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Five‐Factor Model of Schizophrenia Initial Validation

 

作者: JEAN-PIERRE LINDENMAYER,   RUTH BERNSTEIN-HYMAN,   SANDRA GROCHOWSKI,  

 

期刊: The Journal of Nervous and Mental Disease  (OVID Available online 1994)
卷期: Volume 182, issue 11  

页码: 631-638

 

ISSN:0022-3018

 

年代: 1994

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Schizophrenic psychopathology is heterogeneous and multidimensional. Various strategies have been developed over the past several years to assess and measure more accurately discrete domains of psychopathology, One of the more fruitful strategies to investigate more homogenous domains of psychopathology has been the positive-negative syndrome approach. However, this approach is unable to address a number of important issues. Most schizophrenics present a mixed syndrome; the criteria for what constitutes a positive and negative syndrome are variable; distinguishing primary from secondary negative symptoms can be difficult. In order to address some of these problems, we propose the introduction of a five-syndrome model based on a reanalysis of factor analytic procedures used on 240 schizophrenics assessed with the Positive and Negative Syndrome Scale. We present data on a five-factor solution that appears to best fit the psychopathological data and that is supported by three independent and comparable factor analyses; negative, positive, excitement, cognitive, and depression/anxiety domains of psychopathology give patients their individual mark. Data on internal consistency of the five factors and on initial validation using demographic and clinical variables are presented.

 

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