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[PANSS six-factor model]
E G Kornetova1, S A Galkin1, A N Kornetov2
1Mental Health Research Institute - Tomsk National Research Medical Center, Russian Academy of Science, Tomsk, Russia.
Objective:
To analyze the factor structure of PANSS in a sample of patients with schizophrenia receiving inpatient treatment and to compare the factors with the data of neuropsychological evaluation of their cognitive functions.
Material And Methods:
The study included 110 patients (50 females and 60 males) diagnosed with schizophrenia. The psychopathological symptoms were assessed using the PANSS scale in the adapted Russian version - SCI-PANSS. Cognitive functioning was assessed using the Brief Assessment of Cognition in Schizophrenia (BACS) scale.
Results:
A six-factor PANSS model was constructed using the principal components method, which included a negative factor, a positive factor, a depressive factor, an excitement factor, a disorganized factor, and a cognitive factor. The cognitive factor was the only one associated with some subtests, as well as the overall BACS score.Negative correlations were found with memorization of a sequence of numbers (r=-0.184, p=0.045), a motor test with chips (r=-0.250, p=0.019), a test for speech fluency (r=-0.186, p=0.043), an Encoding test (r=-0.291, p=0.002), and an overall BACS score (r=-0.228, p=0.017).
Conclusion:
It is advisable to use a six-factor model with differentiation of a disorganized and cognitive factor to increase the value of PANSS as an assessment tool for the severity of cognitive impairment in patients with schizophrenia.
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