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The PANSS is a 30-item rating scale used to assess symptoms in patients with schizophrenia. It measures both positive symptoms like delusions and hallucinations, as well as negative symptoms such as social withdrawal and blunted affect. Trained health professionals rate the prominence, frequency, and impact of various symptoms based on a 45-50 minute interview. Symptoms are rated on a scale and fall under positive, negative, or general psychopathology categories.

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17K views10 pages

Panss PDF

The PANSS is a 30-item rating scale used to assess symptoms in patients with schizophrenia. It measures both positive symptoms like delusions and hallucinations, as well as negative symptoms such as social withdrawal and blunted affect. Trained health professionals rate the prominence, frequency, and impact of various symptoms based on a 45-50 minute interview. Symptoms are rated on a scale and fall under positive, negative, or general psychopathology categories.

Uploaded by

Jana Chihai
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Positive and Negative Syndrome Scale (PANSS)

Introduction

PANSS

https://www.cognitiongroup.com

Positive and Negative Syndrome Scale (PANSS)

Overview
The PANSS, developed by SR Kay et al is a 30-item rating scale that is specifically developed to assess individuals with schizophrenia and is used very widely in research settings. The PANSS is an adaption from earlier psychopathology scales, including the Brief Psychopathology Rating Scale (BPRS).

Positive and Negative Syndrome Scale (PANSS)

Overview
PANSS is based upon the premises that schizophrenia has two distinct syndromes, a positive and a negative syndrome. The positive syndrome includes those productive features such as delusions and hallucinations, while the negative syndrome includes those features which are lacking/poorly developed in individuals with schizophrenia, such as social withdrawal and flattened or blunted affect.

Positive and Negative Syndrome Scale (PANSS)

Overview
Target Population: patients with schizophrenia. Time taken: 45 to 50 minutes Main indication: Determines presence of symptom, frequency and influence on activities / functioning Rating performed by: Trained health professionals.

Positive and Negative Syndrome Scale (PANSS)

Symptoms
PANSS obtains specific information about range of symptoms:
Poor impulse control Poor impulse control Somatic concerns Depression Feelings of guilt Grandiosity Anxiety Delusions Unusual thought content Suspiciousness/persecution Passive/apathetic social withdrawal Active social avoidance

Positive and Negative Syndrome Scale (PANSS)

Symptoms
Before rating are assigned it is important to establish presence & severity of symptoms
Prominence of abnormal manifestations Frequency of occurrence Disruptive impact on daily functioning, Disorientation, difficulty in abstract thinking, judgment, insight

Positive and Negative Syndrome Scale (PANSS)

Item Points
The Seven Positive Symptom : Items (P1-P7)
P1 Delusions P2 Conceptual Disorganization P3 Hallucinatory Behavior P4 Excitement P5 Grandiosity P6 Suspiciousness/persecution P7 Hostility

Positive and Negative Syndrome Scale (PANSS)

Item Points
The Seven Negative Symptom: Items (N1-N7)
N1 Blunted affect N2 Emotional withdrawal N3 Poor rapport N4 Passive/apathetic social withdrawal N5 Difficulty in abstract thinking N6 Lack of spontaneity and conversation flow N7 Stereotyped thinking

Positive and Negative Syndrome Scale (PANSS)

Item Points
General Psychopathology: Items (G1-G16)
G1. Somatic concerns G2. Anxiety G3. Guilt feelings G4. Tension G5. Mannerisms/ posturing G6. Depression G7. Motor retardation G8. Uncooperativeness G9. Unusual thought content G10. Disorientation G11. Poor attention G12. Lack of judgment and insight G13. Disturbance of volition G14. Poor impulse control G15. Preoccupation G16. Active social avoidance

Positive and Negative Syndrome Scale (PANSS)

References
Main reference: Kay SR, Fiszbein A, Opler LA: The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin 13:261-276, 1987a.

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