El Yazaji Meriem, Battas Omar, Agoub Mohamed, Moussaoui Driss, Gutknecht Christel, Dalery Jean, d'Amato Thierry, Saoud Mohamed
Centre Psychiatrique Universitaire Ibn Rochd, rue Tarik Ibn Ziad, Casablanca, Morocco.
Schizophr Res. 2002 Jul 1;56(1-2):121-7. doi: 10.1016/s0920-9964(01)00247-x.
Depressive symptoms frequently occur during the course of schizophrenia. This study explored the relationships between the schizophrenia symptomatology and three measures of depression. Eighty-one drug-free inpatients with acute schizophrenia were assessed with the positive and negative syndrome scale (PANSS), the Calgary depression scale for schizophrenia (CDSS), and the Hamilton rating scale for depression (HAM-D). The depressive subscale of PANSS (PANSS-D) was also considered as a third scale for measuring depression. A principal component analysis (PCA) of PANSS items identified five clinical dimensions of schizophrenia called 'negative', 'positive', 'anxio-depressive', 'excitement', and 'disorganisation and others'. Our anxio-depressive dimension (PANSS-ad) was strictly identical with the PANSS-D. Scores on CDSS and HAM-D were highly inter-correlated and highly correlated with the PANSS-ad. Furthermore, while scores on CDSS were correlated only with this dimension, scores at HAM-D were also positively correlated with the negative dimension and negatively correlated with the excitement dimension. In conclusion, our results suggest that PANSS evaluation itself may be sufficient to give a correct approximation of the depression in patients with schizophrenia. However, depression scales are of course needed to assess specifically depressive symptoms in patients with schizophrenia; hence, the CDSS could be a more specific instrument than HAM-D.
抑郁症状在精神分裂症病程中经常出现。本研究探讨了精神分裂症症状学与三种抑郁测量方法之间的关系。对81名未服用药物的急性精神分裂症住院患者使用阳性和阴性症状量表(PANSS)、精神分裂症卡尔加里抑郁量表(CDSS)和汉密尔顿抑郁评定量表(HAM-D)进行评估。PANSS的抑郁分量表(PANSS-D)也被视为测量抑郁的第三个量表。对PANSS项目进行主成分分析(PCA)确定了精神分裂症的五个临床维度,即“阴性”、“阳性”、“焦虑抑郁”、“兴奋”以及“紊乱及其他”。我们的焦虑抑郁维度(PANSS-ad)与PANSS-D完全相同。CDSS和HAM-D的得分高度相互关联,且与PANSS-ad高度相关。此外,虽然CDSS得分仅与该维度相关,但HAM-D得分也与阴性维度呈正相关,与兴奋维度呈负相关。总之,我们的结果表明,PANSS评估本身可能足以对精神分裂症患者的抑郁情况做出正确的近似评估。然而,当然需要抑郁量表来专门评估精神分裂症患者的抑郁症状;因此,CDSS可能是比HAM-D更具特异性的工具。