Francis A, Divadeenam K M, Bush G, Petrides G
Department of Psychiatry and Behavioral Sciences, SUNY Stony Brook 11794, USA.
Compr Psychiatry. 1997 Jan-Feb;38(1):56-60. doi: 10.1016/s0010-440x(97)90054-7.
This study examined the consistency of symptom profiles across episodes of catationia. A recently developed standardized examination and symptom scale systematically rates 23 motor signs of catatonia, permitting symptom analysis of recurrent illness. Patients from the emergency room or inpatient unit were prospectively examined using the 23-item Bush-Francis Catatonia Rating Scale (BFCRS), both on initial presentation and during a later episode of catatonia. Five cases were identified, with a variable interval (mean, 10.7 months; range 4.5 to 20) between episodes. All five met DSM-IV motor criteria for catatonia (293.89) and research criteria of more than two BFCRS signs. They showed a mean of 9.6 (range, 7 to 15) catatonic signs in the first episode, and 9.6 (range, 4 to 14) signs in the second. Of the 23 individual BFCRS motor signs, a mean of 16.6 (range, 13 to 21) showed agreement of signs (absence or presence) between the two episodes. The catatonic syndrome shows consistency of motor symptoms on recurrent episodes and the BFCRS facilitates the systematic study of catatonia.
本研究考察了紧张症各发作期症状特征的一致性。最近开发的一项标准化检查和症状量表对23种紧张症运动体征进行系统评分，从而能够对复发性疾病进行症状分析。来自急诊室或住院部的患者在初次就诊时以及后来的紧张症发作期间，均使用23项布什-弗朗西斯紧张症评定量表（BFCRS）进行前瞻性检查。共识别出5例患者，发作期之间的间隔时间不等（平均10.7个月；范围4.5至20个月）。所有5例均符合DSM-IV紧张症运动标准（293.89）以及超过两项BFCRS体征的研究标准。他们在首次发作时平均有9.6项（范围7至15项）紧张症体征，第二次发作时有9.6项（范围4至14项）体征。在23项单独的BFCRS运动体征中，平均有16.6项（范围13至21项）在两次发作之间体征（存在或不存在）一致。紧张症综合征在复发发作时表现出运动症状的一致性，并且BFCRS有助于对紧张症进行系统研究。
