Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-10-31T23:29:40.063Z Has data issue: false hasContentIssue false

Positive and Negative Syndrome Scale (PANSS) predictors of hospitalization during home treatment on 1045 patients with schizophrenia in acute crisis

Published online by Cambridge University Press:  19 July 2023

R. Talisa*
Affiliation:
Xarxa de Salut Mental i Addiccions de la Provincia de Girona, Institut d’Assistència Sanitària (IAS), Parc Hospitalari Martí i Julià, Girona
A. Sabaté
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar
D. Córcoles
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid Departamento de Psiquiatría y Medicina Forense, Universitat Autonoma de Barcelona, Barcelona, Spain
J. Leon
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar
A. Malagón
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona Departamento de Psiquiatría y Medicina Forense, Universitat Autonoma de Barcelona, Barcelona, Spain
A. M. González
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona
M. Bellsolà
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona
P. Samos
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona
M. Á. Jerónimo
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona
L. M. Martín
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid
V. Pérez
Affiliation:
Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

Several factors related to the risk of requiring psychiatric hospitalization have been described in patients diagnosed with schizophrenia treated with methods other than home treatment. With regard to the symptoms, high global illness severity and positive symptoms of schizophrenia have been most frequently related to the risk of hospitalization in patients with schizophrenia. However, there are no studies describing which clinical factors increase the likelihood of being hospitalized while undergoing home follow-up.

Objectives

To determine which of the clinical factors assessed in the PANSS predict the risk of hospitalization in patients diagnosed with schizophrenia following a home treatment program.

Methods

All patients with schizophrenia who were visited by a home treatment team in Barcelona between January 2017 and December 2021 were included in the study. A comparative, bivariate analysis of each item of the PANSS and of the global results of each category was conducted on those who were hospitalized and those who were not hospitalized. Finally, a logistic regression of each category of the PANSS was done on both groups, controlling for other socio-demographic and clinical factors.

Results

A total of 1045 patients with schizophrenia were evaluated in this study. PANSS positive symptom subscale (PANSS-S), PANSS General Psychopathology, PANSS Excited Component and PANSS Global Score scored higher in patients who were finally hospitalized in a conventional acute treatment unit. Regarding the PANSS negative symptom subscale, no significant differences were found between the two groups.

In patients who required hospitalization, the scores of all the PANSS positive symptom subscale (PANSS-P) items and all items on the PANSS excited component (excitement, tension, hostility, uncooperativeness and poor impulse control) were significantly higher. Some items regarding general psychopathology (Somatic concern, anxiety, guilt feelings, tension, and mannerisms) were also significantly higher in the hospitalization group. Only 3 items—blunted affect, guilt feelings and motor retardation—scored significantly higher in patients who did not require hospitalization. In the logistic regression, only the global score of the PANSS-P reached statistical significance (P = 0.001).

Conclusions

Positive symptoms scored in the PANSS seem to be the most predictive factors of hospitalization regarding clinical symptoms in patients with Schizophrenia following home treatment. Other items regarding exciting symptoms and general psychopathology also showed as relevant regarding the risk of conventional hospitalization in those patients.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.