First self-perceived signs and symptoms in emerging psychosis compared with depression.
- Aston J University of Basel Psychiatric Clinics, Psychiatric Outpatient Department, University Hospital Basel, Basel, Switzerland.
- Bull N
- Gschwandtner U
- Pflueger M
- Borgwardt S
- Stieglitz RD
- Riecher-Rössler A
- 2012-03-07
Published in:
- Early intervention in psychiatry. - 2012
Adult
Depressive Disorder
Female
Humans
Male
Psychiatric Status Rating Scales
Psychotic Disorders
Self Concept
English
AIM
To investigate differences between the early symptoms of schizophrenia and depressive disorders.
METHODS
Sixty-one individuals with an at-risk mental state (ARMS), 17 of whom later made the transition to psychosis, 37 patients with a first episode of psychosis and 16 controls with depressive disorders were interviewed about first self-perceived signs and symptoms.
RESULTS
In ARMS and first episode of psychosis, on average, first self-perceived signs or symptoms had occurred about 5-6 years before the interview. In ARMS, including transition to psychosis, 'loss of energy' and 'difficulties concentrating' were the most frequently recalled first signs. There was much overlap for the four most frequently mentioned symptoms in the three groups. As compared with ARMS, controls with depressive disorders significantly more often recalled 'depression' and 'social isolation' as the very first signs of disease.
CONCLUSIONS
Clinicians should consider the development of self-recalled first signs over time carefully when assessing suspected early prodromal stages of schizophrenia and beginning depressive disorder.
To investigate differences between the early symptoms of schizophrenia and depressive disorders.
METHODS
Sixty-one individuals with an at-risk mental state (ARMS), 17 of whom later made the transition to psychosis, 37 patients with a first episode of psychosis and 16 controls with depressive disorders were interviewed about first self-perceived signs and symptoms.
RESULTS
In ARMS and first episode of psychosis, on average, first self-perceived signs or symptoms had occurred about 5-6 years before the interview. In ARMS, including transition to psychosis, 'loss of energy' and 'difficulties concentrating' were the most frequently recalled first signs. There was much overlap for the four most frequently mentioned symptoms in the three groups. As compared with ARMS, controls with depressive disorders significantly more often recalled 'depression' and 'social isolation' as the very first signs of disease.
CONCLUSIONS
Clinicians should consider the development of self-recalled first signs over time carefully when assessing suspected early prodromal stages of schizophrenia and beginning depressive disorder.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1111/j.1751-7893.2012.00354.x
- PMID 22390396
- Persistent URL
- https://sonar.ch/global/documents/12524
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