Schneider's first-rank symptoms as predictors of remission in antipsychotic-naive first-episode psychosis
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 42(1): 22-26, Jan.-Feb. 2020. tab
Article
em En
| LILACS
| ID: biblio-1055359
Biblioteca responsável:
BR1.1
ABSTRACT
Objective:
German psychiatrist Kurt Schneider proposed the concept of first-rank symptoms (FRS) of schizophrenia in 1959. However, their relevance for diagnosis and prediction of treatment response are still unclear. Most studies have investigated FRS in chronic or medicated patients. The present study sought to evaluate whether FRS predict remission, response, or improvement in functionality in antipsychotic-naive first-episode psychosis.Methods:
Follow-up study of 100 patients at first episode of psychosis (FEP), with no previous treatment, assessed at baseline and after 2 months of treatment. The participants were evaluated with the standardized Positive and Negative Syndrome Scale (PANSS) and Global Assessment of Functioning (GAF) and for presence of FRS.Results:
Logistic regression analysis showed that, in this sample, up to three individual FRS predicted remission voices arguing, voices commenting on one's actions, and thought broadcasting.Conclusion:
Specific FRS may predict remission after treatment in FEP patients. This finding could give new importance to Kurt Schneider's classic work by contributing to future updates of diagnostic protocols and improving estimation of prognosis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Transtornos Psicóticos
/
Esquizofrenia
/
Antipsicóticos
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Assunto da revista:
PSIQUIATRIA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil