Use of the Brief Psychiatric Rating Scale to measure success in a psychosocial day program

Inch, Roxanne; Crossley, Michele L.; Keegan, Dominique; Thorarinson, D

doi:10.1176/ps.48.9.1195

Cited by 21 publications

(4 citation statements)

References 4 publications

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“…However, these tools were not available in Italy when Programma2000 was set up, and an Italian version was made available only later: 2011 for SIPS (Comparelli et al, 2011 ) and 2013 for CAARMS (Raballo et al, 2013 ). Nevertheless, the BPRS is an established measure of outcome in clinical trials, and it has been used to measure the effectiveness of psychosocial rehabilitation programmes (Inch et al, 1997 ) and to assess changes in psychopathology within UHR patients (Glenthøj et al, 2016 ).…”

Section: Methodsmentioning

confidence: 99%

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Antipsychotics are related to psychometric conversion to psychosis in ultra‐high‐risk youth

Preti

Raballo

Meneghelli

et al. 2021

Early Intervention Psych

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Background The prescription of antipsychotics outside overt psychotic conditions remains controversial, especially in youth where it is relatively widespread. Furthermore, some studies seem to indicate that antipsychotic exposure in individuals at ultra‐high‐risk (UHR) for psychosis is associated with higher conversion rates. This study was set up to test whether the inter‐current prescription of antipsychotics in UHR patients was related to the psychometric threshold for a diagnosis of psychosis. Methods The 24‐item Brief Psychiatric Rating Scale (BPRS) was used to quantify treatment response up to 2 years in 125 UHR participants. Standard psychometric criteria were used to quantify conversion to psychosis. Kaplan‐Mayer and Cox proportional hazard survival analysis were applied to determine the impact of having or not received the prescription of an antipsychotic drug. Results Over the study period 30 (24%) subjects received the prescription of an antipsychotic. In the sample, there were 31 participants (25%) who had reached the psychometric threshold for conversion to psychosis after 2 years of treatment. UHR people who received a prescription of antipsychotics during the first 2 years of treatment were statistically more likely to reach the psychometric threshold for conversion to psychosis on the BPRS: Hazard ratio = 3.03 (95%CI: 1.49–6.16); p = .003. Conclusion This finding supports the hypothesis that the prescription of antipsychotics within UHR cohorts is to be considered a red flag for higher incipient risk of conversion to psychosis.

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Section: Methodsmentioning

confidence: 99%

“…Nevertheless, the BPRS is an established measure of outcome in clinical trials, and it has been used to measure the effectiveness of psychosocial rehabilitation programmes (Inch et al, 1997) and to assess changes in psychopathology within UHR patients (Glenthøj et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

Antipsychotics are related to psychometric conversion to psychosis in ultra‐high‐risk youth

Preti

Raballo

Meneghelli

et al. 2021

Early Intervention Psych

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“…This structure remains stable across the longitudinal course of schizophrenia (Kopelowicz et al, 2008) and cross-culturally (Ruggeri et al, 2005). The 24-item BPRS is also a sensitive measure of symptom reduction occurring after rehabilitation intervention (Ballerini et al, 2007; Gigantesco et al, 2006; Inch et al, 1997; Pioli et al, 2006). Moreover, less clinically experienced professionals could administer the BPRS 4.0 with high levels of inter-rater reliability (Roncone et al, 1999; Ventura et al, 1993a).…”

Section: Introductionmentioning

confidence: 99%

The Brief Psychiatric Rating Scale (version 4.0) factorial structure and its sensitivity in the treatment of outpatients with unipolar depression

Zanello¹,

Berthoud²,

Ventura³

et al. 2013

Psychiatry Research

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The 24-item Brief Psychiatric Rating Scale (BPRS, version4.0) enables the rater to measure psychopathology severity. Still, little is known about the BPRS's reliability and validity outside of the psychosis spectrum. The aim of this study was to examine the factorial structure and sensitivity to change of the BPRS in patients with unipolar depression. Two hundred and forty outpatients with unipolar depression were administered the 24-item BPRS. Assessments were conducted at intake and at post-treatment in a Crisis Intervention Centre. An exploratory factor analysis of the 24-item BPRS produced a six-factor solution labelled “Mood disturbance”, “Reality distortion”, “Activation”, “Apathy”, “Disorganization”, and “Somatization”. The reduction of the total BPRS score and dimensional scores, except for “Activation”, indicates that the 24-item BPRS is sensitive to change as shown in patients that appeared to have benefited from crisis treatment. The findings suggest that the 24-item BPRS could be a useful instrument to measure symptom severity and change in symptom status in outpatients presenting with unipolar depression.

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“…Psychometric investigations of different BPRS versions provided evidence for satisfactory to excellent inter-rater reliability ( 35 ). There is also evidence for satisfactory validity based on score correlations with other rating scales ( 37 ) and longitudinal sensitivity to changes in psychiatric symptoms ( 38 ).…”

Section: Methodsmentioning

confidence: 99%

Volunteering via Smart-Phone for People With Psychosis—Protocol of a Feasibility Trial

Costa

Groups²

2021

Front. Psychiatry

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The literature suggests that volunteering can be used to address social isolation and support patients with psychosis in the community. However, many expect in person meetings, requiring a greater effort of availability and commitment. There is therefore a need for more flexible, easily accessible support. Volunteering via smart-phone could be a useful intervention for people with psychosis. One patient and one volunteer have been matched for a duration of 12 weeks, and participants have been encouraged to communicate through a variety of communication methods (audio calls, video calls, text messages, WhatsApp messages and e-mails). The Phone Pal study aimed to investigate the feasibility of recruitment, participant retention, data collection procedures, intervention usage of the methods of communication and changes in outcome data. At baseline and follow-up outcome measures collected from patients and volunteers included their quality of life, physical activity, self-esteem and social comparison. Additional outcomes assessed patients' attachment, social contacts and symptoms; for volunteers, their social distance was evaluated. At follow-up both patients and volunteers rank their perception of their relationship with each other. This mixed method feasibility study has been conducted in two phases, the first stage evaluating a smaller sample of patients and volunteers recruited in London, and then a second phase with a larger sample of volunteers recruited from across the United Kingdom.Trial registration: ISRCTN17586238.

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Use of the Brief Psychiatric Rating Scale to measure success in a psychosocial day program

Cited by 21 publications

References 4 publications

Antipsychotics are related to psychometric conversion to psychosis in ultra‐high‐risk youth

Antipsychotics are related to psychometric conversion to psychosis in ultra‐high‐risk youth

The Brief Psychiatric Rating Scale (version 4.0) factorial structure and its sensitivity in the treatment of outpatients with unipolar depression

Volunteering via Smart-Phone for People With Psychosis—Protocol of a Feasibility Trial

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