OBJECTIVE: Clinical scales have become established as tools to quantify
phenomenological features of schizophrenia. The goal of this study was to
examine relations among the following: the Brief Psychiatric Rating Scale
(BPRS), the Scale for the Assessment of Positive Symptoms, the Scale for
the Assessment of Negative Symptoms, and the deficit- nondeficit
classification. METHOD: Forty-seven patients with schizophrenia were
recruited according to specific inclusion and exclusion criteria. The
standardized assessment procedures were administered by a trained
psychiatric research team. RESULTS: Examination of the BPRS showed that the
patients had highest scores on the thought disorder factor and the symptoms
specific to schizophrenia. Classification of patients as having the
positive, negative, or mixed type of schizophrenia resulted in a finding of
seven with the positive, seven with the negative, and 33 with the mixed
type. The division of patients into those with the deficit syndrome (N =
29) and those without (N = 18) was related to symptom specificity and to
positive and negative symptoms. Deficit syndrome patients had more symptoms
specific to schizophrenia, fewer nonspecific symptoms, and, as expected,
greater severity of negative symptoms. Cluster analysis revealed three
clusters of patients: those with low negative symptom scores and high
scores on specific symptoms (the majority were without the deficit
syndrome); those with high scores on negative, positive, and specific
symptoms (the majority had the deficit syndrome); and those with lower
scores on specific symptoms and high scores on negative and positive
symptoms (the majority had the deficit syndrome). CONCLUSIONS: The scales
showed some overlap but also seemed to measure complementary aspects of the
phenomenology of schizophrenia. Subtypes of patients identified by the
combined use of these scales may differ in underlying pathology.Abstract Teaser