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Four Behavioural Syndromes of Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Carol A. Harvey ,
David A. Curson ,
Christos Panteus ,
Jason Taylor  and
Thomas R. E. Barnes
Carol A. Harvey*
Affiliation:
Department of Psychiatry, Charing Cross & Westminster Medical School, London W6 8RP
David A. Curson
Affiliation:
Department of Psychiatry, Charing Cross & Westminster Medical School, London W6 8RP
Christos Panteus
Affiliation:
Cognitive Neuropsychiatry Unit, Mental Health Research Institute, Locked Bag 11, Parkville, Victoria 3052, and The University of Melbourne, Australia
Jason Taylor
Affiliation:
Warley Hospital, Brentwood, Essex CM14 5HQ
Thomas R. E. Barnes
Affiliation:
Department of Psychiatry, Charing Cross & Westminster Medical School, London
*
Carol A. Harvey, Cognitive Neuropsychiatry Unit, Mental Health Research Institute, Locked Bag 11, Parkville, Victoria 3052, Australia
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Abstract

Background

A complementary approach to defining symptomatic subtypes of schizophrenia is to identify characteristic patterns of ‘problem behaviours’ associated with the capacity of patients to function in the community.

Method

In a large epidemiological survey, patients fulfilling Feighner criteria for schizophrenia were identified by key informants and assessed using the MRC Social Behaviour Schedule (SBS) and the Manchester Scale. An exploratory factor analysis was used to extract behavioural syndromes from the SBS data in order to compare the syndrome profiles in community, acute and long-stay subgroups and to examine their associations with symptoms and social functioning.

Results

Four behavioural syndromes were identified: Thought disturbance, ‘Social withdrawal’, ‘Depressed behaviour’ and ‘Anti-social behaviour’, which distinguished between the patient subgroups and had significant differential relationships to symptoms and social functioning variables.

Conclusions

The evaluation of disability in schizophrenia and effectiveness of treatment interventions is incomplete without an assessment of problem behaviours.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 5 , May 1996 , pp. 562 - 570
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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