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Table 5 Outline of Incongruence dimension scale. Table shows key points and ranges on the I dimension together with the criteria defining the ranges. The S set of psychotic symptoms are those recognized as having special weight in the diagnosis of schizophrenia and schizoaffective disorder (thought echo, insertion, withdrawal or broadcasting; passivity experiences; hallucinatory voices giving running commentary, discussing subject in third person or originating in some part of the body; bizarre delusions; catatonia). More details including explicit guidelines for ratings can be found on page 6 of the BADDS rating guidelines (Appendix A).

From: The Bipolar Affective Disorder Dimension Scale (BADDS) – a dimensional scale for rating lifetime psychopathology in Bipolar spectrum disorders

Range on I dimension Criterion defining range
0–40 Psychotic symptoms occur only during affective episodes and do not include any of the S set.
Rating 0 – virtually completely mood congruent.
Rating 20 – approximate balance between mood congruent and incongruent.
Rating 40 – virtually completely mood incongruent
43 Psychotic symptoms occur only during affective episodes and include one or more of the S set which have not definitely been present for 2 weeks.
47 Psychotic symptoms occur only during affective episodes and include one or more of the S set which have definitely been present for 2 weeks.
50–59 Psychotic symptoms probably present for at least 2 weeks either side of an affective episode.
Rating 50 – on at least one occasion.
Ratings of 51–59 used to reflect recurrence and/or certainty.
60–100 Psychotic symptoms definitely present for at least 2 weeks either side of an affective episode.
Rating 60 – on at least one occasion.
Rating 80 – on many occasions.
Rating 100 – Psychotic symptoms predominate illness and occur chronically outside (or in absence of) affective episodes.