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Abstract
The understanding and management of the negative symptoms of schizophrenia is a very important recaptured interest, aiming to reduce the poor long-term functioning associated with these symptoms.
Thus, the negative symptoms of schizophrenia have received an increasing research attention in the recent years.
The present study was designed to survey (500) schizophrenic patients aiming theoretically to explore the various concepts concerning the negative symptoms explained by the up to-date literature reviews about the concept, also, practically by identifying the prevalence of the negative symptoms in a sample of a schizophrenic patients through a cross-sectional survey study, and to find out the socio-demographic and clinical factors associated with it.
The cases were selected as a simple random sample from the inpatients, and those attending the outpatient clinic of Abbasia Mental Health Hospital.
All participants were assessed using a Semi-structured clinical interview sheet; also, all cases were diagnosed according to ICD-10 check list for schizophrenia and its subtypes. The tools were carefully selected to serve the purposes of the study, this included:
1. Semi-structured Clinical Interview Sheet.
2. ICD-10 check list for schizophrenia and its subtypes.
3. Clinical Global Impression scale (CGI).
4. Positive and Negative Symptoms Scale (PANSS).
5. Fahmy and El-Sherbini’s Social Classification Scale.
All data gathered were recorded, tabulated and transferred on Statistical Package for Social Sciences (SPSS) for Windows, Version 10 (1999); using personal computer and the suitable statistical methods were used. Results were displayed to answer questions raised in the aim of this study.
This study shows the following results
The prevalence of the negative symptoms found to be higher among the inpatients, than the outpatients.
Negative symptoms score was found to be correlated with female gender, unemployment, low social class, low level of education, severe functional impairment and with the residual subtype of schizophrenia.
Also, the relationship between negative symptoms and marital status in the whole sample and the outpatient population revealed inconsistent findings.
Furthermore, there was an insignificant correlation between most of the items of negative symptoms of PANSS and age of the patients
The findings also showed a positive correlation between some negative symptoms and the duration of admission of the patients.
Moreover, our findings showed that most of the inpatients in the sample were females, unemployed, never married, and no significant correlation was found between the inpatients and outpatients as regard the parental consanguinity, family history and social class score.
Also, most of the patients received typical antipsychotics.