Duration of untreated psychosis is associated with more negative schizophrenia symptoms after acute treatment for first-episode psychosis

Granö, Niklas; Lindsberg, Jenni; Karjalainen, Marjaana; Grönroos, Peter; Blomberg, Ari-Pekka

doi:10.1080/13284201003662826

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…Most of the participants (48%) had a predominance of negative symptoms. This is higher than 25% and 15.8% reported in some other studies 27 , 28 . This may be due to differences in sampling methods, help seeking behavior, duration of untreated psychosis, long schizophrenia illness and effect of medications leading to an increase in negative symptoms 27 , 28 .…”

Section: Discussioncontrasting

confidence: 63%

“…This is higher than 25% and 15.8% reported in some other studies 27 , 28 . This may be due to differences in sampling methods, help seeking behavior, duration of untreated psychosis, long schizophrenia illness and effect of medications leading to an increase in negative symptoms 27 , 28 . Long duration of untreated psychosis found in developing countries, has been recorded among patients with predominantly negative symptoms 28 .…”

Section: Discussioncontrasting

confidence: 63%

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Clinical implication of smoking among patients with schizophrenia at a Tertiary Institution in South East Nigeria

Aguocha¹,

Uwakwe

Olose

et al. 2018

Afr H. Sci.

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BackgroundThe chronic and debilitating nature of schizophrenia creates a disease with marked clinical and economic consequences. Smoking in schizophrenia appears to be associated with increased psychopathology and disability.ObjectiveThe aim of this study was to determine if cigarette smoking in schizophrenia is associated with increased disability and psychopathology.Materials and methodsThis was a cross-sectional descriptive study in which 367 out-patients with International Classification of Diseases (ICD) 10 diagnosis of schizophrenia were recruited. Socio-demographic questionnaire, Present State Examination (PSE) 10, Positive And Negative Syndrome Scale (PANSS) and World Health Organization Disability Assessment Schedule (WHODAS) were administered. Data was analyzed using a software package SPSS version 15.ResultsThere was no significant difference in the mean PANSS scores of smokers and non-smokers. Current smoking was associated with increased disability (F=5.39, p=0.02). Total PANSS score significantly predicted disability F(3,71=5.60, p=0.002, R2=0.19). There was no significant association between positive or negative symptoms and being a smoker or non-smoker.ConclusionThe results of this study revealed that smoking in Nigerian schizophrenia patients is associated with significant disability. Measures should be put in place to discourage cigarette smoking among Nigerian patients with schizophrenia.

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Section: Discussioncontrasting

confidence: 63%

Section: Discussioncontrasting

confidence: 63%

Clinical implication of smoking among patients with schizophrenia at a Tertiary Institution in South East Nigeria

Aguocha¹,

Uwakwe

Olose

et al. 2018

Afr H. Sci.

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“…A compelling body of research suggests that early identification and intervention in psychosis often lead to improved outcomes (Granö et al, 2010; Marshall et al, 2005; Orinstein et al, 2014). This work has inspired efforts to identify adolescents experiencing subthreshold symptoms of psychosis who may be at higher risk of developing diagnosable psychosis in the future (Cannon et al, 2008; Fusar-Poli et al, 2014; Lin et al, 2012; Tsuang et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Feasibility of psychosis risk assessment for adolescents diagnosed with autism

Wilson

Anthony

Kenworthy

et al. 2020

Autism

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Autism and psychosis share overlapping clinical features and can occur comorbidly. Given growing recognition that early identification of psychosis risk symptoms may lead to better functional outcomes, the field needs valid tools for use in the assessment of psychosis risk symptoms within autism. This study employed a multi-method approach to evaluate the utility of a psychosis risk assessment tool, the Structured Interview for Psychosis-Risk Syndromes, for use with adolescents with autism. A total of 43 adolescents (N = 21 with autism, N = 22 typically developing) were interviewed using the positive symptom domain of the Structured Interview for Psychosis-Risk Syndromes. Study participant answers to interview questions were coded for verbal and behavioral responses, and error rates were compared between groups. Results indicate that adolescents with autism (all of whom had intact language skills) did not significantly differ from typically developing peers when answering questions about positive psychosis risk symptoms. A majority of verbal responses (93%) and behavioral responses (89%) to Structured Interview for Psychosis-Risk Syndrome items were rated as adequate for both groups, suggesting that the positive domain items from the Structured Interview for Psychosis-Risk Syndromes can be used with adolescents with autism. Regardless of diagnosis, higher rates of response errors were significantly correlated with greater difficulty understanding ambiguous language and increased interview times. Structured Interview for Psychosis-Risk Syndrome interviewers are cautioned to use follow-up probes to clarify items that might be confusing to participants and/or have higher response error rates for all adolescents, irrespective of autism status, to prevent false-positive responses for people with and without autism. Lay abstract Individuals with autism may experience a variety of psychiatric symptoms that may cause distress and difficulty functioning. The tools that exist to help evaluate symptoms for psychosis for individuals with autism are limited. We investigated whether a specialized interview for symptoms of psychosis risk could be used for adolescents with autism. We recruited 21 adolescents with autism and 22 typically developing adolescents and interviewed them using the Structured Interview for Psychosis-Risk Syndromes. Participants were asked to rephrase interview questions as a way to understand how they interpreted the question. Their responses were evaluated by clinicians and third-party raters to determine potential response errors. Results of the study showed that youth with autism who have intact language skills are able to answer questions about psychosis risk symptoms as well as their typically developing peers. In general, adolescents across both groups who had more difficulty with nonliteral language (understanding words with multiple meanings) had more difficulty completing the Structured Interview for Psychosis-Risk Syndromes. Problematic items that required more clarification by the clinician involved misinterpretation of words/phrases or questions. Care should be taken to ensure adolescents understand the intent of interviewer questions when assessing risk of psychosis.

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“…Jenis gangguan jiwa yang paling banyak terjadi pada remaja adalah gangguan early psychosis (Grano, 2010) Gangguan early psychosis sebagian besar terjadi pada usia remaja akhir atau dewasa awal. Berdasarkan penelitian yang dialkukan oleh McGrant (2010) terdapat sekitar 100.000 remaja dan dewasa muda di Amerika Serikat mengalami gangguan early psychosis setiap tahunnya dengan gangguan puncak terjadi pada usia 15-25 tahun.…”

Section: Pembahasanunclassified

“…Populasi remaja pada tahun 2013 berjumlah 42.612.927 jiwa, maka secara absolut jumlah remaja di Indonesia yang mengalami gangguan jiwa terdapat sekitar 2.386.323 jiwa (Rikesdas, 2013). Jenis gangguan jiwa yang paling banyak terjadi pada remaja adalah gangguan early psychosis (Grano, 2010).…”

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Aplikasi Asuhan Keperawatan Generalis Dan Psikoreligius Pada Klien Gangguan Sensori Persepsi: Halusinasi Penglihatan Dan Pendengaran

Erviana¹,

Hargiana

2018

JRKN

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Hallucinations are the most common problems in nursing diagnoses of mental disordes. Hallucinations are the distortions of false perceptions that occur in maladaptive neurobiological responses. Hallucinations usually appear in patients with mental disorders the result of the change in reality orientation, patients feel the stimulation that actually does not exist. In this profession program the author has the opportunity to manage directly, by providing nursing care and analyzing the final results that will be documented in the form of final scientific work ners. The care of nursing for a client a of sensory perception disorder: sight and hearing hallucinations that is a symptom of an early psychosis, the majority of this case which happened in the end of adolescenceor early adulthood , confuse is the role which have affect to the fragile personality disorder so that there is the disorder of self-concept and pulling themselves from a social environment that gradually get the teenager become too deep in fantasy and cause the emergence of hallucinations. The nursing process is performed based on generalist nursing care standard for 9 days of hospitalization, Started from the date of 2 and 10 of May 2018. Theobtained results are the main nursing problems which is perception sensory disorder: hallucinations.The Implementations that focus on controlling hallucinatory efforts by rebuking and also modalities of therapy: psychoreligious. The nursing order that is provided give good results to the clients on the mark by no longer hearing the voices that often mock clients and the diminishing intensity of dajjal’s presence that be seen by the clients.

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Duration of untreated psychosis is associated with more negative schizophrenia symptoms after acute treatment for first-episode psychosis

Cited by 5 publications

References 21 publications

Clinical implication of smoking among patients with schizophrenia at a Tertiary Institution in South East Nigeria

Clinical implication of smoking among patients with schizophrenia at a Tertiary Institution in South East Nigeria

Feasibility of psychosis risk assessment for adolescents diagnosed with autism

Aplikasi Asuhan Keperawatan Generalis Dan Psikoreligius Pada Klien Gangguan Sensori Persepsi: Halusinasi Penglihatan Dan Pendengaran

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