Diagnostic stability over one year in first-episode psychosis.


:Results of first-episode psychosis studies have shown that the diagnosis of schizophrenia is more stable across time than other diagnoses within the psychosis spectrum disorders. The objective of this study was to determine the diagnostic stability in a sample of first-episode patients and to determine the factors that predicted a diagnostic shift. Two hundred and twenty-eight individuals presenting for treatment with a first episode of non-affective psychosis were diagnosed at baseline and at one-year follow-up. Symptoms, functioning and cognition were also assessed. The overall consistency of diagnoses was 68% with an increase to 89% when schizophreniform was excluded. Schizophrenia was found to have the highest prospective consistency (95%), schizophreniform was less stable (36%) with shifts towards schizophrenia and other psychotic disorders were the least stable with a prospective consistency of 62%. Schizophrenia had the largest influx of cases at follow-up with a retrospective consistency of 63%. Schizophrenia can be reliably diagnosed at the initial assessment. There are clinical implications for dealing with the risk of shifting diagnosis for those who present with schizophrenia spectrum and other psychotic disorders.


Schizophr Res


Schizophrenia research


Addington J,Chaves A,Addington D




Has Abstract


2006-09-01 00:00:00














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    abstract:OBJECTIVE:The primary aim is to examine concordant/discordant results of drug use assessments in adults with schizophrenia. METHODS:Latent class analysis and multinomial logistic regression were used to examine concordance/discordance between drug use measures and identify characteristics differentiating participants ...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,随机对照试验


    authors: Johnson KL,Desmarais SL,Swartz MS,Van Dorn RA

    更新日期:2015-02-01 00:00:00

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    pub_type: 杂志文章,meta分析,评审


    authors: Santelmann H,Franklin J,Bußhoff J,Baethge C

    更新日期:2016-10-01 00:00:00

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    pub_type: 杂志文章


    authors: Breetvelt EJ,Boks MP,Numans ME,Selten JP,Sommer IE,Grobbee DE,Kahn RS,Geerlings MI

    更新日期:2010-07-01 00:00:00

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    abstract::The current study sought to expand on prior reports of the validity and reliability of the CAINS (CAINS) by examining its performance across diverse non-academic clinical settings as employed by raters not affiliated with the scale's developers and across a longer test-retest follow-up period. The properties of the CA...

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    pub_type: 杂志文章,多中心研究


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    更新日期:2017-07-01 00:00:00

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    更新日期:2017-07-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章,评审


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    更新日期:2017-09-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2010-09-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Scheller-Gilkey G,Moynes K,Cooper I,Kant C,Miller AH

    更新日期:2004-08-01 00:00:00

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    pub_type: 杂志文章


    authors: Hartman M,Steketee MC,Silva S,Lanning K,Andersson C

    更新日期:2003-10-01 00:00:00

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    pub_type: 杂志文章


    authors: Hamera EK,Schneider JK,Potocky M,Casebeer MA

    更新日期:1996-05-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2014-11-01 00:00:00

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    pub_type: 杂志文章,meta分析


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    更新日期:2011-03-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2013-01-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2015-12-01 00:00:00

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    更新日期:2014-12-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Schneider M,Armando M,Schultze-Lutter F,Pontillo M,Vicari S,Debbané M,Eliez S

    更新日期:2019-04-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:1994-10-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Vita A,Sacchetti E,Calzeroni A,Cazzullo CL

    更新日期:1988-09-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Schürhoff F,Laguerre A,Szöke A,Méary A,Leboyer M

    更新日期:2005-12-15 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


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    更新日期:2010-05-01 00:00:00

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    journal_title:Schizophrenia research

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    更新日期:2007-01-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章,随机对照试验


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    更新日期:2017-10-01 00:00:00

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    pub_type: 杂志文章,多中心研究


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    更新日期:2015-04-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Gupta T,DeVylder JE,Auerbach RP,Schiffman J,Mittal VA

    更新日期:2018-05-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


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    更新日期:2007-02-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Compton MT,Lunden A,Cleary SD,Pauselli L,Alolayan Y,Halpern B,Broussard B,Crisafio A,Capulong L,Balducci PM,Bernardini F,Covington MA

    更新日期:2018-07-01 00:00:00

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Hughes C,Kumari V,Soni W,Das M,Binneman B,Drozd S,O'Neil S,Mathew V,Sharma T

    更新日期:2003-02-01 00:00:00

  • Lymphoblast and brain expression of AHI1 and the novel primate-specific gene, C6orf217, in schizophrenia and bipolar disorder.

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    journal_title:Schizophrenia research

    pub_type: 杂志文章


    authors: Slonimsky A,Levy I,Kohn Y,Rigbi A,Ben-Asher E,Lancet D,Agam G,Lerer B

    更新日期:2010-07-01 00:00:00

  • Caregiving processes and expressed emotion in psychosis, a cross-cultural, meta-analytic review.

    abstract::The construct of Expressed Emotion (EE) is a reliable predictor of relapse in psychotic disorders globally. However, cultural differences in the level and manifestation of EE have been reported. This review was conducted in line with PRISMA guidelines to demonstrate the distribution of EE and its domains cross-cultura...

    journal_title:Schizophrenia research

    pub_type: 杂志文章,meta分析,评审


    authors: O'Driscoll C,Sener SB,Angmark A,Shaikh M

    更新日期:2019-06-01 00:00:00