Cited by 97Schizophrenia research and treatmentMental Health and PsychiatryFamily Caregiving in Mental Illness

PANSS syndromes and quality of life in schizophrenia.

Karow, A., Moritz, S., Lambert, M., Schoder, S., Krausz, M.·2005·Psychopathology

Abstract

BACKGROUND: Results from factor analysis studies have suggested that a five-dimensional structure appears to be a better representation of the psychopathological data of the PANSS. The purpose of this study was the detailed investigation of the association of schizophrenia syndromes and single symptoms with quality of life (QOL) in acute and remitted patients. The leading hypotheses were: (1) affective symptoms, especially depression and anxiety, are mostly associated with QOL longitudinally and (2) in the acute phase, QOL is also associated with positive schizophrenia symptoms. METHODS: For the present study, schizophrenia and schizophreniform patients were studied on admission, at the end of the acute phase and 6 months after hospitalization. Psychopathology was measured using the PANSS syndromes, QOL was assessed using disease-specific (SWN) and generic (MLDL, EDLQ) scales. RESULTS: Eighty-four patients entered the study and were assessed during the acute phase taking into account their history and actual treatment. Results revealed anxiety as the most important symptom and depression as the most important syndrome associated with different areas of QOL during and after hospitalization. Also cognitive and negative symptoms were associated with different QOL domains, but both positive symptom clusters showed no substantial association with QOL. CONCLUSIONS: Results of this longitudinal study investigating psychopathology and QOL in schizophrenia provide further support for the need to consider the psychopathological state and treatment setting when measuring QOL in schizophrenia and the need for a differential analysis of schizophrenia symptoms and QOL in the acute, mid-term and long-term phase. Anxiety reduction should be a critical goal of treatment in order to prevent further QOL impairment.

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Crossref · 10.1159/000088921

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  • Both severe positive symptoms and crisis-associated hospitalization are believed to contribute to secondary activation of negative symptoms and comorbid mood/anxiety disorders, resulting in increased chronification risk.

    “Both are believed to contribute to the secondary activation of negative symptoms such as poor rapport (83) and comorbid disorders like mood and anxiety disorders (84) resulting in an increased chronification risk (85).”

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Authors
Karow, A., Moritz, S., Lambert, M., Schoder, S., & Krausz, M.
Affiliations
University Medical Center Hamburg-Eppendorf (DE)
Venue
Psychopathology
Publisher
S. Karger AG
Published
2005
Volume
38
Issue
6
Pages
320-326
ISSN
  • 0254-4962 (ISSN-L)
  • 1423-033X
OpenAlex
W2025885047
Cited by
97
References
33
Citations by year
2025: 2 · 2023: 1 · 2022: 2 · 2020: 4 · 2019: 4 · 2018: 3 · 2017: 6 · 2016: 5 · 2015: 1 · 2014: 5 · 2013: 9 · 2012: 9
FWCI
4.61
Type
journal article
Language
en
Open access
closed
Locations
  • Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
Keywords
schizophrenia, quality of life, schizophrenia syndromes, affective symptoms, depression, anxiety, positive symptoms, negative symptoms, cognitive symptoms, acute phase, schizophreniform disorder
MeSH terms
Acute Disease, Adult, Anxiety, Depression, Female, Humans, Longitudinal Studies, Male, Periodicity, Psychiatric Status Rating Scales, Quality of Life, Schizophrenia, Schizophrenic Psychology, Syndrome

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