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

Arq Neuropsiquiatr. 2017 Jan;75(1):44-49. doi: 10.1590/0004-282X20160168.

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.

Publication types

  • Validation Study

MeSH terms

  • Brazil
  • Case-Control Studies
  • Catatonia / diagnosis*
  • Cultural Characteristics
  • Diagnostic and Statistical Manual of Mental Disorders*
  • Humans
  • Psychometrics
  • Socioeconomic Factors
  • Surveys and Questionnaires*
  • Translations