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Relationships Among Negative, Positive, and Depressive Symptoms in Schizophrenia and Psychotic Depression

Published online by Cambridge University Press:  02 January 2018

Kenji W. Sax*
Affiliation:
University of Cincinnati College of Medicine, Cincinnati, Ohio
Stephen M. Strakowski
Affiliation:
University of Cincinnati College of Medicine, Cincinnati, Ohio
Paul E. Keck Jr.
Affiliation:
University of Cincinnati College of Medicine, Cincinnati, Ohio
Vidya H. Upadhyaya
Affiliation:
University of Cincinnati College of Medicine, Cincinnati, Ohio
Scott A. West
Affiliation:
Florida Hospital, Orlando, Florida
Susan L. McElroy
Affiliation:
University of Cincinnati College of Medicine, Cincinnati, Ohio
*
Dr Sax, Biological Psychiatry Program, Department of Psychiatry, University of Cincinnati College of Medicine, 231 Bethesda Avenue (ML 559), Cincinnati, Ohio, 45267-0559, USA. Fax: (513)558-2882

Abstract

Background

We examined relationships among positive, negative, and depressive symptoms in schizophrenia and major depression with psychosis.

Method

Patients with schizophrenia (n = 17) and major depression and psychotic features (n = 25), with no prior psychopharmacologic treatment were assessed on scales measuring positive psychotic, negative, and depressive symptoms.

Results

Analyses revealed that depressive symptoms positively correlated with anhedonia/asociality and avolition/apathy in both patient groups. Positive psychotic symptoms significantly correlated with depressive symptoms in the schizophrenic group.

Conclusions

Several specific symptoms used in defining both depressive and negative syndrome constructs appear to be shared. The relationship between positive symptoms and depression in schizophrenia and not psychotic depression suggests the severity of depression may be involved in this relationship.

Type
Papers
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Andreasen, N. C. (1982) Scale for the Assessment of Negative Symptoms. Iowa City: University of Iowa College of Medicine.Google Scholar
Andreasen, N. C. (1982) Scale for the Assessment of Positive Symptoms. Iowa City: University of Iowa College of Medicine.Google Scholar
Barnes, T. R. E., Curson, D. A., Liddle, P. F., et al (1989) The nature and prevalence of depression in chronic schizophrenic in-patients. British Journal of Psychiatry, 154, 486491.Google Scholar
Carpenter, W. T. (1995) Serotonin-dopamine antagonists and treatment of negative symptoms. Journal of Clinical Psychopharmacology, 15, 3035.Google Scholar
Dollfus, S., Petit, M. & Menard, J. F. (1993) Relationship between depressive and positive symptoms in schizophrenia. Journal of Affective Disorders, 28, 6169.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 5661.Google Scholar
Harrow, M., Yonan, C. A., Sands, J. R., et al (1994) Depression in schizophrenia: Are neuroleptics, akinesia, or anhedonia involved? Schizophrenia Bulletin, 20, 327338.Google Scholar
Hirsch, S. R. (1982) Depression ‘revealed’ in schizophrenia. British Journal of Psychiatry, 140, 421423.Google Scholar
Kitamura, T. & Suga, R. (1991) Depressive and negative symptoms in major psychiatric disorders. Comprehensive Psychiatry, 32, 8894.Google Scholar
Knights, A. & Hirsch, S. R. (1981) ‘Revealed’ depression and drug treatment for schizophrenia. Archives of General Psychiatry, 38, 806811.Google Scholar
Norman, R. M. G. & Malla, A. K. (1994) Correlations over time between dysphoric mood and symptomatology in schizophrenia. Comprehensive Psychiatry, 35, 3438.CrossRefGoogle ScholarPubMed
Siris, S. G., Adan, F., Cohen, M., et al (1988) Postpsychotic depression and negative symptoms: An investigation of syndromal overlap. American Journal of Psychiatry, 145, 15321537.Google Scholar
Spitzer, R. L., Williams, J. B., Gibbon, M., et al (1990) Structured Clinical Interview for DSM–III–R Patient Edition. New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
Strakowski, S. M., Keck, P. E. Jr., McElroy, S. L., et al (1995) Chronology of comorbid and principal syndromes in first-episode psychosis. Comprehensive Psychiatry, 36, 18.Google Scholar
Whiteford, H. A., Riney, S. J. & Csernansky, J. G. (1987) Distinguishing depressive and negative symptoms in chronic schizophrenia. Psychopathology, 20, 234236.Google Scholar
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