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BPRS (Brief Psychiatric Rating Scale)

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BPRS (Brief Psychiatric Rating Scale). 국립나주병원 윤정열. Scale 을 통한 평가는 왜할까 ?. 정신과 증상은 손에 잘 잡히지 않아서 . 다른 사람과 의사소통을 하기위해서 . 변화의 정도를 알 수 있어서. 척도의 개발배경. 1962 Overall & Gorham : 16 문항 개발 : 개발목적 - 정신병리의 주요차원 신속 평가 : 적응 질환 - 주로 정신분열증 , 우울증 , 조울증 , 치매 등 1983 Overall : 18 문항으로 확장 - PowerPoint PPT Presentation

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  • BPRS(Brief Psychiatric Rating Scale)

  • Scale ? .

    .

    .

  • 1962 Overall & Gorham : 16 : - : - , , , 1983 Overall : 18 1986 Lukof, Nuechterlein & Ventura : 24 :

  • 7 , 24 , , (Hedlund & Vieweg, 1980) - .85(Hedlund & Vieweg, 1980) - -

  • 1. (Somatic concern)2. (Anxiety)3. (Depression)4. (Suicidality)5. (Guilty)6. (Hostility)7. (Elevated mood)8. (Grandiosity)

  • 9. (Suspiciousness)10. (Hallucination)11. (Unusual thought content)12. (Bizarre behavior)13. (Self-neglect)14. (Disorientation)15. (Conceptual disorganization)16. (Blunted affect)

  • 17. (Emotional withdrawl)18. (Motor retardation)19. (Tension)20. (Uncoopreativeness)21. (Excitement)22. (Distractibility)23. (Motor hyperactivity)24. (Mannerisms and posturing)

  • NA : not assessed 1 : 2 : , 3 : , 4 : 5 : , 6 : , 7 : 3-4, 5, 6.

  • Anchor point .->

    -> , (2-3), (4-5), (6-7) , .

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    1-14 .7, 12, 13 .15-24 .

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  • 3. BPRS . . . . , (7 ), (5 ), 7 .

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  • 2) B , , . . , . 2 3 .

  • 3) C . . . , , . 4, 1 .

  • 4) D , . , TV TV , . . 4 .

  • 5) E , .

    6 7 .

  • 5. . . , , . . , .

  • 6. . , . , , /, . 2 .

  • 7. 2 . , , , 6 7, 4 7 . , .

  • 8. . 2-3 , 4-5 , 6-7 . , (2-3), (4-5), (6-7) , . , . , 2-3, 5-6 . , .

  • 9. . . , , , (blunted), 2 5 . .

  • 10. . . , . . , .

  • 1. (Somatic concern) : . "6" "7" , "4" . --------------------------------------------------------------------------------------------------------2 3 (, ) 4 . . .5 . . .6 . .7 . .

  • 2. (Anxiety) : , , , . , 15 '' .---------------------------------------------------------------------------------------------2 . .3 . 4 . '' . ( )5 . .6 . '' .( )7 .'' .

  • 3. (Depression) : , , , ( TV ), , ( ) . , .----------------------------------------------------------------------------------------------------2 , , .3 , .4 .5 . '' .6 . '' .7 . '' .

  • 4. (Suicidality)2 . .3 . '' .4 5 . . '' .6 . . '' .7 .( "--- X ") '' .

  • 5. (Guilt) : , , , , . "6" "7" , "4" .----------------------------------------------------------------------------------------------------2 . .()3 . .4 , , (injure) . .( )5 , , (injure) . .6 '' . .() 7 , . .

  • 6. (Hostility) : , , , , , , , , , . .----------------------------------------------------------------------------------------------------2 , . .3 .4 . '' .5 .6 . . , .()7 . .

  • 7. (Elevated mood) : , , , ( ) . .----------------------------------------------------------------------------------------------------2 .3 .4 , , . . '' .5 , . " ", " .", " ." . '' .6 . '' .7 , , , , , . .

  • 8. (Grandiosity) : , . . "6" "7" , "4" .----------------------------------------------------------------------------------------------------2 .3 .4 . ''. ' ', '' . .()5 4 . . .6 - ESP , , , , . . 7 - 6 . , .

  • 9. (Suspiciousness) : . () . "3" .-----------------------------------------------------------------------------------------------------2 . ' ' . .3 . / . .4 . . ( 1 ) .5 4 . ( 1 ) . . '' ( )6 - , / , .7 6 . . .

  • 10. (Hallucination) : . ( ) ( ) . .( )----------------------------------------------------------------------------------------------------2 , , , . .3 ( ) ( ) ( 12) .( )4 , , , . '' / .( ) 5 . . 6 . '' .7 . '' .

  • 11. (Unusual thought content)- : (disorganization of speech) (unusualness) . / . (thought insertion), (withdrawal), (broadcasting) . , , . , , "6" "7" "4" .--------------------------------------------------------------------------------------------------------------------2 ( / ), ( / ), , , UFO , .3 2 . ( ) . , .4 . encapsulated delusion .5 (Full delusion)'' .6 '' .7 .'' .

  • 12. (Bizarre behavior) : . . .-----------------------------------------------------------------------------------------------------2 . , .3 . , . '' . , (ritual) .4 ( ) , . . , , , 12 , .5 ( ) . , , , .6 . , , , . .7 . , . '' . , , .

  • 13. (Self-neglect) : , , .-----------------------------------------------------------------------------------------------------2/ . , / . . .3 / . , . . .4 / . , , . '' .5 / . '' . .6 / . . // . .7 // . '' // .

  • 13. (Self-neglect) , , . 2 / . . . 3 / . , . . . 4 / . , , . . 5 / . . . 6 / . . / / . 7 // . // .

  • 14. (Disorientation) : . , , . .-----------------------------------------------------------------------------------------------------2 12 . , , .3 34 . , , . , 2 .4 . 3 , , . ' ' .5 , , . . , 1 . . , .6 , , . , . , , 2 .7 , , . . 3 .

  • 15. (Conceptual disorganization) : (speech) , , . (tangentiality), (circumstantiality), (sudden topic shifts), (incoherent), (derailment), (blocking), (neologism), . .-----------------------------------------------------------------------------------------------------2 .3 , , , .()4 , . '' 12 .(( ))5 , , . '' 35 .6 . BPRS .( ( ))7 .

  • 16. (Blunted affect) - : , , . (distressing topic) . (flat) .-----------------------------------------------------------------------------------------------------2 .3 . .4 . , . . (flattened affect) .5 . . . .6 . . . .7 , . .

  • 17. (Emotional withdrawal) : . ' ' . .-----------------------------------------------------------------------------------------------------2 .3 .4 .5 4 .6 . / ( ). .7 . / ( ). .

  • 18. (Motor retardation) : , , . . . .-----------------------------------------------------------------------------------------------------2 .3 .4 .5 . '' .( )6 . 7 , catatonic

  • 19. (Tension) - : , , , (motor) . . (akathisia) .-----------------------------------------------------------------------------------------------------2 . . , , .( )3 2 .4 . . .( )5 . .6 5 .( )7 .

  • 20. (Uncooperativeness) : . . .-------------------------------------------------------------------------------------------------2 .3 .4 .()5 4 . .6 . .()7 6 .

  • 21. (Excitement) : . , , .-----------------------------------------------------------------------------------------------------2 . .3 . .4 . . .( .)5 . . .6 . . .()7 . . . . .

  • 22. (Distractibility) : , . . , , . , , . . .-----------------------------------------------------------------------------------------------------2 1 .3 23 .()4 . .( )5 .6 .7 .

  • 23. (Motor hyperactivity) : . .-----------------------------------------------------------------------------------------------------2 , , .3 , , , 13 .4 . . . .5 , . . . . 12 .6 , . . , . . 34 .7 . , . .

  • 24. (Mannerisms and posturing) : , , . . (nervous mannerism) .-------------------------------------------------------------------------------------------------------2 . , , 1 .3 2 2 . 4 , , , , . . 5 2 .5 4 . .6 , , , . .7 6 .

  • 21 . 3 3 .

  • (6)

  • . .(5)

  • 3-4

    .

  • .