Prognostic Value of Affective Symptoms in First-Admission Psychotic Patients
نویسندگان
چکیده
BACKGROUND Very little research has been conducted in patients with first-episode psychosis using a dimensional approach. Affective dimensional representations might be useful to predict the clinical course and treatment needs in such patients. METHODS Weincluded 112 patients with first-episode psychosis in a longitudinal-prospective study with a five-year follow-up (N = 82). Logistic analyses were performed to determine the predictive factors associated with depressive, manic, activation, and dysphoric dimensions. RESULTS High scores on the depressive dimension were associated with the best prognosis. On the other hand, high scores on the activation dimension and the manic dimension were associated with a poorer prognosis in terms of relapses. Only the dysphoric dimension was not associated with syndromic or functional prognosis. CONCLUSION Ourresults suggest that the pattern of baseline affective symptoms helps to predict the course of psychotic illness. Therefore, the systematic assessment of affective symptoms would enable us to draw important conclusions regarding patients' prognosis. Interventions for patients with high scores on manic or activation dimensions could be beneficial in decreasing relapses in first-episode psychosis.
منابع مشابه
Neuropsychological differences between first-admission schizophrenia and psychotic affective disorders.
OBJECTIVE The study compared the neuropsychological functioning of patients with first-admission schizophrenia with that of patients with first-admission psychotic affective disorders. METHOD Data came from the Suffolk County Mental Health Project, an epidemiological study of first-admission psychotic disorders. Subjects with a diagnosis of schizophrenia (N=102) and psychotic affective disord...
متن کاملThe Prognostic Value of Admission Glasgow Coma Scale and AVPU in Acute Drug Poisoning Patients
متن کامل
ویژگیهای بالینی و ثبات تشخیصی اختلال دوقطبی در کودکان و نوجوانان
Objectives: The aim of this study was to evaluate the clinical characteristics and diagnostic stability of children and adolescents with bipolar disorder. Method: In this prospective study, 257 subjects with bipolar disorder who were consecutively admitted to Roozbeh Hospital (Tehran, Iran) were enrolled. Demographic characteristics, diagnosis, treatment, comorbid disorders and mood and psychot...
متن کاملDuration of untreated psychosis and acute remission of negative symptoms in a South American first-episode psychosis cohort.
AIM To determine the association between duration of untreated psychosis (DUP) and symptoms remission in a hospitalized first-episode psychosis cohort. METHODS Inpatients with a first-episode non-affective psychosis were recruited. Subjects were divided into two groups of long and short DUP using a 3-month cut-off point, and this was related to remission at 10 weeks of treatment. Multivariate...
متن کاملCOVID-19 and ICU admission associated predictive factors in Iranian patients
Background: The pandemic situation created an overwhelmed needs for ICU facilities, according to this problem, the need of accurate the management of facilities represents bold. In this study, prognostic risk factors for ICU admission among COVID-19 hospitalized patients were evaluated. Methods: From 22 February to April 20, 2020. Totally,214 COVID-19 patients participated in this study. The i...
متن کامل