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Long-Term Outcome of Patients with a Positive Initial Episode Versus Patients with a Negative Initial Episode

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Negative Versus Positive Schizophrenia

Abstract

The dichotomy of schizophrenic disorders into positive and negative subtypes (Andreasen and Olsen 1982; Andreasen 1990; Andreasen et al, 1991) and other dichotomies close to this distinction - such as Crow’s (1980) dichotomy into type I and type II schizophrenia or Farmer’s dichotomy (Farmer et al. 1983, 1984) into H-type and P-type of schizophrenia - goals to identify (additional to other correlations) also different degrees of severity of the illness. The negative subtype is said to be more severe than the positive (Andreasen et al., 1991); but the discussion reagarding the prognostic value of negative and positive symptoms is much older than the modern concept of negative and positive symptomatology in schizophrenia. More than 50 years ago Langfeldt (1937) found that blunted affect during an acute episode was prognostically unfavorable (see also Berrios 1991; Häfner and Maurer 1991; Lieberman et al. 1991; Meitzer 1991).

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References

  • Andreasen NC (1990) Positive and negative symptoms: historical and conceptual aspects. In: Andreasen NC (ed) Schizophrenia: positive and negative symptomes and syndromes. Karger, Basel

    Google Scholar 

  • Andreasen NC, Olsen S (1982) Negative vs. positive schizophrenia. Arch Gen Psychiatry 39:789–894

    Article  PubMed  CAS  Google Scholar 

  • Andreasen NC, Flaum M, Arndt S, Alliger R, Swayze VW (1991) Positive and negative symptoms: assessment and validity. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Angst J (1980) Verlauf unipolar depressiver, bipolar manisch-depressiver und schizo-affektiver Erkrankungen und Psychosen. Fortschr Neurol Psychiatr 48:3–30

    Article  CAS  Google Scholar 

  • Astrup C, Fossum A, Holmboe R (1962) Prognosis in functional psychoses. Thomas, Springfield

    Google Scholar 

  • Berrios GE (1991) Positive and negative signals: a conceptual history. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • 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-results of a prospective 5-year follow-up study. Eur Arch Psychiatry Neurol Sci 236:139–147

    Article  PubMed  CAS  Google Scholar 

  • Biehl H, Maurer K, Jablensky A, Cooper JE, Tomov T (1989) The PIRS/WHO. I: introducing a new instrument for rating observed behaviour and the rationals of the psychological impairment concept. Br J Psychiatry 155 (Suppl 7): 68–70

    Google Scholar 

  • Bland RC, Parker JH, Orn H (1978) Prognosis in schizophrenia. Arch Gen Psychiatry 35:72– 77

    Article  PubMed  CAS  Google Scholar 

  • Carpenter WT, Bartko JJ, Strauss JS, Hawk AB (1978) Signs and symptoms as predictors of outcome: a report from the International Pilot Study of Schizophrenia. Am J Psychiatry 135:940–944

    PubMed  CAS  Google Scholar 

  • Crow TJ (1980) Molecular pathology of schizophrenia: more than one disease process? Br Med J (Clin Res) 280:66–68

    Article  CAS  Google Scholar 

  • Deister A, Marneros A, Rohde A (1990a) Zur Stabilität negativer und positiver Syndroma-tik. In: Möller HJ (ed) Neuere Ansätze zur Diagnostik und Therapie schizophrener Minussymptomatik. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Deister A, Marneros A, Rohde A, Staab B, Jünemann H (1990b) Long-term outcome of affective, schizoaffective, and schizophrenic disorders: a comparison. In: Marneros A, Tsuang MT (eds) Affective and schizoaffective disorders: similarities and differences. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Endicott J, Spitzer RL, Fleiss JL, Cohen J (1976) The Global Assessment Scale. A Procedure for Measuring Overall Severity of Psychiatric Disturbance. Arch Gen Psychiatry 33:766– 771

    Article  PubMed  CAS  Google Scholar 

  • Farmer AE, McGuffin P, Spitznagel E (1983) Heterogeneity in schizophrenia. A cluster analytic approach. Psychiatry Res 8:1–12

    Article  PubMed  CAS  Google Scholar 

  • Farmer AE, McGuffin P, Gottesmann II (1984) Searching for the split in schizophrenia: a twin study perspective. Psychiatry Res 13:109–118

    Article  PubMed  CAS  Google Scholar 

  • Gift TE, Strauss JS, Kokes RF et al. (1980) Schizophrenia: affect and outcome. Am J Psychiatry 137:580–585

    PubMed  CAS  Google Scholar 

  • Häfner H, Maurer K (1991) Are there two types of schizophrenia? True onset and sequence of positive and negative syndromes prior to first admission. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Hollingshead AB, Redlich FC (1958) Social class and mental illness. Wiley, New York

    Book  Google Scholar 

  • Jung E, Krumm B, Biehl H, Maurer K, Bauer-Schubart C (1989) Disability Assessment Schedule. DAS-M Mannheimer Skala zur Einschätzung sozialer Behinderung. Beltz, Weinheim

    Google Scholar 

  • Kleining G, Moore H (1968) Soziale Selbsteinstufung (SSE)-Ein Instrument zur Messung sozialer Schichten. Köln Z Soziol Sozialpsychol 20:502–552

    Google Scholar 

  • Knight RA, Roff JD (1985) Affectivity in schizophrenia. In: Alpert M (ed) Controversies in schizophrenia. Guilford, New York

    Google Scholar 

  • Langfeldt G (1937) The prognosis in schizophrenia and the factors influencing the course of the disease. Acta Psychiatr Scand (Suppl) 13

    Google Scholar 

  • Lieberman JA, Jody D, Alvir JM, Borenstein M, Mayerhoff DI (1991) Negative symptoms in schizophrenia. Relationship to positive symptoms and outcome. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Lindenmayer JP, Kay SR (1989) Depression, affect and negative symptoms in schizophrenia. Br J Psychiatry 155 (Suppl 7) :108–114

    Google Scholar 

  • Marneros A, Deister A, Rohde A (1986a) The Cologne Study on schizoaffective disorders and schizophrenia suspecta. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York

    Chapter  Google Scholar 

  • Marneros A, Rohde A, Deister A (1986b) Features of schizoaffective disorders: the “cases-in-between”. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York

    Chapter  Google Scholar 

  • Marneros A, Rohde A, Deister A, Risse A (1986c) Schizoaffective disorders: the prognostic value of the affective component. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York

    Chapter  Google Scholar 

  • Marneros A, Deister A, Rohde A, Steinmeyer EM, Jünemann H (1989a) Long-term outcome of schizoaffective and schizophrenic disorders: a comparative study. Part I. Definitions, methods, psychopathological and social outcome. Eur Arch Psychiatry Neurol Sci 238:118–125

    Article  PubMed  CAS  Google Scholar 

  • Marneros A, Steinmeyer EM, Deister A, Rohde A, Jünemann H (1989b) Long-term outcome of schizoaffective and schizophrenic disorders: a comparative study. Part III. The social consequences. Eur Arch Psychiatry Neurol Sci 238:135–139

    Article  PubMed  CAS  Google Scholar 

  • Marneros A, Deister A, Rohde A (1990a) Sociodemographic and premorbid features of schizophrenic, schizoaffective and affective disorders. In: Marneros A, Tsuang MT (eds.) Schizoaffective and affective disorders: similarities and differences. Springer, Berlin Heidelberg New York

    Chapter  Google Scholar 

  • Marneros A, Deister A, Rohde A (1990b) Autarkie und Autarkiebeeinträchtigung bei schizophrenen Patienten. Nervenarzt 61:503–508

    Google Scholar 

  • Marneros A, Deister A, Rohde A (1991a) Affektive, schizoaffektive und schizophrene Psychosen. Eine vergleichende Langzeitstudie. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Marneros, Deister A, Rohde A (1991b) Long-term investigations in stability of negative/positive distinction. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Meitzer HY (1991) The effect of clozapine and other atypical antipsychotic drugs on negative symptoms. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Pogue-Geile MF (1989) The prognostic significance of negative symptoms in schizophrenia. Br J Psychiatry 155 (Suppl 7): 123–127

    Google Scholar 

  • Pogue-Geile MF, Harrow M (1985) Negative symptoms in schizophrenia: their longitudinal course and prognostic importance. Schizophr Bull 11:427–439

    PubMed  CAS  Google Scholar 

  • Rohde A, Marneros A, Deister A (1991) Premorbid and sociodemographic features of initially positive and initially negative schizophrenia. In: Marneros A, Andreasen NC, Tsuang MT (eds) Negative vs. positive schizophrenia. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Schubart C, Schwarz R, Krumm B, Biehl H (1986a) Schizophrenie und soziale Anpassung. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Schubart C, Krumm B, Biehl H, Schwarz R (1986b) Measurement of social disability in a schizophrenic patient group. Soc Psychiatry 21:1–9

    Article  PubMed  CAS  Google Scholar 

  • Singh MM, Kay SR (1988) Is the positive-negative distinction in schizophrenia valid? Br J Psychiatry 150:879–880

    Article  Google Scholar 

  • Spitzer RL, Gibbon M, Endicott J (1976) The global assessment scale. Arch Gen Psychiatry 33: 768

    Article  Google Scholar 

  • World Health Organization (WHO) (1979) Schizophrenia. An international follow-up study. Wiley, New York

    Google Scholar 

  • World Health Organization (WHO) (1988) WHO Psychiatric Disability Assessment Schedule (WHO/DAS). WHO, Geneva

    Google Scholar 

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Author information

Authors and Affiliations

  1. Psychiatrische Universitätsklinik, Sigmund-Freud-Straße 25, W-5300, Bonn, Germany

    A. Rohde

Authors
  1. A. Deister
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  2. A. Marneros
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  3. A. Rohde
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Editor information

Editors and Affiliations

  1. Psychiatrische Universitätsklinik, Sigmund-Freud-Straße 25, W-5300, Bonn, Germany

    Andreas Marneros

  2. Department of Psychiatry, University of Iowa, 500 Newton Road, Iowa City, IO, 52242, USA

    Nancy C. Andreasen MD., Ph. D.

  3. Harvard Departments of Psychiatry and Epidemiology, Brockton/West Roxbury VA Medical Center, 940 Belmont Street, Brockton, MA, 02401, USA

    Ming T. Tsuang MD., Ph. D., D. Sc.

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© 1991 Springer-Verlag Berlin Heidelberg

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Deister, A., Marneros, A., Rohde, A. (1991). Long-Term Outcome of Patients with a Positive Initial Episode Versus Patients with a Negative Initial Episode. 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_14

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  • DOI: https://doi.org/10.1007/978-3-642-76841-5_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-76843-9

  • Online ISBN: 978-3-642-76841-5

  • eBook Packages: Springer Book Archive

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