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Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study

BACKGROUND: Clinical assessment of catatonia includes the use of diagnostic systems, such as the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) and the International Classification of Disease, Tenth Revision (ICD-10), or screening tools such as the Bush Francis Catatonia Screening Instrume...

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Autores principales: Zingela, Zukiswa, Stroud, Louise, Cronje, Johan, Fink, Max, van Wyk, Stephan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607401/
https://www.ncbi.nlm.nih.gov/pubmed/34809692
http://dx.doi.org/10.1186/s13033-021-00505-8
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author Zingela, Zukiswa
Stroud, Louise
Cronje, Johan
Fink, Max
van Wyk, Stephan
author_facet Zingela, Zukiswa
Stroud, Louise
Cronje, Johan
Fink, Max
van Wyk, Stephan
author_sort Zingela, Zukiswa
collection PubMed
description BACKGROUND: Clinical assessment of catatonia includes the use of diagnostic systems, such as the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) and the International Classification of Disease, Tenth Revision (ICD-10), or screening tools such as the Bush Francis Catatonia Screening Instrument (BFCSI)/Bush Francis Catatonia Rating Scale (BFCRS) and the Braunig Catatonia Rating Scale. In this study, we describe the inter-rater reliability (IRR), utilizing the BFCSI, BFCRS, and DSM-5 to screen for catatonia. METHODS: Data from 10 participants recruited as part of a larger prevalence study (of 135 participants) were used to determine the IRR by five assessors after they were trained in the application of the 14-item BFCSI, 23-item BFCRS, and DSM-5 to assess catatonia in new admissions. Krippendorff’s α was used to compute the IRR, and Spearman’s correlation was used to determine the concordance between screening tools. The study site was a 35-bed acute mental health unit in Dora Nginza Hospital, Nelson Mandela Bay Metro. Participants were mostly involuntary admissions under the Mental Health Care Act of 2002 and between the ages of 13 and 65 years. RESULTS: Of the 135 participants, 16 (11.9%) had catatonia. The majority (92 [68.1%]) were between 16 and 35 years old, with 126 (93.3%) of them being Black and 89 (66.4%) being male. The BFCRS (complete 23-item scale) had the greatest level of inter-rater agreement with α = 0.798, while the DSM-5 had the lowest level of inter-rater agreement with α = 0.565. The highest correlation coefficients were observed between the BFCRS and the BFCSI. CONCLUSION: The prevalence rate of catatonia was 11.9%, with the BFCSI and BFCRS showing the highest pick-up rate and a high IRR with high correlation coefficients, while the DSM-5 had deficiencies in screening for catatonia with low IRR and the lowest correlation with the other two tools.
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spelling pubmed-86074012021-11-22 Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study Zingela, Zukiswa Stroud, Louise Cronje, Johan Fink, Max van Wyk, Stephan Int J Ment Health Syst Research BACKGROUND: Clinical assessment of catatonia includes the use of diagnostic systems, such as the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) and the International Classification of Disease, Tenth Revision (ICD-10), or screening tools such as the Bush Francis Catatonia Screening Instrument (BFCSI)/Bush Francis Catatonia Rating Scale (BFCRS) and the Braunig Catatonia Rating Scale. In this study, we describe the inter-rater reliability (IRR), utilizing the BFCSI, BFCRS, and DSM-5 to screen for catatonia. METHODS: Data from 10 participants recruited as part of a larger prevalence study (of 135 participants) were used to determine the IRR by five assessors after they were trained in the application of the 14-item BFCSI, 23-item BFCRS, and DSM-5 to assess catatonia in new admissions. Krippendorff’s α was used to compute the IRR, and Spearman’s correlation was used to determine the concordance between screening tools. The study site was a 35-bed acute mental health unit in Dora Nginza Hospital, Nelson Mandela Bay Metro. Participants were mostly involuntary admissions under the Mental Health Care Act of 2002 and between the ages of 13 and 65 years. RESULTS: Of the 135 participants, 16 (11.9%) had catatonia. The majority (92 [68.1%]) were between 16 and 35 years old, with 126 (93.3%) of them being Black and 89 (66.4%) being male. The BFCRS (complete 23-item scale) had the greatest level of inter-rater agreement with α = 0.798, while the DSM-5 had the lowest level of inter-rater agreement with α = 0.565. The highest correlation coefficients were observed between the BFCRS and the BFCSI. CONCLUSION: The prevalence rate of catatonia was 11.9%, with the BFCSI and BFCRS showing the highest pick-up rate and a high IRR with high correlation coefficients, while the DSM-5 had deficiencies in screening for catatonia with low IRR and the lowest correlation with the other two tools. BioMed Central 2021-11-22 /pmc/articles/PMC8607401/ /pubmed/34809692 http://dx.doi.org/10.1186/s13033-021-00505-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zingela, Zukiswa
Stroud, Louise
Cronje, Johan
Fink, Max
van Wyk, Stephan
Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study
title Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study
title_full Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study
title_fullStr Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study
title_full_unstemmed Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study
title_short Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study
title_sort assessment of catatonia and inter-rater reliability of three instruments: a descriptive study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607401/
https://www.ncbi.nlm.nih.gov/pubmed/34809692
http://dx.doi.org/10.1186/s13033-021-00505-8
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