Positive and Negative Syndrome Scale

Positive and Negative Syndrome Scale

The PANSS or the Positive and Negative Syndrome Scale is a medical scale used for measuring symptom severity of patients with schizophrenia. It was published in 1987 by Stanley Kay, Lewis Opler, and Abraham Fiszbein. It is widely used in the study of antipsychotic therapy.

The name refers to the two types of symptoms in schizophrenia, as defined by the American Psychiatric Association: positive symptoms, which refer to an excess or distortion of normal functions (e.g., hallucinations and delusions), and negative symptoms, which represent a diminution or loss of normal functions.

The PANSS is a relatively brief interview, requiring 45 to 50 minutes to administer.[1] The interviewer must be trained to a standardized level of reliability.[2]

Contents

Interview items

To assess a patient using PANSS, an approximately 45-minute clinical interview is conducted. The patient is rated from 1 to 7 on 30 different symptoms based on the interview as well as reports of family members or primary care hospital workers.[3]

Positive scale

  • Delusions
  • Conceptual disorganization
  • Hallucinations
  • Hyperactivity
  • Grandiosity
  • Suspiciousness/persecution
  • Hostility

Negative scale

  • Blunted affect
  • Emotional withdrawal
  • Poor rapport
  • Passive/apathetic social withdrawal
  • Difficulty in abstract thinking
  • Lack of spontaneity and flow of conversation
  • Stereotyped thinking

General Psychopathology scale

  • Somatic concern
  • Anxiety
  • Guilt feelings
  • Tension
  • Mannerisms and posturing
  • Depression
  • Motor retardation
  • Uncooperativeness
  • Unusual thought content
  • Disorientation
  • Poor attention
  • Lack of judgment and insight
  • Disturbance of volition
  • Poor impulse control
  • Preoccupation
  • Active social avoidance

See also

References

  1. ^ Stanley Kay, Abraham Fiszbein, Lewis Opler, The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia, http://schizophreniabulletin.oxfordjournals.org/cgi/reprint/13/2/261. 
  2. ^ John Hunsley, Eric J. Mash (2008), A Guide to Assessments that Work, Oxford University Press US, ISBN 0195310640, http://books.google.com/books?id=TUvKyhgOpxQC&lpg=PA395 
  3. ^ Kay, Stanley R. (1991), Positive and Negative Syndromes in Schizophrenia, Routledge Mental Health, pp. 33–36, ISBN 0876306083, http://books.google.com/books?id=onyWf7MLhm4C&pg=PA33&lpg=PA33 

External links


Wikimedia Foundation. 2010.

Игры ⚽ Нужен реферат?

Look at other dictionaries:

  • Diagnostic classification and rating scales used in psychiatry — The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. Contents 1 Diagnostic Classification 1.1 Diagnostic Criteria 1.2 Interview instruments using the above criteria …   Wikipedia

  • Technological and industrial history of the United States — The technological and industrial history of the United States describes the United States emergence as one of the largest nations in the world as well as the most technologically powerful nation in the world. The availability of land and labor,… …   Wikipedia

  • PANSS — Positive and Negative Syndrome Scale …   Medical dictionary

  • PANSS — • Positive and Negative Syndrome Scale …   Dictionary of medical acronyms & abbreviations

  • PANSS — Positive And Negative Syndrome Scale. Escala para el síndrome positivo y negativo de la esquizofrenia. De los 30 items incluidos en esta escala, 7 constituyen la escala positiva (PANSSP), 7 la escala negativa (PANSS N) y los 16 restantes la… …   Diccionario de siglas médicas y otras abreviaturas

  • Health and Disease — ▪ 2009 Introduction Food and Drug Safety.       In 2008 the contamination of infant formula and related dairy products with melamine in China led to widespread health problems in children, including urinary problems and possible renal tube… …   Universalium

  • Schizophrenia — MeshName = Schizophrenia MeshNumber = F03.700.750 Schizophrenia (pron en|ˌskɪtsəˈfriːniə), from the Greek roots schizein (σχίζειν, to split ) and phrēn , phren (φρήν, φρεν , mind ) is a psychiatric diagnosis that describes a mental disorder… …   Wikipedia

  • Treatment of schizophrenia — The concept of a cure as such in the treatment of schizophrenia remains controversial, as there is no consensus on the definition of treatment in the case of schizophrenia, although some criteria for the remission of symptoms have recently been… …   Wikipedia

  • Management of schizophrenia — depends largely on medications and on psychosocial interventions. No single approach is widely considered effective for all patients, though in the United States and most Western countries, psychiatric medication is often the primary method of… …   Wikipedia

  • Partial androgen insensitivity syndrome — Classification and external resources AIS results when the function of the androgen receptor (AR) is impaired. The AR protein (pictured) mediates the effects of androgens in the human body. ICD 10 …   Wikipedia

Share the article and excerpts

Direct link
… Do a right-click on the link above
and select “Copy Link”