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Minerva Psichiatrica 2004 June;45(2):73-82

language: Italian

Affectivity disturbances in chronic chizofrenic patients

Settineri S., Tati F., Fanara G.


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Aim. The aim fo this paper is to verify the presence of affectivity disturbances in chronic schizophrenic patients and to confirm the adequacy of the Calgary Depression Scale for Schizophrenia (CDSS) and of the Scale for the Assessment of Positive Symptoms (SAPS) and Scale for the Assessment of Negative Symptoms (SANS) for the examination of the study group.
Methods. A total of 85 chronic schizophrenic patients with a DSM IV-R diagnosis of schizophrenia from at least 2 years were studied. We applied the SAPS-SANS for the schizophrenic symptomatology, and the CDSS was applied to relieve depressive symptomatology.
Results. Factorial analysis was conducted. Five factors from principal component analysis were obtained with a 62.184% variance. These factors are: F1 Depression (19.89%); F2 Paranoia (11.86%); F3 Disorganization (10.71%); F4 Negative Symptoms (10.55%); Excitement (9.15%). These factors outline psychopathological areas (the overlapping of variables in more than one factor is very low).
Conclusion. In the observed population an important depressive symptoms were observed. This is completely different from negative symptomatology and from disorganization. For the affective disturbance excitement symptoms were observed which is also important in a chronic patients group. The positions of factors and their variable composition give the cue for considerations which are confirmed in more recent literature.

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