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, Stanley R. Kay Assistant Clinical Professor, Department of Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center , and Co-Director, Research Unit, Bronx Psychiatric Center Bronx, NY. Reprint requests should be sent to Dr. Stanley R. Kay, Research and Assessment Unit, Bronx Psychiatric Center, 1500 Waters Pl., Bronx, NY 10461. Search for other works by this author on: Oxford Academic Abraham Fiszbein Albert Einstein College of Medicine/Montefiore Medical Center and Bronx Psychiatric Center Bronx, NY. Search for other works by this author on: Oxford Academic Lewis A. Opler Associate Clinical Professor, Department of Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center, and Clinical Director, Bronx Psychiatric Center Bronx, NY. Search for other works by this author on: Oxford Academic
Dr. Opler has recently accepted a position as Director of Schizophrenia Research, Department of Psychiatry, Presbyterian Hospital, and Associate Professor of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY.
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Schizophrenia Bulletin, Volume 13, Issue 2, 1987, Pages 261–276, https://doi.org/10.1093/schbul/13.2.261
Published:
01 January 1987
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Stanley R. Kay, Abraham Fiszbein, Lewis A. Opler, The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia, Schizophrenia Bulletin, Volume 13, Issue 2, 1987, Pages 261–276, https://doi.org/10.1093/schbul/13.2.261
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Abstract
The variable results of positive-negative research with schizophrenics underscore the importance of well-characterized, standardized measurement techniques. We report on the development and initial standardization of the Positive and Negative Syndrome Scale (PANSS) for typological and dimensional assessment. Based on two established psychiatric rating systems, the 30-item PANSS was conceived as an operationalized, drug-sensitive instrument that provides balanced representation of positive and negative symptoms and gauges their relationship to one another and to global psychopathology. It thus constitutes four scales measuring positive and negative syndromes, their differential, and general severity of illness. Study of 101 schizophrenics found the four scales to be normally distributed and supported their reliability and stability. Positive and negative scores were inversely correlated once their common association with general psychopathology was extracted, suggesting that they represent mutually exclusive constructs. Review of five studies involving the PANSS provided evidence of its criterion-related validity with antecedent, genealogical, and concurrent measures, its predictive validity, its drug sensitivity, and its utility for both typological and dimensional assessment.
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Author notes
Dr. Opler has recently accepted a position as Director of Schizophrenia Research, Department of Psychiatry, Presbyterian Hospital, and Associate Professor of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY.
© Oxford University Press
Topic:
- psychiatry
- psychopathology
- schizophrenia
- predictive validity
- positive and negative symptoms
- positive and negative syndrome scale
- weight measurement scales
- severity of illness
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