The Predictive Value of Thought Disorder in Manic Psychosis

Ja, Wilcox

doi:10.1159/000284767

Cited by 7 publications

(4 citation statements)

References 14 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moodincongruent psychotic symptoms have also been associated with higher Brief Psychiatric Rating Scale scores 6 months after the index manic episode, and worse Global Assessment of Functioning scores 2 years after a manic episode [22]. Formal thought disorder during the acute episode has been associated with a shorter time in remission and increased rates of relapse [67]. Schneiderian first-rank psychotic symptoms may be associated with a poor response to lithium monotherapy [68] and poor residential status [23].…”

Section: Prognostic Implications Of Psychosis In Maniamentioning

confidence: 99%

Prevalence and description of psychotic features in bipolar mania

Dunayevich

Keck

2000

Curr Psychiatry Rep

157

105

View full text Add to dashboard Cite

Psychotic symptoms are common in both the manic and depressive phases of bipolar disorder. More than half of patients with bipolar disorder will experience psychotic symptoms in their lifetime. Grandiose delusions are the most common type of psychotic symptom, but any kind of psychotic symptom, including thought disorder, hallucinations, mood-incongruent psychotic symptoms, and catatonia can present as part of a manic episode. Psychotic symptoms suggest poor prognosis when they occur in the absence of affective symptoms. However, psychotic symptoms can mask affective symptoms and make the distinction between manic-depressive illness and other psychiatric disorders difficult, especially in minorities. Careful assessment of prior psychiatric history, family history, and treatment response can aid in the differentiation of affective disorders with psychotic features from psychotic disorders.

show abstract

Section: Prognostic Implications Of Psychosis In Maniamentioning

confidence: 99%

Prevalence and description of psychotic features in bipolar mania

Dunayevich

Keck

2000

Curr Psychiatry Rep

157

105

View full text Add to dashboard Cite

show abstract

“…Loosening of associations, clanging, repetitive and concrete speech, and poverty of speech are some of the forms of thought disorder that have been observed in manic and depressed patients (Grossman & Harrow, 1991). Wilcox (1992) found that the quality of formal thought disorder was a strong predictor of relapse in manic patients. However, there has been relatively little research on the degree to which thought disorder occurs in other phases of the illness.…”

Section: Introductionmentioning

confidence: 99%

The effects of emotional salience on thought disorder in patients with bipolar affective disorder

2004

View full text Add to dashboard Cite

show abstract

“…Psychosis has been found to be associated with linguistic deficits [1][2][3] and poorer social and clinical outcomes [4,5]. The central role of language in the development of schizophrenia (SKZ) has been first hypothesized by Crow [6] who correlated the origin of psychotic symptoms with an altered hemispheric lateralization [7].…”

Section: Introductionmentioning

confidence: 99%

“…; z = -9.2 HCsvsFEP-NA; p < 0.001 FEP-NA = FEP-A> HCs HCsvsFEP-A; z = -4 4. HCsvsFEP-A; p < 0.001 FEP-NAvsFEP-A; z = 2.AE 0.8 HCsvsFEP-NA; z = -8.2 HCsvsFEP-NA; p < 0.001 FEP-NA = FEP-A> HCs HCsvsFEP-A; z = -3.9HCsvsFEP-A; p = 0.002 FEP-NAvsFEP-A; z = 2.AE 0.6 HCsvsFEP-NA; z = -5.8 HCsvsFEP-NA; p < 0.001 FEP-NA = FEP-A > HCs HCsvsFEP-A; z = -3.5 HCsvsFEP-A; p = 0.01 FEP-NAvsFEP-A; z = 0.6 FEP-NAvsFEP-A; p = 1 TCGB Passive Affirmative Item 0.5 AE 1.1 0.2 AE 0.4 0.1 AE 0.4 HCsvsFEP-NA; z = -4.3 HCsvsFEP-NA; p < 0.001 FEP-NA > FEP-A and HCs HCsvsFEP-A; z = -0.4 HCsvsFEP-A; p = 1 FEP-NAvsFEP-A; z = 3.-NAvsFEP-A; p = 1 FEP-A = Affective First Episode psychosis; FEP-NA = Non-affective First Episode Psychosis; HCs = Healthy Controls; TCGB = Test di Comprensione Grammaticale per Bambini.…”

mentioning

confidence: 97%

Altered syntactic abilities in first episode patients: An inner phenomenon characterizing psychosis

Delvecchio

Caletti

Perlini

et al. 2019

European Psychiatry

View full text Add to dashboard Cite

Background: Research has consistently shown that language abilities represent a core dimension of psychosis; however, to date, very little is known about syntactic comprehension performance in the early stages of psychosis. This study aims to compare the linguistic abilities involved in syntactic comprehension in a large group of First Episode Psychosis (FEP) patients and healthy controls (HCs). Methods: A multiple choice test of comprehension of syntax was administered to 218 FEP patients (166 non-affective FEP patients [FEP-NA] and 52 affective FEP patients [FEP-A]) and 106 HCs. All participants were asked to match a sentence they listen with one out of four vignettes on a pc screen. Only one vignette represents the stimulus target, while the others are grammatical or non-grammatical (visual) distractors. Both grammatical and non-grammatical errors and performance in different syntactic constructions were considered. Results: FEP committed greater number of errors in the majority of TCGB language domains compared to HCs. Moreover, FEP-NA patients committed significantly more non-grammatical (z = À3.2, p = 0.007), locative (z = À4.7, p < 0.001), passive-negative (z = À3.2, p = 0.02), and relative (z = À4.6, p < 0.001) errors compared to HCs as well as more passive-affirmative errors compared to both HCs (z = À4.3, p < 0.001) and FEP-A (z = 3.1, p = 0.04). Finally, we also found that both FEP-NA and FEP-A committed more grammatical (FEP-NA: z = À9.2, p < 0.001 and FEP-A: z = À4.4, p < 0.001), total (FEP-NA: z = À8.2, p < 0.001 and FEP-A: z = 3.9, p = 0.002), and active-negative (FEP-NA: z = À5.8, p < 0.001 and FEP-A: z = À3.5, p = 0.01) errors compared to HCs. Conclusions: This study shows that the access to syntactic structures is already impaired in FEP patients, especially in those with FEP-NA, ultimately suggesting that language impairments represent a core and inner feature of psychosis even at early stages.

show abstract

The Predictive Value of Thought Disorder in Manic Psychosis

Cited by 7 publications

References 14 publications

Prevalence and description of psychotic features in bipolar mania

Prevalence and description of psychotic features in bipolar mania

The effects of emotional salience on thought disorder in patients with bipolar affective disorder

Altered syntactic abilities in first episode patients: An inner phenomenon characterizing psychosis

Contact Info

Product

Resources

About