Persistent negative symptoms after first episode schizophrenia: A 2-year follow-up study.

Abstract:

BACKGROUND:The aim of this study is to determine the rate of persistent negative symptoms according to different criteria during two years of follow-up after first-episode schizophrenia. METHODS:The study sample consisted of 105 patients with first-episode schizophrenia who completed at least 12 months of follow-up period. We used 6 different definitions of persistent negative symptoms (PNS) based on the Scale for the Assessment of Negative Symptoms subscale scores at seven time points throughout the follow-up. In some definitions of PNS, patients with suprathreshold depressive symptoms were excluded. Premorbid adjustment and baseline cognitive performances of the patients were assessed. RESULTS:The PNS rates were between 14.2 and 27.9% in the first year and 11.1 and 25.8% in the second year. Seventy-eight percent of the patients who met the strictest PNS criteria during the first 12 months met the same criteria also during the second 12-month-period. Those with PNS had earlier onset, lower premorbid functioning, worse executive functioning and attention at baseline, and lower rates of working/studying during the 2-year follow-up. Duration of education and untreated psychosis are the independent variables that contribute to the PNS status at the first year of follow-up in logistic regression analysis. CONCLUSION:Our findings suggest that PNS has specific predictors and effect on the course of illness after first-episode schizophrenia.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Üçok A,Ergül C

doi

10.1016/j.schres.2014.07.021

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

241-6

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(14)00378-8

journal_volume

158

pub_type

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