Factor structure of Bech's version of the Brief Psychiatric Rating Scale in Brazilian patients

Crippa, José Alexandre S; Sanches, Rafael Faria; Hallak, Jaime Eduardo Cecílio; Loureiro, Sônia Regina; Zuardi, Antônio Waldo

doi:10.1590/s0100-879x2002001000014

Cited by 32 publications

(24 citation statements)

References 14 publications

(19 reference statements)

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“…17 Although no association was found for the withdrawal-retardation component, uncooperativeness had a positive association, which in our study seems to be actually associated with psychomotor agitation and psychotic symptoms.…”

Section: Psychopathology and Aggressive Behaviorcontrasting

confidence: 75%

Aggressive behavior during the first 24 hours of psychiatric admission

Calegaro

Dotto

Freitas

et al. 2014

Trends Psychiatry Psychother.

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Objective: To investigate the association between aggression in the first 24 hours after admission and severity of psychopathology in psychiatric inpatients. Methods: This cross-sectional study included psychiatric patients admitted to Hospital Universitário de Santa Maria, in Santa Maria, southern Brazil, from August 2012 to January 2013. At their arrival at the hospital, patients were interviewed to fill in the Brief Psychiatric Rating Scale (BPRS) form, and any aggressive episodes in the first 24 hours after admission were recorded using the Overt Aggression Scale (OAS). The Mann-Whitney U test was used to compare patients according to aggressiveness: aggressive versus non-aggressive, hostile versus violent, and aggressive against others only versus self-aggressive. Results: The sample was composed of 110 patients. Aggressive patients in general had higher BPRS total scores (p = 0.002) and individual component scores, and their results showed more activation (p < 0.001) and thinking disorders (p = 0.009), but less anxious-depression (p = 0.008). Violent patients had more severe psychomotor agitation (p = 0.027), hallucinations (p = 0.017) and unusual thought content (p = 0.020). Additionally, self-aggressive patients had more disorientation (p = 0.011) and conceptual disorganization (p = 0.007). Conclusions: Aggression in psychiatric patients in the first 24 hours after admission is associated with severity of psychopathology, and severity increases with severity of patient psychosis and agitation. Keywords: Aggression, psychopathology, psychiatric emergency services, Brief Psychiatric Rating Scale. ResumoObjetivo: Avaliar a relação entre agressividade nas primeiras 24 horas após admissão e a gravidade da psicopatologia de pacientes psiquiátricos. Métodos: Este estudo transversal foi realizado no Hospital Universitário de Santa Maria, na região sul do Brasil, com pacientes admitidos entre agosto de 2012 e janeiro de 2013. Ao chegar ao hospital, os pacientes foram entrevistados para completar a Escala Breve de Avaliação Psiquiátrica (BPRS), e todos os episódios de agressão nas primeiras 24 horas após a admissão foram registrados usando a Escala de Agressividade Declarada (OAS). O teste U de Mann-Whitney foi usado para as comparações entre pacientes agressivos e não-agressivos, hostis e violentos, e agressivos contra outros apenas ou autoagressivos. Resultados: A amostra tinha 110 pacientes. Em geral, pacientes agressivos tiveram escores mais altos na escala BPRS (p = 0.002) e nos itens individuais, e exibiram mais ativação (p < 0.001) e distúrbios de pensamento (p = 0.009), mas menos ansiedadedepressão (p = 0.008). Os pacientes violentos tiveram escores mais altos para excitação (p = 0.027), comportamentos alucinatórios (p = 0.017) e alteração de conteúdo do pensamento (p = 0.020). Além disso, os pacientes autoagressivos mostraram maior desorientação (p = 0.011) e desorganização conceitual (p = 0.007). Conclusões: A agressão em pacientes psiquiátricos nas primeiras 24 horas da admissão é relacionada a ...

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Section: Psychopathology and Aggressive Behaviorcontrasting

confidence: 75%

Aggressive behavior during the first 24 hours of psychiatric admission

Calegaro

Dotto

Freitas

et al. 2014

Trends Psychiatry Psychother.

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“…We labeled the four components as follows: Hostility-agitation (20.3% of the total variance -Somatic Concern, Grandiosity, Hostility, Suspiciousness, Uncooperativeness, Excitement, and Disorientation), Thought Disorder (19.4% of the overall varianceConceptual Disorganization, Mannerisms and Posturing, Hallucinatory Behavior, and Unusual Thought Content), anxiety-depression (14.9% of the total variance -Anxiety, Guilt Feelings, Tension, and Depressive Mood), and Anergia (13.4% of the total variance -Emotional Withdrawal, Motor Retardation, and Blunted Affect). These components are similar to previous research on the BPRS (see Burger, Yonker, Calsyn, Morse, & Klinkenberg, 2003;Crippa, Sanches, Hallak, Loureiro, & Zuardi, 2002). Subsequent analyses are conducted using BPRS PCA components.…”

Section: Resultsmentioning

confidence: 62%

The relationship between mental illness and violence in a mentally disordered offender sample: evaluating criminogenic and psychopathological predictors

Kingston

Olver

Harris

et al. 2016

Psychology, Crime & Law

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“…27,28 Brief Psychiatric Rating Scale (BPRS) This clinician-administered scale was used to evaluate four symptom dimensions: 1) Withdrawal-Retardation; 2) Thinking Disorder; 3) Anxious-Depression; and 4) Activation. 29,30 Young Mania Rating Scale (YMRS) This clinician-administered scale was used to assess manic symptoms. 31,32 Hamilton Rating Scale for Depression (HAM-D)…”

Section: Structured Clinical Interview For Dsm-iv (Scid-iv)mentioning

confidence: 99%

Antidepressant effects of a single dose of ayahuasca in patients with recurrent depression: a preliminary report

Osório

Sanches

Macedo

et al. 2015

Rev. Bras. Psiquiatr.

375

311

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Objectives: Ayahuasca (AYA), a natural psychedelic brew prepared from Amazonian plants and rich in dimethyltryptamine (DMT) and harmine, causes effects of subjective well-being and may therefore have antidepressant actions. This study sought to evaluate the effects of a single dose of AYA in six volunteers with a current depressive episode. Methods: Open-label trial conducted in an inpatient psychiatric unit. Results: Statistically significant reductions of up to 82% in depressive scores were observed between baseline and 1, 7, and 21 days after AYA administration, as measured on the Hamilton Rating Scale for Depression (HAM-D), the Montgomery-Å sberg Depression Rating Scale (MADRS), and the Anxious-Depression subscale of the Brief Psychiatric Rating Scale (BPRS). AYA administration resulted in nonsignificant changes in Young Mania Rating Scale (YMRS) scores and in the thinking disorder subscale of the BPRS, suggesting that AYA does not induce episodes of mania and/or hypomania in patients with mood disorders and that modifications in thought content, which could indicate psychedelic effects, are not essential for mood improvement. Conclusions: These results suggest that AYA has fast-acting anxiolytic and antidepressant effects in patients with a depressive disorder.

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Factor structure of Bech's version of the Brief Psychiatric Rating Scale in Brazilian patients

Cited by 32 publications

References 14 publications

Aggressive behavior during the first 24 hours of psychiatric admission

Aggressive behavior during the first 24 hours of psychiatric admission

The relationship between mental illness and violence in a mentally disordered offender sample: evaluating criminogenic and psychopathological predictors

Antidepressant effects of a single dose of ayahuasca in patients with recurrent depression: a preliminary report

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