title: French version validation of the psychotic symptom rating scales (PSYRATS) for outpatients with persistent psychotic symptoms.
abstract: BACKGROUND
  Most scales that assess the presence and severity of psychotic symptoms often measure a broad range of experiences and behaviours, something that restricts the detailed measurement of specific symptoms such as delusions or hallucinations. The Psychotic Symptom Rating Scales (PSYRATS) is a clinical assessment tool that focuses on the detailed measurement of these core symptoms. The goal of this study was to examine the psychometric properties of the French version of the PSYRATS.
  
  
  METHODS
  A sample of 103 outpatients suffering from schizophrenia or schizoaffective disorders and presenting persistent psychotic symptoms over the previous three months was assessed using the PSYRATS. Seventy-five sample participants were also assessed with the Positive And Negative Syndrome Scale (PANSS).
  
  
  RESULTS
  ICCs were superior to .90 for all items of the PSYRATS. Factor analysis replicated the factorial structure of the original version of the delusions scale. Similar to previous replications, the factor structure of the hallucinations scale was partially replicated. Convergent validity indicated that some specific PSYRATS items do not correlate with the PANSS delusions or hallucinations. The distress items of the PSYRATS are negatively correlated with the grandiosity scale of the PANSS.
  
  
  CONCLUSIONS
  The results of this study are limited by the relatively small sample size as well as the selection of participants with persistent symptoms. The French version of the PSYRATS partially replicates previously published results. Differences in factor structure of the hallucinations scale might be explained by greater variability of its elements. The future development of the scale should take into account the presence of grandiosity in order to better capture details of the psychotic experience.
authors.affiliation: La Source, Health Campus of the University of Applied Sciences of Western Switzerland, Lausanne, Switzerland. j.favrod@ecolelasource.ch
authors.forename: Jerome
authors.initials: J
authors.lastname: Favrod
authors.forename: Shyhrete
authors.initials: S
authors.lastname: Rexhaj
authors.forename: Pascale
authors.initials: P
authors.lastname: Ferrari
authors.forename: Sabrina
authors.initials: S
authors.lastname: Bardy
authors.forename: Claude
authors.initials: C
authors.lastname: Hayoz
authors.forename: Stéphane
authors.initials: S
authors.lastname: Morandi
authors.forename: Charles
authors.initials: C
authors.lastname: Bonsack
authors.forename: Fabienne
authors.initials: F
authors.lastname: Giuliani
mesh_terms: D000328:Adult; D003702:Delusions / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005602:France; D006212:Hallucinations / Q000175:diagnosis; D006801:Humans; D008297:Male; D010045:Outpatients / Q000523:psychology; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics / Q000295:instrumentation; D011618:Psychotic Disorders / Q000175:diagnosis*; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000175:diagnosis; D012565:Schizophrenic Psychology; D013557:Switzerland