Bush-Francis Catatonia Rating Scale
Assesses severity of catatonia.
When to Use
Pearls/Pitfalls
Why Use
Screening questions: if ≥2 are positive, full scale should be completed
Absent
0Excessive motion; intermittent
+1Constant motion; hyperkinetic without rest periods
+2Full-blown catatonic excitement; endless frenzied motor activity
+3Absent
0Sits abnormally still; may interact briefly
+1Virtually no interaction with external world
+2Stuporous; non-reactive to painful stimuli
+3Absent
0Verbally unresponsive to majority of questions; incomprehensible whisper
+1Speaks <20 words per 5 min
+2No speech
+3Absent
0Poor eye contact; repeatedly gazes <20 sec between shifting of attention; decreased blinking
+1Gaze held longer than 20 sec; occasionally shifts attention
+2Fixed gaze; non-reactive
+3Absent
0<1 min
+1>1 min to <15 min
+2Bizarre posture, or mundane >15 min
+3Absent
0<10 sec
+1<1 min
+2Bizarre expression(s) or maintained >1 min
+3Absent
0Occasional
+1Frequent
+2Constant
+3Absent
0Occasional
+1Frequent
+2Constant
+3Absent
0Occasional
+1Frequent
+2Constant
+3Absent
0Occasional
+1Frequent; difficult to interrupt
+2Constant
+3Absent
0Mild resistance
+1Moderate
+2Severe; cannot be repostured
+3Absent
0Mild resistance and/or occasionally contrary
+1Moderate resistance and/or frequently contrary
+2Severe resistance and/or continually contrary
+3Absent
0Present
+3Absent
0Minimal PO intake/interaction for <1 day
+1Minimal PO intake/interaction for >1 day
+2No PO intake/interaction for ≥1 day
+3Result:
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Evidence
Creator Insights
- Brandi Karnes, MD
- Tyler Kimm, MD
- Vineeth John, MD
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