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Titolo:
The initial prodrome in schizophrenia: Searching for naturalistic core dimensions of experience and behavior
Autore:
Moller, P; Husby, R;
Indirizzi:
Buskerud Cent Hosp, Dept Psychiat, N-3400 Lier, Norway Buskerud Cent HospLier Norway N-3400 Dept Psychiat, N-3400 Lier, Norway Vindern Diakonhjemmet Hosp, Dept Psychiat Res & Educ, Oslo, Norway VindernDiakonhjemmet Hosp Oslo Norway sychiat Res & Educ, Oslo, Norway
Titolo Testata:
SCHIZOPHRENIA BULLETIN
fascicolo: 1, volume: 26, anno: 2000,
pagine: 217 - 232
SICI:
0586-7614(2000)26:1<217:TIPISS>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
FIRST-EPISODE PSYCHOSIS; EARLY INTERVENTION; FOLLOW-UP; 1ST EPISODES; UNTREATED PSYCHOSIS; NORTHWICK PARK; BEST-ESTIMATE; ONSET; SYMPTOMS; DURATION;
Keywords:
first episode schizophrenia; illness onset; prodromal experiences; prodromal behaviors; self-experience; qualitative methods;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
101
Recensione:
Indirizzi per estratti:
Indirizzo: Moller, P Buskerud Cent Hosp, Dept Psychiat, N-3400 Lier, Norway Buskerud Cent Hosp Lier Norway N-3400 iat, N-3400 Lier, Norway
Citazione:
P. Moller e R. Husby, "The initial prodrome in schizophrenia: Searching for naturalistic core dimensions of experience and behavior", SCHIZO BULL, 26(1), 2000, pp. 217-232

Abstract

The scientific exploration of prepsychotic detection and intervention in psychosis has just commenced. To identify developing psychosis at prodromal stages, it is important to learn how patients and families perceive initialprodromes naturalistically. We must understand better what me are going todetect, because the essential components of this phase, particularly the subjective experiences, remain unsettled. In a series of 19 first episode DSM-IV schizophrenia patients, we explore prodromal phenomena in depth and identify potential core dimensions. On the basis of our findings, me describeexperiences and behaviors that appear to be essential components of initial prodromes. The subjects reported serious difficulties interpreting and talking about prodromal experiences at the time these occurred, causing delayed identification. We report detailed reasons for this, pointing out vulnerable aspects of at-risk assessments. From eight proposed groups of experiences, two are highlighted as tentative core dimensions: "disturbance of perception of self" and "extreme preoccupation by and withdrawal to overvalued ideas. " Four potential dimensions of prodromal behavior are also identified: (I) quit school, university, or job, or major school truancy, (2) marked and lasting observable shift of interests, (3) marked and lasting social passivity, withdrawal, or isolation, and (4) marked and lasting change in global appearance or behavior. We argue that the findings, the phenomena, and their significance in prodromes are valid because they are logical and coherent in light of clinical experience as well as the empirical literature ofa full century.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 04:23:16