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Deutsche Version der Northoff Catatonia Rating Scale (NCRS-dv)

Ein validiertes Messinstrument zur Erfassung katatoner Symptome

German version of the Northoff catatonia rating scale (NCRS-dv)

A validated instrument for measuring catatonic symptoms

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Zusammenfassung

Zum klinischen Bild der Katatonie gehören neben eindrucksvollen motorischen Phänomenen wie Rigidität, Dyskinesien, Festination, Gegenhalten, Posieren, Katalepsie, Stereotypien und Manierismen auch affektive Symptome (Aggression, Angst, Affektverflachung, emotionale Labilität etc.) und Störungen des Verhaltens (Mutismus, Autismus, Mitgehen, Echolalie/Eochpraxie etc.). Obwohl im angloamerikanischen Raum insgesamt sieben Skalen zur Erfassung katatoner Symptome für den klinischen und wissenschaftlichen Gebrauch zur Verfügung stehen, existiert im deutschsprachigen Raum lediglich ein validiertes Messinstrument. In dieser Arbeit wird erstmals die deutsche Version der Northoff Catatonia Rating Scale (NCRS-dv) vorgestellt. Die englische Originalversion der Skala (NCRS) erfasst in 40 Items motorische (13 Items), affektive (12 Items) und verhaltensassoziierte (15 Items) katatone Symptome. Die NCRS zeigt sowohl eine hohe interne Konsistenz (Cronbachs α = 0,87) als auch eine hohe Interrater- (r = 0,80–0,96) und Intrarater- (r = 0,80–0,95) Reliabilität. Die Faktorenanalyse der NCRS identifizierte vier Domänen: Affektivität, Hyperaktivität, Hypoaktivität und Verhalten. Die einzelnen Eigenwerte betrugen 8,39, 3,61, 2,98 und 2,82. Diese Werte erklärten 21,5, 9,3, 7,6 und 7,2 % der Varianz. Zusammenfassend stellt die hier vorgelegte NCRS-dv nach Northoff ein zweites Messinstrument im deutschsprachigen Raum zur Erfassung katatoner Symptome dar.

Abstract

The clinical picture of catatonia includes impressive motor phenomena, such as rigidity, dyskinesia, festination, negativism, posturing, catalepsy, stereotypies and mannerisms, along with affective (e. g. aggression, anxiety, anhedonism or emotional lability) and behavioral symptoms (e.g. mutism, autism, excitement, echolalia or echopraxia). In English speaking countries seven catatonia rating scales have been introduced, which are widely used in clinical and scientific practice. In contrast, only one validated catatonia rating scale is available in Germany so far. In this paper, we introduce the German version of the Northoff catatonia rating scale (NCRS-dv). The original English version of the NCRS consists of 40 items describing motor (13 items), affective (12 items) and behavioral (15 items) catatonic symptoms. The NCRS shows high internal reliability (Crombachs alpha = 0.87), high interrater (r = 0.80–0.96) and high intrarater (r = 0.80–0.95) reliability. Factor analysis of the NCRS revealed four domains: affective, hyperactive or excited, hypoactive or retarded and behavior with individual eigenvalues of 8.98, 3.61, 2.98 and 2.82, respectively, which explained 21.5 %, 9.3 %, 7.6 % and 7.2 % of variance, respectively. In conclusion, the NCRS-dv represents a second validated instrument which can be used by German clinicians and scientists for the assessment of catatonic symptoms.

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Danksagung

Die Autoren bedanken sich bei Fr. Dr. Renate Scully für die Rückübersetzung der deutschen Endversion der NCRS ins Englische.

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Authors and Affiliations

  1. Zentrum für psychosoziale Medizin, Klinik für Allgemeine Psychiatrie, Universität Heidelberg, Voßstraße 4, 69115, Heidelberg, Deutschland

    D. Hirjak, P. A. Thomann & K. M. Kubera

  2. Mind, Brain Imaging and Neuroethics Research Unit, The Royal’s Institute of Mental Health Research, University of Ottawa, Ottawa, ON, Canada

    G. Northoff

  3. Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Universitätsklinikum des Saarlandes, Homburg, Deutschland

    R. C. Wolf

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  1. D. Hirjak
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  2. P. A. Thomann
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  4. K. M. Kubera
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  5. R. C. Wolf
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Correspondence to D. Hirjak.

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Interessenkonflikt

P.A. Thomann erhielt Honorare für Beratertätigkeit bei Lundbeck, und Otsuka und Trommsdorff. D. Hirjak, G. Northoff und K.M. Kubera geben an, dass kein Interessenkonflikt besteht. R.C. Wolf erhielt Vortragshonorare von Lundbeck und Otsuka.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Hirjak, D., Thomann, P.A., Northoff, G. et al. Deutsche Version der Northoff Catatonia Rating Scale (NCRS-dv). Nervenarzt 88, 787–796 (2017). https://doi.org/10.1007/s00115-016-0136-7

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