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CME Article

Use of the Brief Psychiatric Rating Scale to Facilitate Differential Diagnosis at Acute Inpatient Admission

Derek R. Hopko, Patricia M. Averill, David Small, Helen Greenlee, and Roy V. Varner

Published: April 1, 2001

This CME activity is expired. For more CME activities, visit CMEInstitute.com.
Find more articles on this and other psychiatry and CNS topics:
The Journal of Clinical Psychiatry
The Primary Care Companion for CNS Disorders


Article Abstract

Background: The advent of managed care hasnecessitated strategies for quickly and accurately diagnosingpsychiatric disorders. The aim of the present study was toascertain whether the Brief Psychiatric Rating Scale-Anchored(BPRS-A) would be a useful adjunct to more traditional diagnosticstrategies at acute inpatient admission.

Method: Using a sample of 207 inpatientsadmitted during an 8-month index period, we examined the utilityof the BPRS-A in predicting whether patients were more likely tobe diagnosed with schizophrenia, bipolar disorder, or majordepression (DSM-IV).

Results: Discriminant function analyses wereused to correctly predict 68%, 60%, and 74% of patients diagnosedwith schizophrenia, bipolar disorder, and major depression,respectively. The main predictors of diagnostic category, indescending order, were BPRS-A depressed mood item, BPRS-Apositive symptoms scale, BPRS-A excitement item, BPRS-A guiltfeelings item, BPRS-A mannerisms and posturing item, and numberof previous episodes.

Conclusion: As efforts are directed towardcontinuous quality improvement within mental health settings, anemphasis must be placed on improving the efficiency and accuracyof diagnostic procedures. The BPRS-A shows promise as atime-efficient assessment instrument that may be useful infacilitating differential diagnosis at inpatient admission andmay increase the likelihood that efficacious prereleaseinterventions and appropriate aftercare services are implemented.

Volume: 62

Quick Links: Assessment Methods , Diagnostic Tools

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