Positive and Negative Syndrome Scale Essay

Respond to at least two of your colleagues on 2 different days by comparing your assessment tool to theirs.

Jean Nikubwayo
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Psychiatric Interview

Positive and Negative Syndrome Scale Essay The first important part of a psychiatric interview is to establish initial rapport with the patient, and ask about the presenting complaint or problems, i.e., what has brought the patient to the first meeting. Some patients tell their stories without much guidance from the interviewer, whereas others require explicit instructions in the form of specific questions to help them organize their thoughts. During this phase of the first interview, the patient should be allowed to follow his or her own thought patterns as much as possible. The second important part is to elicit specific information, including a history of the presenting problems, pertinent medical information, family background, social history, and specific symptom and behavioral patterns. The third important part is to answer to patient’s questions. It is important to ask if the patient has any questions or unmentioned concerns. It is equally important to make recommendations to the patient for further evaluation and/or beginning treatment.

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Positive and Negative Syndrome Scale (PANSS)

Positive and Negative Syndrome Scale (PANSS) is one of the validated instruments used to assess positive, negative, and general psychopathology Links to an external site. associated with schizophrenia. The PANSS is a standardized, clinical interview that rates the presence and severity of positive and negative symptoms, as well as general psychopathology for people with schizophrenia within the past week. It consists of 30 items that allows providers to measure a patient’s clinical response to pharmacological treatment (Kumari et al., 2017). Of the 30 items, seven are positive symptoms, seven are negative symptoms, and 16 are general psychopathology symptoms. Symptoms severity for each item is rated on a 7-point scale (1 = absent; 7 = extreme). Positive and Negative Syndrome Scale Essay

As indicated by the name, a special focus lays on the measurement of positive and negative symptoms: there are seven items measuring positive symptoms, seven for negative symptoms and 16 items corresponding to general symptoms (Opler et al., 2017). The positive symptoms comprise of delusions, conceptual disorganization, hallucinations, hyperactivity, grandiosity, suspiciousness, and hostility and together form a positive subscale. In the negative items, the symptoms blunted affect, emotional withdrawal, poor rapport, apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and stereotyped thinking are included. Together, they form the negative subscale. The 16 general and respectively global items measure symptoms like anxiety, tension, mannerism, unusual thought contents or disorientation (Aborava & Nasrallah, 2016). Positive and Negative Syndrome Scale Essay