Basic symptoms and morbaffine personality types: Subclinical dimension of endogenous psychoses

Bertalan Petho, Judit Tolna, Márta Farkas, Gábor Tusnády, András Vargha, Györgyi Vizkeleti, Balázs Czigler

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Abstract

Three rating scales developed by the senior author were employed by the 5-year and of the 21-33-year follow-up of the same population of endogenous psychotic female patients (n=80) and normal control persons (n=30). Two rating scales were developed following the concept of basic symptoms of Huber in 1974. One of them consists of operationalization of nineteen basic symptoms given in the aspect of experience (SSRS-Exp). The other consists of eight items supposed to be basic symptoms given in the aspect of the behavior (SSRS-Behav). The third rating scale refers to eleven personality types named "morbaffine" (MAPRT). This rating scale was developed by the senior author on the basis of investigation of course of illness of endogenous psychotic patients and partly following the concepts of von Zerssen. Patients were selected in six nosological categories according to Leonhard's classification of endogenous psychoses at the time of their "index-psychosis" in 1967-1974: unipolar depression (n=10), bipolar manic-depressive psychosis (n=14), affect-laden paraphrenia (n=13), periodic catatonia (n=19), systematic paraphrenias (n=10) and systematic catatonias (n=14). Factor analyses were made of the variables of each rating scales separately and of the combined variables of them. Ten factors were identified by the factor analysis of the variables of all the three rating scales at the 5-year follow-up: Dysthymic nervousness, Heboidity, Melancholicity, Irresoluteness, Hysteroid, Schizo-paranoid, Apathetic, Coenaesthtetic, Distress, Catatonoid. Nine of these ten factors were re-identified at the 21-33-year follow-up. Emergence of the new factor Insomnia at the 21-33-year follow-up may be attributed mainly to the ageing. Stability of the factor structure from the 5-year to the 21-33-year follow-up increased by the combination of the three rating scales step by step. Similarly, the number of the corresponding factors from the 5-year to the 21-33-year follow-up was increased by including the SSRS-Behav-items and/or the MAPRT-items in the factor analyses of the SSRS-Exp items. The factor Coenaesthtetic consisted only of SSRS-Exp-items at the 5-year follow-up and was associated with a personality type which refers to the affect-laden paraphrenia at the 21-33-year follow-up. This change of the factor structure from 5-year to the 21-33-year follow-up might sign the occurrence of Huber's coenaesthtetic schizophrenia. Three factors (Emotional deficit, Experienced defect and Apathetic) at the 5-year follow-up may indicate a core syndrome of the "pure defect" described by Huber. In conclusion, analyses of the three rating scales discussed in this paper merit further attention in the research of the endogenous psychoses.

Original languageEnglish
Pages (from-to)29-38
Number of pages10
JournalNeurology Psychiatry and Brain Research
Volume12
Issue number1
Publication statusPublished - Jul 21 2005

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Keywords

  • Basic symptoms
  • Endogenous psychoses
  • Long-term fellow-up
  • Morbaffine personality types
  • Subclinical dimension

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology
  • Psychiatry and Mental health

Cite this

Petho, B., Tolna, J., Farkas, M., Tusnády, G., Vargha, A., Vizkeleti, G., & Czigler, B. (2005). Basic symptoms and morbaffine personality types: Subclinical dimension of endogenous psychoses. Neurology Psychiatry and Brain Research, 12(1), 29-38.