Stability in basic self-disturbances and diagnosis in a first treated psychosis: A seven year follow-up study.
Identifieur interne : 000C78 ( Main/Exploration ); précédent : 000C77; suivant : 000C79Stability in basic self-disturbances and diagnosis in a first treated psychosis: A seven year follow-up study.
Auteurs : Ingrid Hartveit Svendsen [Norvège] ; Merete G. Ie [Norvège] ; Paul M Ller [Norvège] ; Barnaby Nelson [Australie] ; Ingrid Melle [Norvège] ; Elisabeth Haug [Norvège]Source :
- Schizophrenia research [ 1573-2509 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Psychologie des schizophrènes (MeSH), Schizophrénie (diagnostic), Trouble bipolaire (diagnostic), Trouble bipolaire (psychologie), Troubles psychotiques (diagnostic), Troubles psychotiques (psychologie), Échelles d'évaluation en psychiatrie (MeSH), Études de suivi (MeSH), Études longitudinales (MeSH), Évolution de la maladie (MeSH).
- MESH :
- diagnostic : Schizophrénie, Trouble bipolaire, Troubles psychotiques.
- psychologie : Trouble bipolaire, Troubles psychotiques.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Jeune adulte, Mâle, Psychologie des schizophrènes, Échelles d'évaluation en psychiatrie, Études de suivi, Études longitudinales, Évolution de la maladie.
English descriptors
- KwdEn :
- Adult (MeSH), Bipolar Disorder (diagnosis), Bipolar Disorder (psychology), Disease Progression (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Psychiatric Status Rating Scales (MeSH), Psychotic Disorders (diagnosis), Psychotic Disorders (psychology), Schizophrenia (diagnosis), Schizophrenic Psychology (MeSH), Young Adult (MeSH).
- MESH :
Abstract
BACKGROUND
Basic self-disturbances (BSDs) are considered core features of schizophrenia spectrum disorders, and are present in the prodromal, early psychotic and chronic phases. Considerable levels of BSDs are also present at first treatment in some patients with psychotic disorders outside the schizophrenia spectrum. There is limited knowledge about the stability of self-disturbances over time.
AIM
To explore the stability of BSDs in a seven-year follow-up of first treatment patients, and the association between baseline levels and changes in BSDs and diagnostic changes at follow-up.
METHOD
Longitudinal study of 56 patients (35 schizophrenia and 21 non-schizophrenia) recruited at their first treatment for a psychotic disorder. BSDs were assessed using the Examination of Anomalous Self-Experience (EASE), while diagnostic categories, clinical symptom severity, and functioning were assessed with standard clinical instruments.
RESULTS
The schizophrenia group had significantly lower levels of BSDs at follow-up compared to baseline. The EASE domain "Cognition and stream of consciousness" was the most stable. There were no diagnostic changes into or out of schizophrenia spectrum. Patients with schizophrenia had significantly higher levels of BSDs both at baseline and at follow up than patients with psychotic disorders outside the schizophrenia spectrum, who showed stable low levels.
CONCLUSION
We found a decrease and thus less stability in BSDs in schizophrenia than expected. This might indicate that BSDs tent to weaken over time, and that unknown individual characteristics may influence the development of BSDs. Diagnostic stability from baseline to follow-up may be due to long DUP before service entry.
DOI: 10.1016/j.schres.2018.07.011
PubMed: 30007869
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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B. 1018, Blindern, 0315 Oslo, Norway. Electronic address: ingridhartveit.svendsen@sykehuset-innlandet.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Innlandet Hospital Trust, Department of Acute Psychiatry and Psychosis Treatment, Presteseter 1, 2840 Reinsvoll, Norway; University of Oslo, Faculty of Medicine, P. B. 1018, Blindern, 0315 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey=" Ie, Merete G" sort=" Ie, Merete G" uniqKey=" Ie M" first="Merete G" last=" Ie">Merete G. Ie</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, University of Oslo, Pb 1094, Blindern, Norway; Division of Research, Innlandet Hospital Trust, Norway. Electronic address: m.g.oie@psykologi.uio.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Psychology, University of Oslo, Pb 1094, Blindern, Norway; Division of Research, Innlandet Hospital Trust</wicri:regionArea><wicri:noRegion>Innlandet Hospital Trust</wicri:noRegion></affiliation></author><author><name sortKey="M Ller, Paul" sort="M Ller, Paul" uniqKey="M Ller P" first="Paul" last="M Ller">Paul M Ller</name><affiliation wicri:level="1"><nlm:affiliation>Vestre Viken Hospital Trust, Division of Mental Health and Addiction, Department of Mental Health Research and Development, Norway. Electronic address: Paul.Moller@vestreviken.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Vestre Viken Hospital Trust, Division of Mental Health and Addiction, Department of Mental Health Research and Development</wicri:regionArea><wicri:noRegion>Department of Mental Health Research and Development</wicri:noRegion></affiliation></author><author><name sortKey="Nelson, Barnaby" sort="Nelson, Barnaby" uniqKey="Nelson B" first="Barnaby" last="Nelson">Barnaby Nelson</name><affiliation wicri:level="4"><nlm:affiliation>Orygen Youth Health, Centre for Youth Mental Health, University of Melbourne, 35 Poplar Rd (Locked Bag 10), Parkville, Victoria 3052, Australia. Electronic address: nelsonb@unimelb.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen Youth Health, Centre for Youth Mental Health, University of Melbourne, 35 Poplar Rd (Locked Bag 10), Parkville, Victoria 3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Melle, Ingrid" sort="Melle, Ingrid" uniqKey="Melle I" first="Ingrid" last="Melle">Ingrid Melle</name><affiliation wicri:level="1"><nlm:affiliation>NORMENT KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Postal adr, P.O. Box 1039, Blindern, 0315 Oslo, Norway; Division of Mental Health and Addiction, Oslo University Hospital, Postal adr, P.O. Box 1039, Blindern, 0315 Oslo, Norway. Electronic address: ingrid.melle@medisin.uio.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>NORMENT KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Postal adr, P.O. Box 1039, Blindern, 0315 Oslo, Norway; Division of Mental Health and Addiction, Oslo University Hospital, Postal adr, P.O. Box 1039, Blindern, 0315 Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Haug, Elisabeth" sort="Haug, Elisabeth" uniqKey="Haug E" first="Elisabeth" last="Haug">Elisabeth Haug</name><affiliation wicri:level="1"><nlm:affiliation>Innlandet Hospital Trust, Department of Acute Psychiatry and Psychosis Treatment, Presteseter 1, 2840 Reinsvoll, Norway. Electronic address: elisabeth.haug@sykehuset-innlandet.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Innlandet Hospital Trust, Department of Acute Psychiatry and Psychosis Treatment, Presteseter 1, 2840 Reinsvoll</wicri:regionArea><wicri:noRegion>2840 Reinsvoll</wicri:noRegion></affiliation></author></analytic><series><title level="j">Schizophrenia research</title><idno type="eISSN">1573-2509</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Bipolar Disorder (diagnosis)</term><term>Bipolar Disorder (psychology)</term><term>Disease Progression (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Psychiatric Status Rating Scales (MeSH)</term><term>Psychotic Disorders (diagnosis)</term><term>Psychotic Disorders (psychology)</term><term>Schizophrenia (diagnosis)</term><term>Schizophrenic Psychology (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Psychologie des schizophrènes (MeSH)</term><term>Schizophrénie (diagnostic)</term><term>Trouble bipolaire (diagnostic)</term><term>Trouble bipolaire (psychologie)</term><term>Troubles psychotiques (diagnostic)</term><term>Troubles psychotiques (psychologie)</term><term>Échelles d'évaluation en psychiatrie (MeSH)</term><term>Études de suivi (MeSH)</term><term>Études longitudinales (MeSH)</term><term>Évolution de la maladie (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Bipolar Disorder</term><term>Psychotic Disorders</term><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Schizophrénie</term><term>Trouble bipolaire</term><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Trouble bipolaire</term><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Bipolar Disorder</term><term>Psychotic Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Disease Progression</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Psychiatric Status Rating Scales</term><term>Schizophrenic Psychology</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Psychologie des schizophrènes</term><term>Échelles d'évaluation en psychiatrie</term><term>Études de suivi</term><term>Études longitudinales</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Basic self-disturbances (BSDs) are considered core features of schizophrenia spectrum disorders, and are present in the prodromal, early psychotic and chronic phases. Considerable levels of BSDs are also present at first treatment in some patients with psychotic disorders outside the schizophrenia spectrum. There is limited knowledge about the stability of self-disturbances over time.</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To explore the stability of BSDs in a seven-year follow-up of first treatment patients, and the association between baseline levels and changes in BSDs and diagnostic changes at follow-up.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>Longitudinal study of 56 patients (35 schizophrenia and 21 non-schizophrenia) recruited at their first treatment for a psychotic disorder. BSDs were assessed using the Examination of Anomalous Self-Experience (EASE), while diagnostic categories, clinical symptom severity, and functioning were assessed with standard clinical instruments.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The schizophrenia group had significantly lower levels of BSDs at follow-up compared to baseline. The EASE domain "Cognition and stream of consciousness" was the most stable. There were no diagnostic changes into or out of schizophrenia spectrum. Patients with schizophrenia had significantly higher levels of BSDs both at baseline and at follow up than patients with psychotic disorders outside the schizophrenia spectrum, who showed stable low levels.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>We found a decrease and thus less stability in BSDs in schizophrenia than expected. This might indicate that BSDs tent to weaken over time, and that unknown individual characteristics may influence the development of BSDs. Diagnostic stability from baseline to follow-up may be due to long DUP before service entry.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30007869</PMID><DateCompleted><Year>2019</Year><Month>10</Month><Day>28</Day></DateCompleted><DateRevised><Year>2019</Year><Month>10</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-2509</ISSN><JournalIssue CitedMedium="Internet"><Volume>202</Volume><PubDate><Year>2018</Year><Month>12</Month></PubDate></JournalIssue><Title>Schizophrenia research</Title><ISOAbbreviation>Schizophr Res</ISOAbbreviation></Journal><ArticleTitle>Stability in basic self-disturbances and diagnosis in a first treated psychosis: A seven year follow-up study.</ArticleTitle><Pagination><MedlinePgn>274-280</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0920-9964(18)30426-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.schres.2018.07.011</ELocationID><Abstract><AbstractText Label="BACKGROUND">Basic self-disturbances (BSDs) are considered core features of schizophrenia spectrum disorders, and are present in the prodromal, early psychotic and chronic phases. Considerable levels of BSDs are also present at first treatment in some patients with psychotic disorders outside the schizophrenia spectrum. There is limited knowledge about the stability of self-disturbances over time.</AbstractText><AbstractText Label="AIM">To explore the stability of BSDs in a seven-year follow-up of first treatment patients, and the association between baseline levels and changes in BSDs and diagnostic changes at follow-up.</AbstractText><AbstractText Label="METHOD">Longitudinal study of 56 patients (35 schizophrenia and 21 non-schizophrenia) recruited at their first treatment for a psychotic disorder. BSDs were assessed using the Examination of Anomalous Self-Experience (EASE), while diagnostic categories, clinical symptom severity, and functioning were assessed with standard clinical instruments.</AbstractText><AbstractText Label="RESULTS">The schizophrenia group had significantly lower levels of BSDs at follow-up compared to baseline. The EASE domain "Cognition and stream of consciousness" was the most stable. There were no diagnostic changes into or out of schizophrenia spectrum. Patients with schizophrenia had significantly higher levels of BSDs both at baseline and at follow up than patients with psychotic disorders outside the schizophrenia spectrum, who showed stable low levels.</AbstractText><AbstractText Label="CONCLUSION">We found a decrease and thus less stability in BSDs in schizophrenia than expected. This might indicate that BSDs tent to weaken over time, and that unknown individual characteristics may influence the development of BSDs. Diagnostic stability from baseline to follow-up may be due to long DUP before service entry.</AbstractText><CopyrightInformation>Copyright © 2018 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Svendsen</LastName><ForeName>Ingrid Hartveit</ForeName><Initials>IH</Initials><AffiliationInfo><Affiliation>Innlandet Hospital Trust, Department of Acute Psychiatry and Psychosis Treatment, Presteseter 1, 2840 Reinsvoll, Norway; University of Oslo, Faculty of Medicine, P. B. 1018, Blindern, 0315 Oslo, Norway. Electronic address: ingridhartveit.svendsen@sykehuset-innlandet.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Øie</LastName><ForeName>Merete G</ForeName><Initials>MG</Initials><AffiliationInfo><Affiliation>Department of Psychology, University of Oslo, Pb 1094, Blindern, Norway; Division of Research, Innlandet Hospital Trust, Norway. Electronic address: m.g.oie@psykologi.uio.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Møller</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Vestre Viken Hospital Trust, Division of Mental Health and Addiction, Department of Mental Health Research and Development, Norway. Electronic address: Paul.Moller@vestreviken.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nelson</LastName><ForeName>Barnaby</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Orygen Youth Health, Centre for Youth Mental Health, University of Melbourne, 35 Poplar Rd (Locked Bag 10), Parkville, Victoria 3052, Australia. Electronic address: nelsonb@unimelb.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Melle</LastName><ForeName>Ingrid</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>NORMENT KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Postal adr, P.O. Box 1039, Blindern, 0315 Oslo, Norway; Division of Mental Health and Addiction, Oslo University Hospital, Postal adr, P.O. Box 1039, Blindern, 0315 Oslo, Norway. Electronic address: ingrid.melle@medisin.uio.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haug</LastName><ForeName>Elisabeth</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Innlandet Hospital Trust, Department of Acute Psychiatry and Psychosis Treatment, Presteseter 1, 2840 Reinsvoll, Norway. Electronic address: elisabeth.haug@sykehuset-innlandet.no.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>07</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Schizophr Res</MedlineTA><NlmUniqueID>8804207</NlmUniqueID><ISSNLinking>0920-9964</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001714" MajorTopicYN="N">Bipolar Disorder</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011618" MajorTopicYN="N">Psychotic Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012559" MajorTopicYN="N">Schizophrenia</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012565" MajorTopicYN="N">Schizophrenic Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Bipolar disorder</Keyword><Keyword MajorTopicYN="Y">Early intervention</Keyword><Keyword MajorTopicYN="Y">Examination of anomalous self-experience</Keyword><Keyword MajorTopicYN="Y">Phenomenology</Keyword><Keyword MajorTopicYN="Y">Schizophrenia</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>12</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>06</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>07</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>7</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30007869</ArticleId><ArticleId IdType="pii">S0920-9964(18)30426-2</ArticleId><ArticleId IdType="doi">10.1016/j.schres.2018.07.011</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Norvège</li></country><region><li>Victoria (État)</li><li>Østlandet</li></region><settlement><li>Melbourne</li><li>Oslo</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="Norvège"><region name="Østlandet"><name sortKey="Svendsen, Ingrid Hartveit" sort="Svendsen, Ingrid Hartveit" uniqKey="Svendsen I" first="Ingrid Hartveit" last="Svendsen">Ingrid Hartveit Svendsen</name></region><name sortKey=" Ie, Merete G" sort=" Ie, Merete G" uniqKey=" Ie M" first="Merete G" last=" Ie">Merete G. Ie</name><name sortKey="Haug, Elisabeth" sort="Haug, Elisabeth" uniqKey="Haug E" first="Elisabeth" last="Haug">Elisabeth Haug</name><name sortKey="M Ller, Paul" sort="M Ller, Paul" uniqKey="M Ller P" first="Paul" last="M Ller">Paul M Ller</name><name sortKey="Melle, Ingrid" sort="Melle, Ingrid" uniqKey="Melle I" first="Ingrid" last="Melle">Ingrid Melle</name></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Nelson, Barnaby" sort="Nelson, Barnaby" uniqKey="Nelson B" first="Barnaby" last="Nelson">Barnaby Nelson</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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