PANSS.pdf

PANSS

https://www.cognitiongroup.com

Positive and Negative Syndrome Scale (PANSS)

Introduction

https://www.cognitiongroup.com/�


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).


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.


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.


Symptoms PANSS obtains specific information about range of

symptoms:

• Poor impulse control • Anxiety

• Poor impulse control • Delusions

• Somatic concerns • Unusual thought content

• Depression • Suspiciousness/persecution

• Feelings of guilt • Passive/apathetic social withdrawal

• Grandiosity • Active social avoidance


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


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


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


Item Points General Psychopathology: Items (G1-G16)

• G1. Somatic concerns • G9. Unusual thought content

• G2. Anxiety • G10. Disorientation

• G3. Guilt feelings • G11. Poor attention

• G4. Tension • G12. Lack of judgment and insight

• G5. Mannerisms/ posturing • G13. Disturbance of volition

• G6. Depression • G14. Poor impulse control

• G7. Motor retardation • G15. Preoccupation

• G8. Uncooperativeness • G16. Active social avoidance


References Main reference: Kay SR, Fiszbein A, Opler LA: The

Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin 13:261-276, 1987a.

Documents

PANSS.pdf