Subtypes and Factors of Schizophrenia in an Acutely Ill Nigerian Sample

Abstract

The objectives of the study were to assess the factors that would emerge from combining the ratings based on the Brief Psychiatric Rating Scale, Scale for Assessment of Negative Symptoms and ICD-10 diagnostic criteria for research, and examine the stability of these factors at the third month of treatment; to highlight the correlates of these factors, and to compare the factors yielded with those of previous reports. Principal component analysis with varimax rotation was performed on the ratings of 65 males and 37 females, aged 33.7 ± 8.4 years (SD), with a duration of illness of 7.3 ± 6.6 years. Five conceptually meaningful factors emerged, accounting for 61% of the variance. The first 2 factors (diminished expression or psychomotor poverty, and social dysfunction or disordered relating) are negative syndromes, followed by disorganization, catatonic and excitement syndromes. These factors did not endure at the third month. The disorganization syndrome was significantly correlated with duration of illness, while age was inversely correlated with the catatonic syndrome; however, the score on a measure of soft signs of neurological dysfunction was not significantly correlated with the negative syndromes. In spite of hallucinations and delusions not loading significantly on any factor, the individual factors were highly similar to those of previous studies. But the instability of the negative syndromes, coupled with the results of previous Nigerian short-term outcome studies, casts doubt on the validity of the concept of deficit schizophrenia in this and other treated noninstitutionalized schizophrenics in Nigeria.