Scales to measure dimensions of hallucinations and 
delusions: the psychotic symptom rating scales 
(PSYRATS)

Background. Scales to measure the severity of different dimensions of auditory hallucinations and delusions are few. Biochemical and psychological treatments target dimensions of symptoms and valid and reliable measures are necessary to measure these.Method. The inter-rater reliability and validity of the Psychotic Symptom Rating Scales (PSYRATS: auditory hallucination subscale and delusions subscale), which measure several dimensions of auditory hallucinations and delusions were examined in this study.Results. The two scales were found to have excellent inter-rater reliability. Their validity as compared with the KGV scale (Krawiecka et al. 1977) was explored.Conclusions. It is concluded that the PSYRATS are useful assessment instruments and can complement existing measures.

Download Full-text

THE ASSESSMENT OF THE AUDITORY HALLUCINATIONS AND DELUSIONS: THE RELIABILITY AND THE VALIDITY OF TURKISH VERSION OF THE PSYCHOTIC SYMPTOM RATING SCALES (PSYRATS)

Turkish Journal of Psychiatry ◽

10.5080/u9035 ◽

2015 ◽

Author(s):

Oya Mortan Sevi ◽

Serap Tekinsav Sutcu ◽

Busra Gunes

Keyword(s):

Psychotic Symptom ◽

Rating Scales ◽

Auditory Hallucinations ◽

Turkish Version ◽

Symptom Rating

Download Full-text

Evaluation of auditory hallucinations in patients with schizophrenia: A validation study of the Malay version of Psychotic Symptom Rating Scales (PSYRATS)

Psychiatry Research ◽

10.1016/j.psychres.2015.06.014 ◽

2015 ◽

Vol 228 (3) ◽

pp. 462-467 ◽

Cited By ~ 10

Author(s):

Suzaily Wahab ◽

Mohd Normani Zakaria ◽

Dinsuhaimi Sidek ◽

Abdul Hamid Abdul Rahman ◽

Shamsul Azhar Shah ◽

...

Keyword(s):

Psychotic Symptom ◽

Validation Study ◽

Rating Scales ◽

Auditory Hallucinations ◽

Symptom Rating

Download Full-text

Psychotic Symptom Rating Scales

PsycTESTS Dataset ◽

10.1037/t10601-000 ◽

1999 ◽

Cited By ~ 1

Author(s):

G. Haddock ◽

J. McCarron ◽

N. Tarrier ◽

E. B. Faragher

Keyword(s):

Psychotic Symptom ◽

Rating Scales ◽

Symptom Rating

Download Full-text

Symptom Dimensions of the Psychotic Symptom Rating Scales in Psychosis: A Multisite Study

Schizophrenia Bulletin ◽

10.1093/schbul/sbu014 ◽

2014 ◽

Vol 40 (Suppl_4) ◽

pp. S265-S274 ◽

Cited By ~ 54

Author(s):

Todd S. Woodward ◽

Kwanghee Jung ◽

Heungsun Hwang ◽

John Yin ◽

Laura Taylor ◽

...

Keyword(s):

Psychotic Symptom ◽

Rating Scales ◽

Symptom Dimensions ◽

Symptom Rating

Download Full-text

Feasibility study of culturally adapted cognitive behaviour therapy for psychosis in Pakistan

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2144 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S578-S579 ◽

Cited By ~ 1

Author(s):

N. Husain ◽

N. Mehmood ◽

M.O. Husain ◽

T. Kiran ◽

F. Naeem ◽

...

Keyword(s):

Psychotic Symptom ◽

Low Income ◽

Rating Scales ◽

Intervention Group ◽

Income Country ◽

Psychotic Symptoms ◽

Low Income Country ◽

Culturally Adapted ◽

Cognitive Behaviour ◽

Symptom Rating

BackgroundIt is becoming well established that CBT is both effective and cost efficient in the treatment of positive and negative symptoms of schizophrenia. However, there is a need to adapt CBT to the cultural, linguistic, and socioeconomic context of diverse cultural groups. We aimed to establish the feasibility of culturally adaptive cognitive behavior therapy for treatment of psychosis in a low-income country.MethodsThis is a rater-blind, randomized, controlled trial of the use of CBT in patients with psychosis from a low-income country. Patients with a DSM-IV diagnosis of schizophreniform disorder were assessed using Positive and Negative Syndrome Scale for Schizophrenia (PANSS), PSYRATS (Psychotic Symptom Rating Scales), and the Insight Scale. Participants were randomized into the intervention group (n = 18) and TAU group (n = 18). The intervention group received 12 weekly sessions of culturally adapted CBT for psychosis (CaCBTp).ResultsThere were no significant differences between the two groups at baseline. At three months follow-up, there was a statistically significant improvement in the CaCBTp group on PANSS general Psychopathology subscale, PANSS overall score and Insight scale, as compared to the TAU group. The CaCBTp group had lower scores on PANSS positive, PANSS negative sub-scales, and the two subscales of Psychotic Symptom Rating Scale, but differences were not statistically significant.ConclusionCulturally adapted CBT added to pharmacological treatment as usual was acceptable to patients and was helpful in reduction of severity of psychotic symptoms. Adjunctive culturally adapted CBT should be further investigated in this population.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

French version validation of the psychotic symptom rating scales (PSYRATS) for outpatients with persistent psychotic symptoms

BMC Psychiatry ◽

10.1186/1471-244x-12-161 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 12

Author(s):

Jerome Favrod ◽

Shyhrete Rexhaj ◽

Pascale Ferrari ◽

Sabrina Bardy ◽

Claude Hayoz ◽

...

Keyword(s):

Psychotic Symptom ◽

Rating Scales ◽

Psychotic Symptoms ◽

French Version ◽

Symptom Rating

Download Full-text

Exploring the relationship between auditory hallucinations, trauma and dissociation

BJPsych Open ◽

10.1192/bjo.2020.31 ◽

2020 ◽

Vol 6 (3) ◽

Author(s):

Deborah Wearne ◽

Guy J. Curtis ◽

Peter Melvill-Smith ◽

Kenneth G. Orr ◽

Annette Mackereth ◽

...

Keyword(s):

Rating Scales ◽

Subscale Score ◽

Auditory Hallucinations ◽

Ptsd Symptoms ◽

Post Traumatic Stress ◽

Trauma History ◽

Post Traumatic ◽

The Relationship ◽

Symptom Rating ◽

Trauma Histories

Background It is clinically imperative to better understand the relationship between trauma, auditory hallucinations and dissociation. The personal narrative of trauma has enormous significance for each individual and is also important for the clinician, who must use this information to decide on a diagnosis and treatment approach. Aims To better understand whether dissociation contributes in a significant way to hallucinations in individuals with and without trauma histories. Method Three groups of participants with auditory hallucinations were recruited, with diagnoses of: schizophrenia (without trauma) (n = 18), post-traumatic stress disorder (PTSD, n = 27) and comorbid schizophrenia and PTSD (SCZ+PTSD), n = 26). Clinician-administered measures included the PTSD Symptoms Scale Interview (PSSI-5), the Clinician-Administered Dissociative States Scale (CADSS) and the Psychotic Symptom Rating Scales (PSYRATS). Results Dissociative symptoms were significantly higher in participants with trauma histories (PTSD and SCZ+PTSD groups) and significantly correlated with hallucinations in trauma-exposed participants, but not in participants with schizophrenia (without trauma history). Hallucination severity was correlated with the CADSS amnesia subscale score, but depersonalisation and derealisation were not. Conclusions Dissociation may be a mechanism in trauma-exposed individuals who hear voices, but it does not explain all hallucinatory experiences. The SCZ+PTSD group were in an intermediary position between schizophrenia and PTSD on dissociative and hallucination measures. The PTSD and SCZ+PTSD groups experienced dissociative phenomena much more frequently than the schizophrenia group, with a significant trend towards the amnesia subtype of dissociation.

Download Full-text

The structured interview for anorexic and bulimic disorders for DSM-IV and ICD-10 (SIAB-EX): reliability and validity

European Psychiatry ◽

10.1016/s0924-9338(00)00534-4 ◽

2001 ◽

Vol 16 (1) ◽

pp. 38-48 ◽

Cited By ~ 73

Author(s):

M. Fichter ◽

N. Quadflieg

Keyword(s):

Eating Disorders ◽

Construct Validity ◽

Rating Scales ◽

Reliability And Validity ◽

Structured Interview ◽

Study Data ◽

Self Report ◽

Rater Reliability ◽

Valid Assessment ◽

Demoralization Scale

Objective. For reliable and valid assessment and diagnostic categorization of eating disorders, self-report measures have considerable limitations. A semi-structured interview – the SIAB-EX – was developed for a more reliable and valid assessment of eating disorders.Methods. One study (videotapes of 31 inpatients, seven raters) was made to establish inter-rater reliability; in another study with 80 patients the SIAB-EX was compared to another semi-structured interview designed for comparable purposes (EDE). In a third study data was obtained on 377 eating disorder patients seeking treatment to explore discriminant and convergent (construct) validity using the following self-rating scales: EDI, TFEQ, SCL-90, BDI, and the PERI Demoralization Scale.Results. Inter-rater reliability of dichotomous ratings was good with mean kappa values of .81 (current) and .85 (past). Comparison of the SIAB-EX with the EDE generally showed quite similar results and higher intercorrelation of the total scale (.77). There are, however, a number of differences between the two scales, which are discussed in detail. Construct validity of the SIAB-EX was established.Conclusion. Inter-rater reliability was good. Convergent and discriminant (construct) validity of the SIAB-EX was demonstrated. The constructs assessed by the SIAB and its subscales and items are discussed in the context of their correlations with other well-known scales.

Download Full-text

Dimensions of Hallucinations and Delusions in Affective and Nonaffective Illnesses

ISRN Psychiatry ◽

10.1155/2013/616304 ◽

2013 ◽

Vol 2013 ◽

pp. 1-10 ◽

Cited By ~ 9

Author(s):

Ranju Kumari ◽

Suprakash Chaudhury ◽

Subodh Kumar

Keyword(s):

Rating Scales ◽

Psychotic Disorders ◽

Negative Impact ◽

Auditory Hallucination ◽

Economic Status ◽

Bipolar Affective Disorder ◽

Manic Episode ◽

Syndrome Scale ◽

Negative Syndrome ◽

Symptom Rating

The aim of the study was to examine the dimensions of hallucinations and delusions in affective (manic episode, bipolar affective disorder, and depressive episode) and nonaffective disorders (schizophrenia, acute and transient psychotic disorders, and unspecified psychosis). Sixty outpatients divided equally into two groups comprising affective and nonaffective disorders were taken up for evaluation after screening, as per inclusion and exclusion criteria. Scores of 3 or above on delusion and hallucinatory behavior subscales of positive and negative syndrome scale were sufficient to warrant rating on the psychotic symptom rating scales with which auditory hallucination and delusion were assessed on various dimensions. Insight was assessed using the Beck cognitive insight scale (BCIS). There were no significant differences between the two groups on age, sex, marital status, education, and economic status. There were significant differences in total score and emotional characteristic subscale, cognitive interpretation subscale, and physical characteristic subscale of auditory hallucination scales in between the two groups. Correlation between BCIS-total and total auditory hallucinations score was negative (Spearman Rho −0.319; P<0.05). Hallucinating patients, more in nonaffective group, described a negative impact of hallucinating voices along with emotional consequences on their lives which lead to distress and disruption.

Download Full-text