Abstract
Concerning the correlations of positive and negative symptoms of schizophrenia, three competing hypotheses exist, i.e. the severity-liability model of Gottesman et al. (1987) assuming positive associations between the two syndromes, Andreasen’s one-dimensional, bipolar model (Andreasen and Olsen 1982) with negatively correlated dimensions and Crow’s (1980, 1985) independency or dual-process model. Lenzenweger’s confirmatory factor analysis (Lenzenweger et al. 1989) about the goodness-of-fit of empirical data of 220 patients corresponds best with Crow’s dual-process model. Andreasen’s model of a bipolar dimension with factor loadings of opposite signs of positive and negative symptoms could not be confirmed.
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References
Abrams R, Taylor MA (1978) A rating scale for emotional blunting. Am J Psychiatry 135:226–229
Andreasen NC (1981) Scale for the assessment of negative symptoms (SANS). University of Iowa, Iowa City
Andreasen NC (1982) Negative symptoms in schizophrenia. Definition and reliability. Arch Gen Psychiatry 39:784–788
Andreasen NC (1983) Comprehensive assessment of symptoms and history (CASH). University of Iowa, Iowa City
Andreasen NC (1985) Positive vs. negative schizophrenia: a critical evaluation. Schizophr Bull 11:380–389
Andreasen NC, Olsen S (1982) Negative vs. positive schizophrenia. Arch Gen Psychiatry 39:789–794
Biehl H, Maurer K, Schubart C, Krumm B, Jung E (1986) Prediction of outcome and utilization of medical services in a prospective study of first onset schizophrenics. Eur Arch Psychiatry Neurol Sci 236:139–147
Biehl H, Maurer K, Jung E, Krüger G, Bauer-Schubart C (1988) Reported symptoms in schizophrenic patients within five years of the onset of illness. In: Dencker SJ, Kulhanek F (eds) (1988) Treatment resistance in schizophrenia: an approach for research and clinical routine together with a reconnaissance paper. Vieweg, Braunschweig
Biehl H, Maurer K, Jablensky A, Cooper JE, Tomov T (1989a) The WHO psychological impairments rating schedule (WHO/PIRS). I. Introducing a new instrument for rating observed behaviour and the rationale of the psychological impairment concept. Br J Psychiatry 155:68–70
Biehl H, Maurer K, Jung E, Krumm B (1989b) The WHO psychological impairments rating schedule (WHO/PIRS). II. Impairments in schizophrenics in cross-sectional and longitudinal perspective-the Mannheim experience in two independent samples. Br J Psychiatry 155:71–77
Bilder RM, Mukherjee S, Rieder RO, Pandurangi AK (1985) Symptomatic and neuropsychological components of defect states. Schizophr Bull 11:409–419
Carpenter WT, Heinrichs DW, Alphs LD (1985) Treatment of negative symptoms. Schizophr Bull 11:440–452
Crow TJ (1980) Positive and negative schizophrenic symptoms and the role of dopamine. Br J Psychiatry 137:383–386
Crow TJ (1985) The two-syndrome concept: origins and current status. Schizophr Bull 11:471–486
Endicott J, Spitzer RL (1978) A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 35:837–844
Gottesman II, McGuffin P, Farmer A (1987) Clinical genetics as clues to the “real” genetics of schizophrenia (a decade of modest gains while playing for time). Schizophr Bull 13:23–47.
Häfner H, Riecher A, Maurer K, Löffler W, Munk-Jørgensen P, Strömgren E (1989) How does gender influence age at first hospitalisation for schizophrenia? A transnational case register study. Psychol Med 19:903–918
Häfner H, Riecher A, Maurer K, Meissner S, Schmidtke A, Fätkenheuer B, Löffler W, an der Heiden W (1990) Ein Instrument zur retrospektiven Einschätzung des Erkrankungsbeginns bei Schizophrenie (Instrument for the retrospective assessment of the onset of schizophrenia-“IRAOS”)-Entwicklung und erste Ergebnisse. Z Klin Psychol 19:230– 255
Huber G, Gross R, Schüttler R (1979) Schizophrenie. Eine Verlaufs-und sozial-psychiatrische Langzeitstudie. Springer, Berlin Heidelberg New York
Iager AC, Kirch DG, Wyatt RJ (1985) A negative symptom rating scale. Psychiatr Res 16:27–36
Jung E, Biehl H, Krumm B, Maurer K, Bauer-Schubart C (1989) DAS-M. Mannheimer Skala zur Einschätzung sozialer Behinderung. Beltz, Weinheim
Kay SR, Opler LA, Fiszbein A (1986a) Significance of positive and negative syndromes in chronic schizophrenia. Br J Psychiatry 149:439–448
Kay SR, Fiszbein A, Lindenmayer J-P, Opler LA (1986b) Positive and negative syndromes in schizophrenia as a function of chronicity. Acta Psychiatr Scand 74:507–518
Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 13:261–273
Krawiecka M, Goldberg D, Vaughan M (1977) A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatr Scand 55:299–308
Lenzenweger MF, Dworkin RH, Wethington E (1989) Models of positive and negative symptoms in schizophrenia: an empirical evaluation of latent structures. J Abnorm Psychol 98:62–70
Lewine RRJ, Fogg L, Meitzer HY (1983) Assessment of negative and positive symptoms in schizophrenia. Schizophr Bull 9:368–376
Liddle PF (1987) The symptoms of chronic schizophrenia: a reexamination of the positivenegative dichotomy. Br J Psychiatry 151:145–151
Lindenmayer J-P, Kay SR, Friedman C (1986) Negative and positive schizophrenic syndromes after the acute phase: a prospective follow-up. Compr Psychiatry 27:276–286
Maurer K (1990) PSE-standardisierte Verlaufsdaten zur Minussymptomatik. In: Möller H-J, Pelzer E (Hrsg.) Neuere Ansätze zur Diagnostik und Therapie schizophrener Minussymptomatik. Springer, Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona
Maurer K, Biehl H, Kühner C, Löffler W (1989) On the way to expert systems. Comparing DSM-III computer diagnoses with CATEGO (ICD) diagnoses in depressive and schizophrenic patients. Eur Arch Psychiatry Neurol Sci 239:127–132
Overall JE, Gorham DR (1962) The brief psychiatric rating scale. Psychol Rep 10:799–812
Pogue-Geile MF, Harrow M (1984) Negative and positive symptoms in schizophrenia and depression: a follow-up. Schizophr Bull 10:371–385
Pogue-Geile MF, Zubin J (1988) Negative symptomatology and schizophrenia: a conceptual and empirical review. Int J Ment Health 16:3–45
Schubart C, Krumm B, Biehl H, Schwarz R (1986a) Measurement of social disability in a schizophrenic patient group. Definition, assessment and outcome over 2 years in a cohort of schizophrenic patients of recent onset. Soc Psychiatry 21:1–9
Schubart C, Schwarz R, Krumm B, Biehl H (1986b) Schizophrenie und soziale Anpassung-Eine prospektive Längsschnittuntersuchung. Springer, Heidelberg Berlin New York
Strauss JS, Carpenter WT (1974) Characteristic symptoms and outcome in schizophrenia. Arch Gen Psychiatry 30:429–434
Riecher A, Maurer K, Löffler W, Fätkenheuer B, an der Heiden W, Häfner H (1989) Schizophrenia-a disease of young single males? Eur Arch Psychiatry Neurol Sci 239:210–212
Venables PH (1957) A short scale for rating “activity-withdrawal” in schizophrenics. J Ment Sci 103:197–199
Wing JK (1961) A simple and reliable subclassification of chronic schizophrenia. J Ment Sci 107:862–875
Wing JK, Cooper JE, Sartorius N (1974) The measurement and classification of psychiatric symptoms. Cambridge University Press, Cambridge
World Health Organization (1988) WHO psychiatric disability assessment schedule (WHO/DAS). WHO, Geneva
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Maurer, K., Häfner, H. (1991). Dependence, Independence or Interdependence of Positive and Negative Symptoms. In: Marneros, A., Andreasen, N.C., Tsuang, M.T. (eds) Negative Versus Positive Schizophrenia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76841-5_11
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DOI: https://doi.org/10.1007/978-3-642-76841-5_11
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