Depressive symptoms in stable chronic schizophrenia: prevalence and relationship to psychopathology and treatment
Abstract
The prevalence and correlates of the depressive syndrome were explored in a population of 120 patients with stable, chronic schizophrenia living in the community. The presence of clinically significant depressive symptoms was defined by a score of 17 or greater on the Beck Depression Inventory. Patients were examined to assess severity of schizophrenic symptoms and medication side-effects. Sixteen of the 120 patients (13.3%) had significant depressive symptoms. Depressive symptoms were significantly correlated with the hostility/suspiciousness (P<0.0001), the positive symptom (P=0.0009) factor of the BPRS and with scores on the Significant Others Scale, a measure of patients' perceived lack of social support (P=0.0004). The association between depression and akathisia approached significance (P=0.007). There was no correlation with demographic variables, alcohol intake, antipsychotic dosage or anticholinergic dosage. Using a scale that rates the subjective aspects of the depressive syndrome, we found no evidence of a relationship between depression and negative symptoms in this population. These results indicate that persistent depressive symptoms in stable patients in the community are related to the degree of persistent positive psychotic symptoms, patient perceptions of social support and, weakly, to the degree of akathisia but not other aspects of antipsychotic treatment.
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Depression and anxiety are strongly associated with positive symptoms, negative symptoms, psychotic relapses and impaired social function, and are among the best symptom predictors of quality of life outcomes in people with SSDs.
“Depression and anxiety are strongly associated with positive symptoms,2,3,5–7,9 negative symptoms,2,8 psychotic relapses3,9 and impaired social function,3,5,9 and are among the best symptom predictors of quality of life outcomes in people with SSDs.2–9”
From Dispositional Mindfulness and Psychotic Symptoms in Schizophrenia Spectrum Disorders: The Mediating Roles of Rumination and Negative Emotion (2022) · cites this paper as [5]
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Obsessive–compulsive symptoms in schizophrenia: a review
Grover, S., Sahoo, S., & Surendran, I. (2018) · Acta Neuropsychiatrica · doi:10.1017/neu.2018.27 · Cited by 35 · see citing works
“5% have OCD) (1,2), depression (13–25%) (3) and substance use disorders (45– 50%) (4).”
Social Integration of People with Serious Mental Illness: Network Transactions and Satisfaction
Wong, Y.-L. I., Matejkowski, J. C., & Lee, S. (2010) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-009-9203-1 · Cited by 35 · see citing works
Adjunctive use of reboxetine in schizophrenia
Raedler, T. J., Jahn, H., Arlt, J., Kiefer, F., Schick, M., Naber, D., & Wiedemann, K. (2004) · European Psychiatry · doi:10.1016/j.eurpsy.2004.06.017 · Cited by 32 · see citing works
“Recent studies found prevalence-rates between 13% and 27% in stable schizophrenic outpatients [3,5,29].”
BackgroundLipkovich, I. A., Deberdt, W. G., Csernansky, J. G., Buckley, P. F., Peuskens, J., Kollack‐Walker, S., Rotelli, M. D., & Houston, J. (2009) · Psychiatry Research · doi:10.1016/j.psychres.2008.09.004 · Cited by 32 · see citing works
Atypical antipsychotics for people with both schizophrenia and depression
Furtado, V. A., Srihari, V. H., & Kumar, A. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005377.pub2 · Cited by 31 · see citing works
Vita, A., Barlati, S., Deste, G., Nibbio, G., Penn, D. L., Pinkham, A. E., McIntyre, R. S., & Harvey, P. D. (2023) · Psychological Medicine · doi:10.1017/s0033291723002106 · Cited by 29 · see citing works
“Depressive symptoms should be carefully assessed and receive dedicated treatment in people with schizophrenia (Baynes et al., 2000; Conley, Ascher-Svanum, Zhu, Faries, & Kinon, 2007; Lako et al., 2012; Mulholland & Cooper, 2000).”
BackgroundRiedel, M. J., Mayr, A. J., Seemüller, F., Maier, W., Klingberg, S., Heuser, I., Klosterkötter, J., Gastpar, M., Schmitt, A., Sauer, H., et al. (2011) · The World Journal of Biological Psychiatry · doi:10.3109/15622975.2011.552633 · Cited by 28 · see citing works
“This might be due to the fact that patients perceiving themselves to have poor social support are more likely depressed as Baynes et al. report (Baynes et al. 2000).”
BackgroundHou, C., Ma, X.-R., Cai, M.-Y., Li, Y., Zang, Y., Jia, F., Lin, Y.-Q., Chiu, H. F. K., Ungvari, G. S., Hall, B. J., et al. (2016) · Community Mental Health Journal · doi:10.1007/s10597-016-0023-5 · Cited by 28 · see citing works
“…mood disorders, peri- and postnatal complications of brain development, neuroticism, high dose of antipsychotics, extrapyramidal side effects and female gender (Baynes et al. 2000; Gozdzik-Zelazny et al. 2011; Hafner et al. 2005; Maier et al. 2002; Murali and Ravi Kumar 2008; van Os et al. 1999).”
BackgroundResultInfluentialVahia, I. V., Bankole, A., Reyes, P., Diwan, S., Palekar, N., Sapra, M., RAMIREZ, P. M., & Cohen, C. I. (2007) · Aging Health · doi:10.2217/1745509x.3.3.383 · Cited by 26 · see citing works
“It is associated with positive symptoms and does not seem to have a correlation with negative symptoms [23,24].”
BackgroundThe Relationships Among Insight, Social Support, and Depression in Psychosis
Kaiser, S. L., Snyder, J. A., Corcoran, R., & Drake, R. (2006) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000242975.96932.4c · Cited by 25 · see citing works
“Various studies have found that satisfaction with social support has inverse associations with insight (White et al., 2000) and with depression (Baynes et al., 2000; Sim et al., 2004).”
BackgroundMusco, S. E., McAllister, V., & Caudle, I. (2020) · Therapeutic Advances in Psychopharmacology · doi:10.1177/2045125320937575 · Cited by 21 · see citing works
Arabska, J., Łucka, A., Strzelecki, D., & Wysokiński, A. (2018) · Neuroscience Letters · doi:10.1016/j.neulet.2018.08.005 · Cited by 20 · see citing works
Calderon-Mediavilla, M., Vila‐Badia, R., Dolz, M., Butjosa, A., Barajas, A., Cacho, N. D., Sánchez, B., Pardo, M., Baños, I., Usall, J., et al. (2020) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-020-01618-0 · Cited by 21 · see citing works
“[28] and Goldman, Tandon, Liberzon, and Greden [29] found no relationship between both variables.”
BackgroundDrug Treatment of Depressive Symptoms in Schizophrenia
Möller, H. (2008) · Clinical Schizophrenia & Related Psychoses · doi:10.3371/csrp.1.4.4 · Cited by 20 · see citing works
Machado‐Alba, J. E., Morales-Plaza, C. D., & Solarte, M. J. (2011) · Revista Panamericana de Salud Pública · doi:10.1590/s1020-49892011001100009 · Cited by 17 · see citing works
“Las comorbilidades generales que se asocian más frecuentemente con la depresión son enfermedad coronaria (14,0– 47,0%) (13), insuficiencia cardíaca congestiva (60,0%) (14), ictus (38,0%) (15), hipertensión (53,0%) (16), cáncer (38,0%) (17), enfermedad de Parkinson, (37,0%) (18), VIH/sida (37,0%) (19), hipotiroidismo (…”
BackgroundDepressão na esquizofrenia: prevalência e relação com a qualidade de vida
Cardoso, C. S., Caiaffa, W. T., Bandeira, M. D. B., Siqueira, A. L., Silva, J. T., & Fonseca, J. O. P. (2007) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2007000900012 · Cited by 17 · see citing works
Hertel, P., Didriksen, M., Pouzet, B., Brennum, L. T., Søby, K. K., Larsen, A. K., Christoffersen, C. T., Ramírez, T., Marcus, M. M., Svensson, T. H., et al. (2007) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2007.06.052 · Cited by 16 · see citing works
Polypharmazie in der Behandlung der Schizophrenie
Messer, T., Tiltscher, C., & Schmauß, M. (2009) · Springer eBooks · doi:10.1007/978-3-211-79826-3_2 · Cited by 15 · see citing works
Parker, S., Arnautovska, U., Korman, N., Harris, M., & Dark, F. L. (2022) · Community Mental Health Journal · doi:10.1007/s10597-022-01023-8 · Cited by 15 · see citing works
“For BPRS-18 and SANS, normative data came from a study of community-dwelling individuals with clinically stable 'chronic schizophrenia' without admissions in the previous six months (n = 120) (Baynes et al., 2000).”
MethodDepression and cognitive deficits in geriatric schizophrenia
D’Antonio, E., & Serper, M. R. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.10.006 · Cited by 15 · see citing works
“Depression is more common during an acute psychotic episode, and increased depressive symptoms are generally associated with an increase in positive symptoms (Lindenmayer et al., 1991; Koreen et al., 1993; Baynes et al., 2000).”
Measuring depression in schizophrenia with questionnaires
SCHOLES, B., & Martin, C. R. (2012) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2012.01877.x · Cited by 15 · see citing works
“Despite several studies exploring these links the predominant evidence does not support the direct correlation between EPSE or antipsychotic medication and depression, particularly symptoms of low mood (Baynes et al. 2000).”
BackgroundMethodEffects of Venlafaxine Treatment on Clozapine Plasma Levels in Schizophrenic Patients
Repo‐Tiihonen, E., Eloranta, A., Hallikainen, T., & Tiihonen, J. (2005) · Neuropsychobiology · doi:10.1159/000085591 · Cited by 15 · see citing works
“In the stable phases of schizophrenia, depressive symptoms have a great impact on the quality of life of the patient [”
BackgroundGrover, S., Sahoo, S., Nehra, R., Chakrabarti, S., & Avasthi, A. (2017) · International Journal of Social Psychiatry · doi:10.1177/0020764017691314 · Cited by 14 · see citing works
“…found no association of depressive symptoms with duration of illness (DOI), positive and negative symptom scores and extrapyramidal side effects (Baynes et al., 2000; Bottlender et al., 2000; Fervaha, Foussias, Agid, & Remington, 2014; Goldman, Tandon, Liberzon, & Greden, 1992; Mauri et al.,…”
BackgroundInfluentialLam, A. H. Y., Cheung, Y. T. D., Wong, K. H., Leung, S. F., & Chien, W. T. (2022) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s338133 · Cited by 13 · see citing works
Lifetime Trauma and Suicide Attempts in People with Severe Mental Illness
O’Hare, T., Shen, C., & Sherrer, M. V. (2013) · Community Mental Health Journal · doi:10.1007/s10597-013-9658-7 · Cited by 14 · see citing works
“First, many people with severe mental illness have comorbid diagnoses (e.g., major depression, substance use disorders, PTSD), and also experience a range of overlapping symptoms despite having different primary Axis I diagnoses (Abrams et al. 2008; Baynes et al. 2000).”
BackgroundPhahladira, L. S., Asmal, L., Luckhoff, H. K., du Plessis, S. S., Scheffler, F., Kilian, S., Smit, R., Buckle, C., Chiliza, B., & Emsley, R. A. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.113767 · Cited by 13 · see citing works
Depressive Symptoms in Schizophrenia Outpatients—Prevalence and Clinical Correlates
Freudenreich, O., Tranulis, C., Cather, C., Henderson, D. C., Evins, A. E., & GOFF, D. C. (2008) · Clinical Schizophrenia & Related Psychoses · doi:10.3371/csrp.2.2.2 · Cited by 13 · see citing works
Lifetime Physical and Sexual Abuse and Self-Harm in Women With Severe Mental Illness
O’Hare, T., Shen, C., & Sherrer, M. V. (2015) · Violence Against Women · doi:10.1177/1077801215622576 · Cited by 13 · see citing works
“…with schizophrenia spectrum and major mood disorders share a range of common symptoms to one degree or another (Abrams, Rojas, & Arciniegas, 2008; Baynes et al., 2000), and because some studies with SMI samples have shown that people with major mood disorders report more trauma (including…”
BackgroundSubstance Use Motives and Severe Mental Illness
O’Hare, T., & Shen, C. (2012) · Journal of Dual Diagnosis · doi:10.1080/15504263.2012.696184 · Cited by 12 · see citing works
“Although this approach has been informative, it could be masking relationships between substance use motives and specific psychiatric symptoms since people with various diagnoses of severe mental illness can all experience symptoms of psychosis and mood disturbance to one degree or another (Baynes et al., 2000; Abrams…”
BackgroundGebhardt, S., Härtling, F., Hanke, M., Theisen, F., von Georgi, R., Grant, P. S., Mittendorf, M., Martin, M., Fleischhaker, C., Schulz, E., et al. (2007) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-007-0633-0 · Cited by 12 · see citing works
“Some studies revealed connections of akathisia with negative [17, 87] or with depressive symptoms [12, 20], whereas a study of Halstead et al.”
BackgroundResultMachado‐Alba, J. E., & Morales-Plaza, C. D. (2013) · Biomédica · doi:10.7705/biomedica.v33i3.1529 · Cited by 12 · see citing works
Pharmacokinetic interactions between clozapine and sertraline in smokers and non‐smokers
Kuzin, M., Schoretsanitis, G., Haen, E., Ridders, F., Hiemke, C., Gründer, G., & Paulzen, M. (2020) · Basic & Clinical Pharmacology & Toxicology · doi:10.1111/bcpt.13421 · Cited by 12 · see citing works
O’Hare, T., Shen, C., & Sherrer, M. V. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.08.033 · Cited by 12 · see citing works
“…similar analyses while controlling for a range of symptoms of severe mental illness given that schizophrenia spectrum disorders and major mood disorders share, to one degree or another, a range of common symptoms (e.g., psychosis, depression and mania) (Baynes et al., 2000; Abrams et al., 2008).”
Lange, S. M. M., Schirmbeck, F., Stek, M., Jansen, Y. R. M., van Rooijen, G., de Haan, L., Penninx, B., & Rhebergen, D. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.01.009 · Cited by 9 · see citing works
Bernasconi, R., Smieskova, R., Schmidt, A., Harrisberger, F., Raschle, N. M., Lenz, C., Walter, A., Simon, A. E., Riecher‐Rössler, A., Radue, E. W., et al. (2015) · NeuroImage Clinical · doi:10.1016/j.nicl.2015.04.016 · Cited by 11 · see citing works
O’Hare, T., & Sherrer, M. V. (2013) · Community Mental Health Journal · doi:10.1007/s10597-013-9620-8 · Cited by 10 · see citing works
“Although depression has been shown to be common among people with schizophrenia (Baynes et al. 2000), clients with major mood disorders reveal more severe PTSD symptoms.”
BackgroundHigher Depression Scores in Patients with Drug-Resistant Schizophrenia
Panov, G. (2022) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2105126 · Cited by 9 · see citing works
Liu, R., Fang, X., Yu, L., Wang, D., Wu, Z., Guo, C., Teng, X., Ren, J., & Zhang, C. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.792019 · Cited by 9 · see citing works
Lifetime abuse and self-harm in people with severe mental illness: A structural equation model.
O’Hare, T., Shen, C., & Sherrer, M. V. (2015) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000016 · Cited by 8 · see citing works
Prevalence and clinicians’ awareness of psychiatric comorbidities among first–episode schizophrenia
Siu, M.-W., Chong, C., & Lo, W. (2018) · Early Intervention in Psychiatry · doi:10.1111/eip.12426 · Cited by 9 · see citing works
“Akathisia has been associated with depressed mood in patients with FES (Seemüller et al., 2012) and stable schizophrenia (Baynes et al., 2000).”
BackgroundGaebler, A. J., Haen, E., Omar, N. B., Endres, K., Hiemke, C., Schoretsanitis, G., & Paulzen, M. (2023) · Pharmacology Research & Perspectives · doi:10.1002/prp2.1065 · Cited by 7 · see citing works
Abstinence self-efficacy in people with severe mental illness
O’Hare, T., & Shen, C. (2013) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2012.12.014 · Cited by 7 · see citing works
“We controlled for symptoms of psychosis and depression because they are common in both schizophrenia spectrum andmajor mood disorders (Abrams, Rojas, & Arciniegas, 2008; Baynes et al., 2000), and have been shown to correlate positively with substance use (Schwartz, Hilscher, & Hayhow, 2007).”
BackgroundBabinkostova, Z., & Stefanovski, B. (2011) · The EPMA Journal · doi:10.1007/s13167-011-0103-0 · Cited by 7 · see citing works
“In one study only 9% of the examined patients with schizophrenia, that were clinically stabile and socially accepted, had depressive symptoms [12].”
BackgroundWu, G., Ouyang, X., Yang, B. Y., Li, L., Wang, Z., Yi, W., Liu, C., Wang, P., Chiu, H. F. K., Lee, E. H. M., et al. (2012) · Asia-Pacific Psychiatry · doi:10.1111/j.1758-5872.2012.00229.x · Cited by 7 · see citing works
“, 2001), persistent depression (Baynes et al., 2000), poor social functioning (Faccincani et al.”
BackgroundForsell, Y., Levander, S., & Cullberg, J. (2004) · BMC Psychiatry · doi:10.1186/1471-244x-4-29 · Cited by 6 · see citing works
Kurlawala, Z., & Vatsalya, V. (2016) · Journal of Addiction · doi:10.1155/2016/6028971 · Cited by 6 · see citing works
Chen, Y., & Li, W. (2021) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s341297 · Cited by 7 · see citing works
O’Hare, T., Shen, C., & Sherrer, M. V. (2017) · Journal of Ethnic & Cultural Diversity in Social Work · doi:10.1080/15313204.2016.1272028 · Cited by 6 · see citing works
“…mood disorders (i.e., psychosis and depression) given that both diagnostic groups share some symptom overlap (Abrams, Rojas, & Arciniegas, 2008; Baynes et al., 2000) and PTSD symptoms have been shown to correlate moderately with symptoms of both depression and psychosis in people with SMI…”
BackgroundDécombe, A., Brinkmann, K., Merenciano, M., Capdevielle, D., Gendolla, G. H. E., & Raffard, S. (2022) · Current Psychology · doi:10.1007/s12144-022-03145-4 · Cited by 5 · see citing works
“Interestingly, depressive symptoms including negative mood (Baynes et al., 2000) and fatigue (Waters et al.”
BackgroundNegative Appraisal and Traumatic Stress Symptoms in Community Clients With Serious Mental Illness
Sherrer, M. V., Shen, C., & O’Hare, T. (2015) · Social Work in Mental Health · doi:10.1080/15332985.2014.916646 · Cited by 5 · see citing works
Li, W., Ban, C., Yue, L., Sun, L., Li, X., & Xiao, S. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.00642 · Cited by 5 · see citing works
“The study revealed several interesting findings: (1) that the APOE E3 genotype was associated with less depressive symptoms in elderly patients with schizophrenia; (2) the APOE E3 genotype was associated with higher serum low-density lipoprotein; and, (3) that there was a negative correlation between low-density lipop…”
BackgroundMethodResultFamily history in patients with schizophrenia and depressive symptoms.
Babinkostova, Z., & Stefanovski, B. (2011) · PubMed · Cited by 5 · see citing works
Clemmensen, L., Lund, C. N., Andresen, B. S., Midtgaard, J., & Glenthøj, L. B. (2024) · PLoS ONE · doi:10.1371/journal.pone.0297118 · Cited by 4 · see citing works
Substance Use Motives in People With Severe Mental Illness: Comparisons Among Four Diagnostic Groups
O’Hare, T., & Sherrer, M. V. (2012) · Journal of Social Work Practice in the Addictions · doi:10.1080/1533256x.2012.728119 · Cited by 4 · see citing works
de Araújo, F. S., Petribú, K., & Bastos, O. D. C. (2002) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462002000200010 · Cited by 4 · see citing works
Trauma and health risk behaviors in people with severe mental illness
O’Hare, T., Shen, C., & Sherrer, M. V. (2016) · Social Work in Mental Health · doi:10.1080/15332985.2016.1191584 · Cited by 3 · see citing works
“In addition, our sample includes people diagnosed with either a schizophrenia spectrum disorder or a major mood disorder, conditions that often share common symptoms such as depression and psychosis (Abrams, Rojas, & Arciniegas, 2008; Baynes et al., 2000).”
BackgroundAyalew, M., Reta, Y., & Defar, S. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-049026 · Cited by 3 · see citing works
Faget-Agius, C., Aurélie, V., Eric, G., Michel, P., Richieri, R. M., Alessandrini, M., Auquier, P., Lançon, C., & Boyer, L. (2017) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2017.09.005 · Cited by 3 · see citing works
Lifetime trauma and suicide attempts in older clients with severe mental illness
O’Hare, T., Shen, C., & Sherrer, M. V. (2018) · Social Work in Mental Health · doi:10.1080/15332985.2018.1444694 · Cited by 4 · see citing works
“Given that symptoms of depression, other mood disturbances, and psychosis often co-occur in SMI (Abrams, Rojas, & Arciniegas, 2008; Baynes et al., 2000) including in older people (Meesters et al.”
BackgroundYes, they can! Efficient physical effort mobilization according to task difficulty in schizophrenia
Décombe, A., Salesse, R. N., Jourdan, J., Laraki, Y., Capdevielle, D., & Raffard, S. (2021) · Motivation and Emotion · doi:10.1007/s11031-021-09890-6 · Cited by 3 · see citing works
“Importantly, higher depression (Baynes et al., 2000) and defeatist beliefs (Grant & Beck, 2009; Rector, 2004) had been found in patients with schizophrenia compared to healthy controls.”
BackgroundNegative symptoms in drug-naive patients with a first-episode psychosis (FEP)
Cuñat, O., Hoyo, B., Vila‐Badia, R., Serra‐Arumí, C., Butjosa, A., Cacho, N. D., Colomer-Salvans, A., Dolz, M., Cuevas‐Esteban, J., Iglesias-González, M., et al. (2023) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2023.103448 · Cited by 2 · see citing works
- Authors
- Baynes, D., Mulholland, C., Cooper, S. J., Montgomery, R. C., MacFlynn, G., Lynch, G., Kelly, C., & King, D. J.
- Affiliations
- Northern Health and Social Care Trust (GB)
- Queen's University Belfast (GB)
- Corresponding author
- Cooper, S.J.
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2000-09
- Volume
- 45
- Issue
- 1-2
- Pages
- 47-56
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2120118985
- Cited by
- 136
- References
- 61
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 4 · 2022: 8 · 2021: 8 · 2020: 5 · 2019: 3 · 2018: 7 · 2017: 10 · 2016: 10 · 2015: 9 · 2014: 3 · 2013: 4 · 2012: 5
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- depressive symptoms, chronic schizophrenia
- MeSH terms
- Adolescent, Adult, Aged, Chronic Disease, Depression, Female, Hostility, Humans, Male, Middle Aged, Brief Psychiatric Rating Scale, Psychomotor Agitation, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Severity of Illness Index, Prevalence
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