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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1991-4-19
|
| pubmed:abstractText |
This article reviews the cumulative research on positive and negative syndromes in schizophrenia undertaken at the Albert Einstein College of Medicine. A strictly operationalized and standardized syndrome scale was applied in multidimensional, cross-sectional, prospective, longitudinal, phasic, and drug-free studies. The following conclusions about positive and negative syndromes were reached: they can be reliably assessed; they are normally distributed and theoretically independent, thus representing dimensions rather than coexclusive subtypes of schizophrenia; they differ in their association with premorbid functioning, family history of illness, cognitive profile, and neurological signs; their significance appears phase-specific, however, with ominous implications for a negative syndrome found only in the chronic stage; their magnitude is comparably high in all stages of the illness, challenging the view of a progressive negative state; they are stable under drug-free conditions and across months of drug therapy; they both improve with neuroleptics, with marginally better response for positive syndrome; worse long-range outcome is predicted by positive syndrome, especially by disorganized thinking, whereas worse short-term outcome is predicted by both syndromes; the positive-negative distinction, though valid, is incomplete as a model of schizophrenic phenomenology, which must include unrelated depressive and excited components; and Kraepelinian subtypes of schizophrenia seem to comprise not single pathological processes but a hybrid of unrelated, co-occurring syndromes.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0586-7614
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
16
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
635-52
|
| pubmed:dateRevised |
2005-11-16
|
| pubmed:meshHeading | |
| pubmed:year |
1990
|
| pubmed:articleTitle |
Significance of the positive-negative distinction in schizophrenia.
|
| pubmed:affiliation |
Department of Psychiatry, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
|
| pubmed:publicationType |
Journal Article,
Review
|