Schizophrenia Bulletin Open,
Journal Year:
2024,
Volume and Issue:
5(1)
Published: Jan. 1, 2024
Abstract
There
is
a
broad
consensus
that
the
commonly
used
clinician-administered
rating
scales
for
assessment
of
negative
symptoms
share
significant
limitations,
including
(1)
reliance
upon
accurate
self-report
and
recall
from
patient
caregiver;
(2)
potential
sampling
bias
thus
being
unrepresentative
daily-life
experiences;
(3)
subjectivity
symptom
scoring
process
limited
sensitivity
to
change.
These
limitations
led
work
group
International
Society
CNS
Clinical
Trials
Methodology
(ISCTM)
initiate
development
multimodal
instrument.
Experts
academia
industry
reviewed
current
methods
assessing
domains
diminished
affect;
sociality;
verbal
communication;
(4)
goal-directed
behavior;
(5)
Hedonic
drives.
For
each
domain,
they
documented
recommended
new
approaches
could
potentially
be
included
in
The
ecological
momentary
(EMA),
which
self-reports
their
condition
receipt
periodic
prompts
smartphone
or
other
device
during
daily
routine;
direct
inference
through
detection
analysis
patient’s
voice,
appearance
activity
audio/visual
sensor-based
(eg,
global
positioning
systems,
actigraphy)
recordings
captured
by
device.
developing
an
instrument
resemble
NIMH
MATRICS
was
develop
battery
measuring
cognition
schizophrenia.
Although
EMA
digital
measures
are
at
relatively
early
stages
development/maturity
such
faces
substantial
challenges,
none
them
insurmountable.
Schizophrenia,
Journal Year:
2023,
Volume and Issue:
9(1)
Published: July 27, 2023
Abstract
Background
Negative
symptoms
of
schizophrenia
are
linked
with
poor
functioning
and
quality
life.
Therefore,
appropriate
measurement
tools
to
assess
negative
needed.
The
NIMH-MATRICS
Consensus
defined
five
domains
for
symptoms,
which
Brief
Symptom
Scale
(BNSS)
covers.
Methods
We
used
the
COSMIN
guidelines
systematic
reviews
evaluate
psychometric
data
BNSS
scale
as
a
Clinician-Rated
Outcome
Measure
(ClinROM).
Results
search
strategy
resulted
in
inclusion
17
articles.
When
using
risk
bias
checklist,
there
was
generally
good
reporting
structural
validity
hypothesis
testing.
Internal
consistency,
reliability
cross-cultural
were
poorer
quality.
ClinROM
development
content
showed
inadequate
results.
According
updated
criteria
properties,
validity,
internal
consistency
interrater
results,
while
testing
Cross-cultural
test-retest
indeterminate.
GRADE
approach
moderate
grade.
Conclusions
can
potentially
recommend
use
concise
tool
rate
symptoms.
Due
weaknesses
certain
further
validations
warranted.
Brazilian Journal of Psychiatry,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Jan. 1, 2024
Objective:
Evidence
on
the
relationship
between
depression
and
clinical
dimensions
of
schizophrenia
remains
limited.This
cross-sectional
study
investigated
association
Positive
Negative
Syndrome
Scale
(PANSS)
in
people
with
spectrum
disorders.Methods:
Trained
assessors
administered
PANSS
to
measure
symptoms
Calgary
Depression
for
Schizophrenia
depression.The
overall
score
related
was
multiple
logistic
regression
analyses.Results:
We
included
231
inpatients
disorders
(mean
age:
42.4
(SD:
12.9)
years;
men:
58.9%;
mean
score:
82.5
20.1);
drug-free
or
naı
¨ve:
39.3%),
including
78
(33.8%)
clinically
significant
depressive
symptoms.Depression
associated
higher
(regression
coefficient,
SE:
0.029,
0.008;
p
o
0.001)
general
psychopathology
0.118,
0.023;
scores.We
found
an
inverse
positive
-0.088,
0.028;
=
0.002).No
negative
found.Conclusion:
Despite
some
limitations,
our
shows
that
affected
by
are
likely
show
more
but
lower
symptoms.Additional
studies
needed
explore
generalizability
findings.
Schizophrenia Bulletin,
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 20, 2024
Abstract
Background
and
Hypothesis
Schizophrenia
is
a
severe
mental
disorder
that
has
significant
impact
on
quality
of
life
(QOL).
Measuring
QOL
can
offer
insights
into
treatment
efficacy
areas
intervention,
highlighting
the
importance
valid
tools
assessing
in
people
with
schizophrenia.
Study
Design
We
employed
COSMIN
systematic
review
guideline
to
assess
psychometric
properties
schizophrenia
scale
(SQLS)
its
4th
revision,
revision
4
(SQLS-R4),
as
patient-reported
outcome
measures
(PROMs).
Results
The
search
yielded
455
papers,
16
were
included,
7
for
SQLS
9
SQLS-R4.
Both
scales
demonstrated
good
results
risk
bias
assessment
internal
consistency
convergent
validity,
SQLS-R4
additionally
known-groups
validity.
For
SQLS,
PROM
development,
structural
reliability
suboptimal.
showed
suboptimality
regarding
validity
inadequacy
cross-cultural
responsiveness.
updated
criteria
measurement
indicated
consistency,
reliability,
suboptimal
while
had
indeterminate
consistency;
responsiveness,
insufficient
When
using
GRADE
approach
group,
both
received
very
low
grade.
Conclusions
hold
potential
recommendation
rating
QOL.
Identified
weaknesses
necessitate
further
validations.
Schizophrenia Bulletin,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 18, 2024
Negative
symptoms
of
schizophrenia
are
correlated
with
reduction
normal
function
and
lower
quality
life.
They
were
newly
defined
by
the
NIMH-MATRICS
Consensus
in
2005,
dividing
rating
tools
to
assess
them
into
first-generation
scales,
developed
before
Consensus,
second-generation
based
on
recently
introduced
definitions.
Brain Sciences,
Journal Year:
2025,
Volume and Issue:
15(1), P. 83 - 83
Published: Jan. 17, 2025
The
assessment
of
negative
symptoms
in
schizophrenia
has
advanced
since
the
2006
NIMH-MATRICS
Consensus
Statement,
leading
to
development
second-generation
rating
scales
like
Brief
Negative
Symptom
Scale
and
Clinical
Assessment
Interview
for
Symptoms.
These
address
limitations
first-generation
tools,
such
as
inclusion
aspects
that
are
not
lack
subject's
internal
experience.
However,
psychometric
validation
these
is
still
progress,
they
yet
recommended
by
regulatory
agencies,
thus
limiting
their
use
clinical
trials
settings.
Complementing
traditional
methods,
remote
digital
phenotyping
offers
a
novel
approach
leveraging
smartphones
wearable
technology
capture
real-time,
high-resolution
data.
Despite
potential
overcome
barriers,
challenges
remain
aligning
measures
with
ratings
ensuring
data
security.
Equally
important
patient
acceptance,
success
relies
on
willingness
patients
technologies.
This
review
provides
critical
overview
both
assessing
symptoms,
highlighting
future
research
needs.
Brain Sciences,
Journal Year:
2025,
Volume and Issue:
15(2), P. 148 - 148
Published: Jan. 31, 2025
Background/Objectives:
Negative
symptoms
(NSs)
significantly
impair
the
outcome
of
schizophrenia,
primarily
due
to
their
effect
on
quality
life
and
resistance
pharmacological
treatments.
Several
scales
have
been
developed
assess
various
dimensions
NSs,
including
avolition,
anhedonia,
alogia,
social
withdrawal,
blunted
affect.
While
observer-rated
are
most
commonly
used,
self-assessment
tools
remain
underutilized.
However,
self-assessments
offer
a
promising
approach
for
gaining
insights
into
personal
experiences
individuals.
The
objective
this
review
was
identify
report
psychometric
properties
NSs
that
relevant
both
research
clinical
practice,
with
focus
multiple
domains
in
order
support
comprehensive
evaluations
tailored
therapeutic
strategies.
Methods:
We
conducted
an
exhaustive
literature
following
PRISMA
guidelines
self-evaluation
evaluate
several
MEDLINE
Web
Science
databases.
COSMIN
checklist
used
methodological
each
tool.
Results:
Our
identified
five
scales.
Among
these,
two
received
Grade
A
recommendation
use
or
practice:
Self-evaluation
Symptom
(SNS),
which
assesses
Motivation
And
Pleasure
Scale
Self-report
(MAP-SR),
evaluates
withdrawal.
Conclusions:
SNS
MAP-SR
only
sufficient
properties,
making
them
reliable
practice.
Despite
development
integration
settings
remains
limited,
highlighting
need
increased
utilization
enhance
understanding
management
these
symptoms.
Schizophrenia,
Journal Year:
2025,
Volume and Issue:
11(1)
Published: March 31, 2025
Abstract
The
Positive
and
Negative
Syndrome
Scale
(PANSS)
is
widely
used
to
assess
schizophrenia
symptoms.
Initially
designed
with
three
subscales,
Marder
et
al.´s
5-factor-Model
(M5M)
first
proposed
in
1997
has
been
frequently
treatment
trials,
but
it
never
systematically
reviewed
for
its
measurement
properties.
We
utilized
the
COnsensus-based
Standards
selection
of
health
Measurement
INstruments
(COSMIN)
guideline
systematic
reviews
meta-analytical
procedures
psychometric
properties
M5M-PANSS.
COSMIN
comprises
several
steps:
literature
search,
risk-of-bias
assessments,
assessing
updated
criteria
good
properties,
feasibility
aspects
grading
quality
evidence.
further
assessed
goodness
fit
other
PANSS
factor
models.
included
95
publications.
M5M-PANSS
showed
construct
validity,
“insufficient”
structural
validity.
Evidence
domains
largely
lacking.
Among
multiple
(73)
solutions
examined
confirmatory
methods,
5-factor
had
better
model
fit.
According
rules
M5M
should
not
be
recommended
use.
Other
five-factor
models
such
as
one
by
Wallwork
al.
1
warrant
evaluation.
Nevertheless,
composition
these
was
relatively
similar,
so
previously
published
results
disregarded.