Positive and negative symptoms are measurable characteristics that may
represent core features of schizophrenia and offer a quantitative app
roach for studying the genetics of schizophrenia and related disorders
. The Positive and Negative Syndrome Scale (PANSS) was used to assess
72 members of five families segregating schizophrenia. The study confi
rmed high internal reliability of PANSS scales in this sample with div
erse lifetime diagnoses. Gender but not alcoholism affected scores. Sc
hizophrenia/schizoaffective and schizophrenia spectrum disorder groups
had higher mean scores for the positive and negative scales than othe
r lifetime diagnostic groups, consistent with genetic transmission of
these symptoms. Positive and negative symptom patterns did not subtype
families. The results support the validity of positive and negative s
ymptom measures as independent dimensions in familial schizophrenia.