Deficit schizophrenia: an update
- PMID: 18836581
- PMCID: PMC2559917
- DOI: 10.1002/j.2051-5545.2008.tb00181.x
Deficit schizophrenia: an update
Abstract
The criteria for deficit schizophrenia were designed to define a group of patients with enduring, primary (or idiopathic) negative symptoms. In 2001, a review of the literature suggested that deficit schizophrenia constitutes a disease separate from nondeficit forms of schizophrenia. Here we provide a review of new studies, not included in that paper, in which patients with deficit schizophrenia and those with nondeficit schizophrenia were compared on dimensions typically used to distinguish diseases: signs and symptoms, course of illness, pathophysiological correlates, risk and etiological factors, and treatment response. Replicated findings and new evidence of double dissociation supporting the separate disease hypothesis are highlighted. Weaknesses in research and treatment options for these patients are also emphasized.
Keywords: Deficit schizophrenia; apathy; double dissociation; heterogeneity; negative symptoms.
References
-
- Carpenter WT Jr, Heinrichs DW, Wagman AMI. Deficit and non-deficit forms of schizophrenia: the concept. Am J Psychiatry. 1998;145:578–583. - PubMed
-
- Kirkpatrick B, Buchanan RW, McKenney PD. The Schedule for the Deficit Syndrome: an instrument for research in schizophrenia. Psychiatry Res. 1989;30:119–124. - PubMed
-
- Kirkpatrick B, Buchanan RW, Ross DE. A separate disease within the syndrome of schizophrenia. Arch Gen Psychiatry. 2001;58:165–171. - PubMed
-
- Hong LE, Avila MT, Adami H. Components of the smooth pursuit function in deficit and non-deficit schizophrenia. Schizophr Res. 2003;63:39–48. - PubMed
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