Symptoms of Depression in Schizophrenia (Commentary) (Clinical Report)

Symptoms of Depression in Schizophrenia (Commentary) (Clinical Report)

In an article in this issue Heald et al (1) in their study on characterization of depression in schizophrenia report that the precise nature of depressive symptoms present in different phases of the schizophrenic illness can be differentiated qualitatively from primary depression. The authors introduce about the history, prevalence and importance of depressive symptoms in schizophrenics. Three groups of patients of an acute schizophrenic episode (DepASch), stable schizophrenia (DepChrSch) and primary major depression were compared on demographic variables and on clinical rating scales for depression and the PANSS scale. Eventhough generalisability of the sample patients is lacking, the findings are supported by the concordance findings with other studies. Depressive symptoms play an important role in schizophrenia as these contribute to a further worsening of already existing deficit state, i.e., negative symptoms and also further exacerbation of illness along with increased risk of completed suicide. A lot of attention has been paid to the concept of depression and its presentation in schizophrenia as a symptom (2,3). Therefore it becomes important and essential to clearly delineate depressive symptoms from deficit states and negative symptoms and manage appropriately and reduce the risk of further morbidity and mortality (3,4).

Symptoms of Depression in Schizophrenia (Commentary) (Clinical Report)



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