Use of the Brief Psychiatric Rating Scale to Facilitate Differential Diagnosis at Acute Inpatient Admission
J Clin Psychiatry 2001;62(4):304-312
© Copyright 2015 Physicians Postgraduate Press, Inc.
Purchase This PDF for $40.00
If you are not a paid subscriber, you may purchase the PDF.
(You'll need the free Adobe Acrobat Reader.)
Receive immediate full-text access to JCP. You can subscribe to JCP online-only ($86) or print + online ($156 individual).
With your subscription, receive a free PDF collection of the NCDEU Festschrift articles. Hurry! This offer ends December 31, 2011.
If you are a paid subscriber to JCP and do not yet have a username and password, activate your subscription now.
As a paid subscriber who has activated your subscription, you have access to the HTML and PDF versions of this item.
Click here to login.
Did you forget your password?
Still can't log in? Contact the Circulation Department at 1-800-489-1001 x4 or send email
Background: The advent of managed care has
necessitated strategies for quickly 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
strategies at acute inpatient admission.
Method: Using a sample of 207 inpatients
admitted during an 8-month index period, we examined the utility
of the BPRS-A in predicting whether patients were more likely to
be diagnosed with schizophrenia, bipolar disorder, or major
Results: Discriminant function analyses were
used to correctly predict 68%, 60%, and 74% of patients diagnosed
with schizophrenia, bipolar disorder, and major depression,
respectively. The main predictors of diagnostic category, in
descending order, were BPRS-A depressed mood item, BPRS-A
positive symptoms scale, BPRS-A excitement item, BPRS-A guilt
feelings item, BPRS-A mannerisms and posturing item, and number
of previous episodes.
Conclusion: As efforts are directed toward
continuous quality improvement within mental health settings, an
emphasis must be placed on improving the efficiency and accuracy
of diagnostic procedures. The BPRS-A shows promise as a
time-efficient assessment instrument that may be useful in
facilitating differential diagnosis at inpatient admission and
may increase the likelihood that efficacious prerelease
interventions and appropriate aftercare services are implemented.