a Psychogeriatric Unit (approximately 140 at any specific time) were rated with the LPRS every third month for an 18-month period. The 4 components of the total score include a measure of mental status originally derived by factor analysis. Predictive validity has been established in terms of various clinically relevant areas including the following: a) ward placement; b) outcome (continued hospitalization, discharge, or death); c) diagnosis (by scoring levels and progress patterns across time); and d) ability of the patient to function in, or benefit from, a particular treatment program. The scale has been used successfully to assess a given patient's progress quantitatively and globally over a long period.

Alzheimer's disease with and without cerebral infarcts

“…On each patient's entry to the study one neurologist (VCH) filled out a detailed standardized schedule with demographic, medical, behavioral and cognitive data, a neurological and mental state examination, and a routine complementary workup (haemogram, serum biochemistry, thyroid hormones, luetic serology, EEG and CT). The cognitive bExtended Scale for DementiaQ (ESD) [17] in 52 cases and the functional bLondon Psychogeriatric Rating ScaleQ (LPRS) [18] in 55 cases were also done. All cases were diagnosed as having dementia according to DSM-III-R criteria [19] and followed-up until death for 5.7F2.4 (range 1-12) years.…”

Animal-assisted therapy for dementia: a review of the literature

“…Walsh et al (1995) investigated the effect of a visiting therapy dog on the behavior of patients in a psychiatric ward. Behavioral rating scale scores did not (Wood and Britton, 1984); BDBRS, Burke Dementia Behavioral Rating Scale (Haycox, 1984); BEHAVE-AD, Behavioral Pathology in Alzheimer's Disease (Reisberg et al, 1987); CMAI, Cohen-Mansfield Agitation Inventory (Cohen-Mansfield, 1986a); FAST, Functional Assessment Tool for Alzheimer's Type Dementia (Reisberg et al, 1985); LPRS, London Psycho-Geriatric Rating Scale (Hersch et al, 1978); MIU, Meaningful Information Units; MMSE, Mini-mental Status Examination (Folstein et al, 1975); NHBPS, Nursing Home Behavior Problem Scale (Ray et al, 1992); SCU, Special Care Unit. -Mansfield, 1986b); GBS, Gottfries-Bråne-Steen score; GDS, Global Deterioration Scale (Reisberg et al, 1982); LMBS, Lawton's Modified Behavior Stream (Lawton et al, 1996); OT, occupational therapist.…”

Psychometric properties and factor structure of the Neuropsychiatric Inventory Nursing Home version in an elderly neuropsychiatric population

“…In a geriatric neuropsychiatric setting, there are many commonly used rating scales including the London Psychogeriatric Behavioral Assessment Scale (Hersch et al, 1978), Behavior Pathology in Alzheimer's Disease Rating Scale (Reisberg et al, 1987), and the Nurses Observation Scale for Geriatric Patients (Spiegal et al, 1999). However, a more recently developed tool, the Neuropsychiatric Inventory (NPI; Cummings et al, 1994), appears to have some advantages over other rating scales.…”