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Objective: The purpose of this study was to test the reliability and validity of a new assessment instrument for positive and negative symptoms in severely disturbed children and adolescents Kiddie-PANSS. Method: The Positive and Negative Syndrome Scale for adult schizophrenia was modified through successive field trials on the basis of developmental characteristics of children and adolescents.

All patients with schizophrenia were placed in the schizophrenic group, and all others were placed in a general inpatient group. The Achenbach Child Behavior Checklist, the Scale for the Assessment of Positive Symptoms, and the Scale for the Assessment of Negative Symptoms were also administered in order to determine criterion-related association. Results: Intraclass correlation coefficients revealed that all subscales and total psychopathology were reliably assessed among raters. Differences on measures of positive, negative, and general psychopathology, as measured by the Kiddie-PANSS, between the patients with schizophrenia and the general inpatient group were highly significant.

In a cohort of inpatient children and adolescents the scale successfully differentiated schizophrenic patients from nonschizophrenic patients. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search. Advanced Clipboard. Create file Cancel. Email citation To:. Format: Summary Summary text Abstract Abstract text.

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Psychiatry Res. Epub Aug PMID: Acta Psychiatr Scand. Kay SR, et al. J Nerv Ment Dis. Schultze-Lutter F, et al. Z Kinder Jugendpsychiatr Psychother.

PMID: Review. Acta Psychiatr Scand Suppl. Show more similar articles See all similar articles. Downs J, et al. Schizophr Bull. Facial emotional expression in schizophrenia adolescents during verbal interaction with a parent. Lotzin A, et al. Eur Arch Psychiatry Clin Neurosci. Epub Dec Psychosis in children: diagnosis and treatment.

Courvoisie H, et al. Dialogues Clin Neurosci. Serum SB: a potential biomarker for suicidality in adolescents? Falcone T, et al. PLoS One. Ethnic variation in symptoms and response to risperidone in youths with schizophrenia-spectrum disorders. Patel NC, et al. Soc Psychiatry Psychiatr Epidemiol. Epub Feb 8. Show more "Cited by" articles See all "Cited by" articles. MeSH terms Adolescent Actions.

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Positive-negative symptom assessment in schizophrenia: Psychometric issues and scale comparison

It is widely used in the study of antipsychotic therapy. The scale is known as the "golden standard" that all assessments of psychotic behavioral disorders should follow. 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. Some of these functions which may be lost include normal thoughts, actions, ability to tell fantasies from reality, and the ability to properly express emotions. 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. As 1 rather than 0 is given as the lowest score for each item, a patient can not score lower than 30 for the total PANSS score. Scores are often given separately for the positive items, negative items, and general psychopathology.


Positive and Negative Syndrome Scale

We'd like to understand how you use our websites in order to improve them. Register your interest. The positive-negative distinction has emerged as a meaningful basis for understanding the heterogeneity of schizophrenia and treatment alternatives, but its delineation requires carefully devised, well validated techniques. This article considers the psychometric requisites for such an instrument and describes 30 criteria associated with operationalization, scale construction, and standardization. The Positive and Negative Syndrome Scale PANSS is described as an effort to approach these principles of test standardization, and its clinical and research applications are discussed. This is a preview of subscription content, log in to check access.

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