Brief Psychiatric Rating Scale

The Brief Psychiatric Rating Scale (BPRS) (Overall & Gorham, 1962) is a clinically valid scale for measuring symptoms of psychiatric disorders and the effectiveness of pharmacologic treatment of psychiatric disorders. It is an 18-item scale that measures positive symptoms, general psychopathology and affective symptoms. The BPRS was developed based on the Lorr Multidimensional Scale for Rating Psychiatric Patients (MSRPP) and the Lorr Inpatient Multidimensional Psychiatric Scale (IMPS), both of which were less efficient and longer to administer. Inter-rater reliability estimates range from 0.56 to 0.87, based on a study involving independent ratings of 83 recently-admitted schizophrenic patients. Each item of the BPRS is scored on 0-7 Likert scale ranging from “Not Present” to “Extremely Severe”. The instrument is administered through a combination of clinician interview and observations from the patient’s family from the previous 2-3 days. A pediatric version is also available. The BPRS is a well-established scale that is sensitive to changes and allows for broad evaluation. Item score grouping allows scoring on specific symptoms (i.e. mannerisms and posturing). However it is limited in scope as it focuses on positive and general psycholpathology. Please enter the score for the term that best describes the patient’s condition.
Overall, JE, Gorham, DR. The Brief Psychiatric Rating Scale. Psychological Reports. 1962; 10: 799-812.
Overall, JE, Gorham DR: Introduction: the Brief Psychiatric Rating Scale (BRPS): recent developments in ascertainment and scaling. Psychopharmacol Bull. 1988; 24: 97-98.
Patient is a male | female

0 = Not assessed, 1 = Not present, 2 = Very mild, 3 = Mild, 4 = Moderate, 5 = Moderately severe, 6 = Severe, 7 = Extremely severe

Item Description Score
1. SOMATIC CONCERN Preoccupation with physical health, fear of physical illness, hypochondriasis.
2. ANXIETY Worry, fear, over-concern for present or future, uneasiness.
3. EMOTIONAL WITHDRAWAL Lack of spontaneous interaction, isolation deficiency in relating to others.
4. CONCEPTUAL DISORGANIZATION Thought processes confused, disconnected, disorganized, disrupted.
5. GUILT FEELINGS Self-blame, shame, remorse for past behavior.
6. TENSION Physical and motor manifestations of nervousness, over-activation.
7. MANNERISMS AND POSTURING Peculiar, bizarre, unnatural motor behavior (not including tic).
8. GRANDIOSITY Exaggerated self-opinion, arrogance, conviction of unusual power or abilities.
9. DEPRESSIVE MOOD Sorrow, sadness, despondency, pessimism.
10. HOSTILITY Animosity, contempt, belligerence, disdain for others.
11. SUSPICIOUSNESS Mistrust, belief others harbor malicious or discriminatory intent.
12. HALLUCINATORY BEHAVIOR Perceptions without normal external stimulus correspondence.
13. MOTOR RETARDATION Slowed, weakened movements or speech, reduced body tone.
14. UNCOOPERATIVENESS Resistance, guardedness, rejection of authority.
15. UNUSUAL THOUGHT CONTENT Unusual, odd, strange, bizarre thought content.
16. BLUNTED AFFECT Reduced emotional tone, reduction in formal intensity of feelings, flatness.
17. EXCITEMENT Heightened emotional tone, agitation, increased reactivity.
18. DISORIENTATION Confusion or lack of proper association for person, place or time.


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