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Validation of the Romanian version of the brief negative symptom scale in a heterogeneous schizophrenia inpatient sample

Bibliographic Data

ID7148998
AuthorsCosmin Ioan Moga (0000-0003-2521-1421, Iuliu Hațieganu University of Medicine and Pharmacy, corresponding author), Denisa Gliția (Spitalul Clinic CF Cluj-Napoca), Octavia Oana Căpățînă, Octavia Căpățînă (0000-0003-4967-8165, Iuliu Hațieganu University of Medicine and Pharmacy), Cătălina Angela Crișan (0009-0002-4419-7143, Iuliu Hațieganu University of Medicine and Pharmacy), Mihaela Fadygas-Stănculete (Iuliu Hațieganu University of Medicine and Pharmacy), Ioana Valentina Micluția, I Micluția (0000-0003-2478-0876, Iuliu Hațieganu University of Medicine and Pharmacy)
Year2025
Volume12
Pagese85-e85
Publication date2025-01-01
Open AccessYes
TypeARTICLE
VenueCambridge Prisms Global Mental Health (JOURNAL)
Journal identifiersISSN: 2054-4251 • E-ISSN: 2054-4251
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/gmh.2025.10037
PMID40809793
OpenAlexW4413088053
LanguageEN
References cited30

Negative symptoms in schizophrenia are critical to functional outcomes but remain difficult to assess reliably. The Brief Negative Symptom Scale (BNSS) was developed to address these challenges, though no validation exists in Romanian-speaking populations. To validate the BNSS in a Romanian clinical sample, explore its psychometric properties and compare BNSS-based and PANSS-based classifications of severe negative symptoms. Forty-seven inpatients with schizophrenia were assessed using Romanian versions of the BNSS, PANSS, CDSS and AIMS. Psychometric analyses included internal consistency, inter-rater reliability, factor analysis and correlation-based validity. Two classification schemes, moderate–severe negative symptoms, measured by BNSS (BNSS-MS), and predominant negative symptoms, measured by PANSS (PANSS-PNS), were compared. The BNSS showed excellent internal consistency ( α = .94) and inter-rater reliability (ICC = .98). A five-factor structure was confirmed. BNSS total scores correlated strongly with PANSS negative ( ρ = .90), but not with positive, depressive, or motor symptoms. Blunted affect emerged as the most prominent subscale. The BNSS-MS group captured more severe cases than PANSS-PNS and showed greater symptom burden and higher distress scores. The Romanian BNSS is valid and sensitive for detecting negative symptoms, outperforming PANSS in identifying clinically significant subgroups

Convergent validity · Distress · Geography · Internal consistency · Positive and Negative Syndrome Scale · Psychiatry · Psychometrics · Psychosis · Romanian · Clinical Psychology · Medicine · Mental Health and Psychiatry · Mental Health Research Topics · Psychology · Schizophrenia research and treatment

  • The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia

    Stanley R Kay, Abraham Fiszbein et al.•Schizophrenia Bulletin•1987

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    Open Access•Ciprian-Paul Radu, Bogdan Cristian Pana et al.•Frontiers in Public Health•2021

  • Risk factors for involuntary admission in a Romanian patient sample

    Open Access•Radu-Mihai Păun, Radu Paun et al.•International Journal of Law and…•2023

Highly citedNo

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