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Not all first‐episode psychosis is the same: preliminary evidence of greater basic self‐disturbance in schizophrenia spectrum cases
Author(s) -
Nelson Barnaby,
Thompson Andrew,
Yung Alison R.
Publication year - 2013
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/j.1751-7893.2012.00381.x
Subject(s) - psychosis , schizophrenia (object oriented programming) , schizophrenia spectrum , disturbance (geology) , psychology , psychiatry , population , spectrum disorder , clinical psychology , intervention (counseling) , diagnosis of schizophrenia , medicine , paleontology , environmental health , biology
Aim Disturbance in the basic sense of self has previously been found to characterize schizophrenia spectrum disorders and to predict onset of psychosis in the ultra‐high‐risk population. The current study examined basic self‐disturbance in a first‐episode psychosis (FEP) population. We hypothesized that basic self‐disturbance would be more prominent in cases with a schizophrenia spectrum disorder compared to those with other psychoses. Method Sixteen FEP patients from O rygen Y outh H ealth, M elbourne, were recruited to the study. Participants were assessed using the Examination of Anomalous Self‐Experience and the Structured Clinical Interview for DSM ‐ IV . Results Basic self‐disturbance scores were significantly higher in patients with a schizophrenia spectrum diagnosis ( n = 8) compared to patients with other psychotic diagnoses ( n = 8). Conclusions The findings are consistent with previous work indicating that the disturbance of the basic sense of self is more characteristic of schizophrenia spectrum psychosis than other psychoses. This may have implications for early diagnosis, clinical formulation and intervention.