Large-Scale Evaluation of The Positive And Negative Syndrome Scale Essay
Discussion Response
Thank you for your discussion of the Positive and Negative Syndrome Scale (PANSS). In my discussion post, I chose to delve into Brief Psychiatric Rating Scale (BPRS), which is also commonly used to evaluate the severity of symptoms in individuals with schizophrenia. The BPRS is a 24-item scale that assesses positive symptoms (such as hallucinations and delusions), negative symptoms (such as emotional withdrawal and blunted affect), and general psychopathology (including anxiety and depression) (Shafer & Dazzi, 2021).
One key difference between the PANSS and the BPRS is the number of items on the scale. The PANSS has 30 items, while the BPRS has 24 items. This means that the PANSS is able to provide a more detailed assessment of symptoms, but may also be more time-consuming to administer (Lim et al., 2020). Another difference is that the PANSS includes items specifically related to positive symptoms, while the BPRS does not. This means that the PANSS may be more sensitive to detecting changes in positive symptoms, while the BPRS may be more sensitive to detecting changes in negative symptoms. Large-Scale Evaluation of The Positive And Negative Syndrome Scale Essay
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Overall, both the PANSS and the BPRS are useful assessment tools for evaluating the severity of symptoms in individuals with schizophrenia. The choice of which scale to use may depend on the specific goals of the assessment and the time available for administration.
References
Lim, K., Peh, O., Yang, Z., Rekhi, G., Rapisarda, A., See, Y., Rashid, N. A., Ang, M., Lee, S., Sim, K., Huang, H., Lencz, T., Lee, J., & Lam, M. (2020). Large-scale evaluation of the positive and negative syndrome scale (PANSS) symptom architecture in schizophrenia. https://doi.org/10.1101/2020.08.10.20170662
Shafer, A., & Dazzi, F. (2021). Meta-analytic exploration of the joint factors of the brief psychiatric rating scale – Expanded (BPRS-E) and the positive and negative symptoms scales (PANSS). Journal of Psychiatric Research, 138, 519-527. Large-Scale Evaluation of The Positive And Negative Syndrome Scale Essay
Respond to at least two of your colleagues on 2 different days by comparing your assessment tool to theirs.
Jean Nikubwayo
WednesdayDec 7 at 10:38pm
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Psychiatric Interview
The first important part of a psychiatric interview is to establish initial rapport with the patient, and ask about the presenting complaint or problems, i.e., what has brought the patient to the first meeting. Some patients tell their stories without much guidance from the interviewer, whereas others require explicit instructions in the form of specific questions to help them organize their thoughts. During this phase of the first interview, the patient should be allowed to follow his or her own thought patterns as much as possible. The second important part is to elicit specific information, including a history of the presenting problems, pertinent medical information, family background, social history, and specific symptom and behavioral patterns. The third important part is to answer to patientâ€
s questions. It is important to ask if the patient has any questions or unmentioned concerns. It is equally important to make recommendations to the patient for further evaluation and/or beginning treatment. Large-Scale Evaluation of The Positive And Negative Syndrome Scale Essay
Positive and Negative Syndrome Scale (PANSS)
Positive and Negative Syndrome Scale (PANSS) is one of the validated instruments used to assess positive, negative, and general psychopathology Links to an external site. associated with schizophrenia. The PANSS is a standardized, clinical interview that rates the presence and severity of positive and negative symptoms, as well as general psychopathology for people with schizophrenia within the past week. It consists of 30 items that allows providers to measure a patientâ€s clinical response to pharmacological treatment (Kumari et al., 2017). Of the 30 items, seven are positive symptoms, seven are negative symptoms, and 16 are general psychopathology symptoms. Symptoms severity for each item is rated on a 7-point scale (1 = absent; 7 = extreme).
As indicated by the name, a special focus lays on the measurement of positive and negative symptoms: there are seven items measuring positive symptoms, seven for negative symptoms and 16 items corresponding to general symptoms (Opler et al., 2017). The positive symptoms comprise of delusions, conceptual disorganization, hallucinations, hyperactivity, grandiosity, suspiciousness, and hostility and together form a positive subscale. In the negative items, the symptoms blunted affect, emotional withdrawal, poor rapport, apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and stereotyped thinking are included. Together, they form the negative subscale. The 16 general and respectively global items measure symptoms like anxiety, tension, mannerism, unusual thought contents or disorientation (Aborava & Nasrallah, 2016). Large-Scale Evaluation of The Positive And Negative Syndrome Scale Essay