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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(01): 44-49
DOI: 10.1590/0004-282X20160168
Clinical Scales, Criteria and Tools

Development and validation of the Bush-Francis Catatonia Rating Scale – Brazilian version

Desenvolvimento e validação da versão brasileira da escala de classificação de Bush-Francis para catatonia
Ana Letícia Santos Nunes
1   Universidade Federal do Rio de Janeiro, Instituto de Psiquiatria, Rio de Janeiro RJ, Brasil
,
Alberto Filgueiras
2   Universidade do Estado do Rio de Janeiro, Instituto de Psicologia, Rio de Janeiro RJ, Brasil
,
Rodrigo Nicolato
3   Universidade Federal de Minas Gerais, Belo Horizonte MG, Brasil
,
Jussara Mendonça Alvarenga
4   Hospital da Polícia Militar de Minas Gerais, Belo Horizonte MG, Brasil
,
Luciana Angélica Silva Silveira
1   Universidade Federal do Rio de Janeiro, Instituto de Psiquiatria, Rio de Janeiro RJ, Brasil
,
Rafael Assis da Silva
5   Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro RJ, Brasil
,
Elie Cheniaux
1   Universidade Federal do Rio de Janeiro, Instituto de Psiquiatria, Rio de Janeiro RJ, Brasil
6   Universidade do Estado do Rio de Janeiro, Faculdade de Ciências Médicas, Rio de Janeiro RJ, Brasil
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ABSTRACT

Objective:

This article aims to describe the adaptation and translation process of the Bush-Francis Catatonia Rating Scale (BFCRS) and its reduced version, the Bush-Francis Catatonia Screening Instrument (BFCSI) for Brazilian Portuguese, as well as its validation.

Methods:

Semantic equivalence processes included four steps: translation, back translation, evaluation of semantic equivalence and a pilot-study. Validation consisted of simultaneous applications of the instrument in Portuguese by two examiners in 30 catatonic and 30 non-catatonic patients.

Results:

Total scores averaged 20.07 for the complete scale and 7.80 for its reduced version among catatonic patients, compared with 0.47 and 0.20 among non-catatonic patients, respectively. Overall values of inter-rater reliability of the instruments were 0.97 for the BFCSI and 0.96 for the BFCRS.

Conclusion:

The scale's version in Portuguese proved to be valid and was able to distinguish between catatonic and non-catatonic patients. It was also reliable, with inter-evaluator reliability indexes as high as those of the original instrument.

RESUMO

Objetivo:

O artigo tem como objetivo descrever o processo de tradução e adaptação da Escala de Catatonia Bush-Francis (ECBF) e de sua versão reduzida (ICBF) para o Português, bem como sua validação.

Métodos:

O processo de equivalência semântica foi realizado em quatro passos: tradução, retro-tradução, avaliação da equivalência semântica e estudo-piloto. A validação consistiu em aplicações dos instrumentos em português simultâneas por dois avaliadores em 30 pacientes com catatonia e 30 pacientes sem catatonia.

Resultados:

Média dos escores totais em pacientes catatçnicos foi de 20,07 para a versão completa e 7,80 para versão reduzida, contra 0,47 e 0,20 em pacientes não-catatçnicos respectivamente. Valores gerais para confiabilidade inter-observador dos instrumentos foi de 0,97 para ICBF e 0,96 para ECBF.

Conclusão:

A versão em Português da escala provou ser válida e capaz de diferenciar pacientes catatçnicos daqueles sem catatonia. Também mostrou ser confiável, com índices inter-avaliadores tão altos quanto no instrumento original.

Keywords:

catatonia - humans - psychometrics - translations

Palavras-chave:

catatonia - humanos - psicometria - traduções


Publication History

Received: 26 March 2016

Accepted: 09 September 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Gelenberg AJ. The catatonic syndrome. Lancet. 1976;1(7973):1339-41. doi:10.1016/S0140-6736(76)92669-6
  • 2 Wilcox JA, Nasrallah HA. Organic factors in catatonia. Br J Psychiatry. 1986;149(6):782-4. doi:10.1192/bjp.149.6.782
  • 3 Abrams R, Taylor MA. Catatonia: A prospective clinical study. Arch Gen Psychiatry. 1976;33(5):579-81. doi:10.1001/archpsyc.1976.01770050043006
  • 4 Barnes M P, Saunders M., Walls TJ., Saunders I, Kirk CA. The syndrome of Karl Ludwig Kahlbaum. J Neurol Neurosurg Psychiatry 1986;49(9):991-6. doi:10.1136/jnnp.49.9.991
  • 5 Ries RK. DSM-III implications of the diagnoses of catatonia and bipolar disorder. Am J Psychiatry, 1985;142(12):1471-4. doi:10.1176/ajp.142.12.1471
  • 6 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed.. Washington, DC: American Psychiatric Association; 2013.
  • 7 Fink M, Taylor MA. Catatonia: a clinician's guide to diagnosis and treatment. Cambridge University Press: Cambridge; 2003.
  • 8 Rosebush PI, Hildebrand AM, Furlong BG, Mazurek MF. Catatonic syndrome in a general psychiatric inpatient population: frequency, clinical presentation, and response to lorazepam. J Clin Psychiatry. 1990;51(9):357-62.
  • 9 Chalasani P, Healy D, Morriss R. Presentation and frequency of catatonia in new admissions to two acute psychiatric admission units in India and Wales. Psychol Med. 2005;35(11):1667-75. doi:10.1017/S0033291705005453
  • 10 Heijden FM, Tuinier S, Arts NJ, Hoogendoorn ML, Kahn RS, Verhoeven WM. Catatonia: disappeared or under-diagnosed? Psychopathology. 2005;38(1):3-8. doi:10.1159/000083964
  • 11 Sienaert P, Rooseleer J, De Fruyt J. Measuring catatonia: a systematic review of rating scales. J Affect Disord. 2011;135(1-3):1-9. doi:10.1016/j.jad.2011.02.012
  • 12 Lund CE, Mortimer AM, Rogers D, McKenna PJ. Motor, volitional and behavioural disorders in schizophrenia. 1: assessment using the Modified Rogers Scale. Br J Psychiatry. 1991;158(3):323-7. doi:10.1192/bjp.158.3.323
  • 13 Starkstein SE, Petracca G, Tesón A, Chemerinski E, Merello M, Migliorelli R et al. Catatonia in depression: prevalence, clinical correlates, and validation of a scale. J Neurol Neurosurg Psychiatry. 1996;60(3):326-32. doi:10.1136/jnnp.60.3.326
  • 14 Bush G, Fink M, Petrides G, Dowling F, Francis A. Catatonia. I. Rating scale and standardized examination. Acta Psychiatr. Scand. 1996a;93(2):129-36. doi:10.1111/j.1600-0447.1996.tb09814.x
  • 15 Ungvari GS, Goggins W, Leung SK, Gerevich J. Schizophrenia with prominent catatonic features (‘catatonic schizophrenia’). II. Factor analysis of the catatonic syndrome. Prog. Neuropsychopharmacol. Biol. Psychiatry. 2007;31(2):462-8. doi:10.1016/j.pnpbp.2006.11.012
  • 16 Northoff G, Koch A, Wenke J, Eckert J, Böker H, Pflug B et al. Catatonia as a psychomotor syndrome: a rating scale and extrapyramidal motor symptoms. Mov Disord. 1999;14(3):404-16. doi:10.1002/1531-8257(199905)14:3<404::AID-MDS1004>3.0.CO;2-5
  • 17 Bräunig P, Krüger S, Shugar G, Höffler J, Börner I. The catatonia rating scale I — development, reliability, and use. Compr Psychiatry. 2000;41(2):147-58. doi:10.1016/S0010-440X(00)90148-2
  • 18 Carroll BT, Kirkhart R, Ahuja N, Soovere I, Lauterbach EC, Dhossche Det al. Katatonia: a new conceptual understanding of catatonia and a new rating scale. Psychiatry (Edgmont). 2008;5(12):42-50.
  • 19 Herdman M; Fox-Rushby J, Badia X. A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res. 1998;7(4):323-35. doi:10.1023/A:1008846618880
  • 20 American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 2000.
  • 21 McClave JT, Sincich T. Statistics. New Jersey: Prentice Hall; 2012.
  • 22 IBM Corp. Released 2012. IBM SPSS statistics for Windows, Version 21.0, Armonk: IBM Corp; 2012.
  • 23 Saal FE, Downey RG, Lahey MA. Rating the ratings: assessing the psychometric quality of rating data. Psychol Bull. 1980;88(2):413-28. doi:10.1037/0033-2909.88.2.413
  • 24 Strijbos JW, Martens RL, Prins FJ, Jochems WM. Content analysis: what are they talking about? Comp Educ. 2006;(1):29-48. doi:10.1016/j.compedu.2005.04.002
  • 25 Bland J M, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307-10.
  • 26 Bush G, Fink M, Petrides G, Dowling F, Francis A. Catatonia. II. Treatment with lorazepam and electroconvulsive therapy. Acta Psychiatr. Scand. 1996b;93(2):137-43. doi:10.1111/j.1600-0447.1996.tb09815.x
  • 27 Kirkhart R, Ahuja N, Lee JW, Ramirez J, Talbert R, Faiz K et al. The detection and measurement of catatonia. Psychiatry (Edgmont). 2007;4(9):52-6.
  • 28 Taylor MA, Fink M. Catatonia in psychiatric classification: a home of its own. Am J Psychiatry. 2003;160(7):1233-41. doi:10.1176/appi. ajp.160.7.1233
  • 29 Pfuhlmann B, Stöber G. The different conceptions of catatonia: historical overview and critical discussion. Eur Arch Psychiatry Clin Neurosci. 2001;251(S1):I4-7. doi:10.1007/PL00014199
  • 30 Daniels J. Catatonia: clinical aspects and neurobiological correlates. J Neuropsychiatry Clin Neurosci. 2009;21(4):371-80. doi:10.1176/jnp.2009.21.4.371
  • 31 Fink M, Shorter E, Taylor MA. Catatonia is not schizophrenia: kraepelin's error and the need to recognize catatonia as an independent syndrome in medical nomenclature. Schizophr Bull. 2010;36(2):31-20. doi:10.1093/schbul/sbp059
  • 32 Dhossche DM, Wachtel LE. Catatonia is hidden in plain sight among different pediatric disorders: a review article. Pediatr Neurol. 2010;43(5):307-15. doi:10.1016/j.pediatrneurol.2010.07.001