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J Clin Psychiatry. 2001 Apr;62(4):304-12; quiz 313-4.

Use of the Brief Psychiatric Rating Scale to facilitate differential diagnosis at acute inpatient admission.

Author information

  • 1University of Texas-Houston Medical School, Mental Sciences Institute, 77030-3497, USA. Derek.R.Hopko@uth.tmc.edu

Abstract

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 depression (DSM-IV).

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.

PMID:
11379850
[PubMed - indexed for MEDLINE]
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