The measurement of subjective experience in schizophrenia: The subjective deficit syndrome scale

Judith Jaeger, Istvan Bitter, Pal Czobor, Jan Volavka

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

The systematic assessment of subjective experience independently from its impact on schizophrenic's behavior is neglected in most structured interviews and symptom rating scales. However, subjective complaints may predict outcome functioning, medication compliance, and future psychotic episodes and better reflects patients' well-being than does behavioral assessment. We demonstrate the reliability of the Subjective Deficit Syndrome Scale and the considerable prevalence of subjective complaints in 166 acute and chronic inpatients and outpatients. Complaints were correlated with global measures of psychopathology in acute but not chronic patients. They were not correlated with negative symptoms or neurological side effects. Some overlap was observed with measures of depression, although most patients denied depressed mood. We conclude that subjective deficits are prevalent in schizophrenia, that they can be reliably assessed, and that they constitute and independent, clinically important dimension of the disease.

Original languageEnglish
Pages (from-to)216-226
Number of pages11
JournalComprehensive Psychiatry
Volume31
Issue number3
DOIs
Publication statusPublished - Jan 1 1990

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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