Negative symptoms of schizophrenia

a problem that will not go away

Stahl, S. M.
Buckley, P. F.

¹Department of Psychiatry, University of California, San Diego, CA, USA.
²Department of Psychiatry, Medical College of Georgia, Augusta, GA, USA.

Stephen M. Stahl, 1930 Parlomar Point Way, Suite 103, Carlsbad, CA 92008, USA. E-mail: [email protected]

Accepted for publication November 2, 2006.

Acta Psychiatrica Scandinavica 115(1):p 4-11, January 2007.

Objective

Negative symptoms of schizophrenia are a common, enduring, and debilitating component of the psychopathology of schizophrenia. Although efforts thus far to elucidate a distinct schizophrenia subtype based upon negative symptoms have yielded mixed results, there are nevertheless neurobiological correlates of the negative symptom typology.

Method

A review of nosology, typology, and assessment tools for determining core negative symptoms in schizophrenia.

Results

Negative symptoms can be difficult to evaluate objectively. Current rating scales ‘capture’ key domains of negative symptoms, in spite of considerable overlap between these domains. However, each objective assessment trades off methodological rigor and detail against brevity of assessment and ease of use.

Conclusion

The description of new methods for measuring these devastating symptoms, coupled with the ongoing development of novel antipsychotics and agents that augment antipsychotics have fuelled renewed interest in the evaluation of negative symptoms and optimism that better treatments for negative symptoms can be found.