Basic self-disturbance predicts psychosis onset in the ultra high risk for psychosis "prodromal" population.
Identifieur interne : 002B89 ( Main/Exploration ); précédent : 002B88; suivant : 002B90Basic self-disturbance predicts psychosis onset in the ultra high risk for psychosis "prodromal" population.
Auteurs : Barnaby Nelson [Australie] ; Andrew Thompson ; Alison R. YungSource :
- Schizophrenia bulletin [ 1745-1701 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Analyse de régression (MeSH), Concept du soi (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Modèles des risques proportionnels (MeSH), Mâle (MeSH), Pronostic (MeSH), Psychologie des schizophrènes (MeSH), Schizophrénie (diagnostic), Symptômes prodromiques (MeSH), Troubles psychotiques (diagnostic), Troubles psychotiques (psychologie), Études cas-témoins (MeSH), Études longitudinales (MeSH), Évolution de la maladie (MeSH).
- MESH :
- diagnostic : Schizophrénie, Troubles psychotiques.
- psychologie : Troubles psychotiques.
- Adolescent, Analyse de régression, Concept du soi, Femelle, Humains, Jeune adulte, Modèles des risques proportionnels, Mâle, Pronostic, Psychologie des schizophrènes, Symptômes prodromiques, Études cas-témoins, Études longitudinales, Évolution de la maladie.
English descriptors
- KwdEn :
- Adolescent (MeSH), Case-Control Studies (MeSH), Disease Progression (MeSH), Female (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Prodromal Symptoms (MeSH), Prognosis (MeSH), Proportional Hazards Models (MeSH), Psychotic Disorders (diagnosis), Psychotic Disorders (psychology), Regression Analysis (MeSH), Schizophrenia (diagnosis), Schizophrenic Psychology (MeSH), Self Concept (MeSH), Young Adult (MeSH).
- MESH :
- diagnosis : Psychotic Disorders, Schizophrenia.
- psychology : Psychotic Disorders.
- Adolescent, Case-Control Studies, Disease Progression, Female, Humans, Longitudinal Studies, Male, Prodromal Symptoms, Prognosis, Proportional Hazards Models, Regression Analysis, Schizophrenic Psychology, Self Concept, Young Adult.
Abstract
INTRODUCTION
Phenomenological research indicates that disturbance of the basic sense of self may be a core phenotypic marker of schizophrenia spectrum disorders. Basic self-disturbance refers to a disruption of the sense of ownership of experience and agency of action and is associated with a variety of anomalous subjective experiences. In this study, we investigated the presence of basic self-disturbance in an "ultra high risk" (UHR) for psychosis sample compared with a healthy control sample and whether it predicted transition to psychotic disorder.
METHODS
Forty-nine UHR patients and 52 matched healthy control participants were recruited to the study. Participants were assessed for basic self-disturbance using the Examination of Anomalous Self-Experience (EASE) instrument. UHR participants were followed for a mean of 569 days.
RESULTS
Levels of self-disturbance were significantly higher in the UHR sample compared with the healthy control sample (P < .001). Cox regression indicated that total EASE score significantly predicted time to transition (P < .05) when other significant predictors were controlled for. Exploratory analyses indicated that basic self-disturbance scores were higher in schizophrenia spectrum cases, irrespective of transition to psychosis, than nonschizophrenia spectrum cases.
DISCUSSION
The results indicate that identifying basic self-disturbance in the UHR population may provide a means of further "closing in" on individuals truly at high risk of psychotic disorder, particularly of schizophrenia spectrum disorders. This may be of practical value by reducing inclusion of "false positive" cases in UHR samples and of theoretical value by shedding light on core phenotypic features of schizophrenia spectrum pathology.
DOI: 10.1093/schbul/sbs007
PubMed: 22349924
PubMed Central: PMC3494062
Affiliations:
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Yung</name></author></analytic><series><title level="j">Schizophrenia bulletin</title><idno type="eISSN">1745-1701</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Disease Progression (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Prodromal Symptoms (MeSH)</term><term>Prognosis (MeSH)</term><term>Proportional Hazards Models (MeSH)</term><term>Psychotic Disorders (diagnosis)</term><term>Psychotic Disorders (psychology)</term><term>Regression Analysis (MeSH)</term><term>Schizophrenia (diagnosis)</term><term>Schizophrenic Psychology (MeSH)</term><term>Self Concept (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Analyse de régression (MeSH)</term><term>Concept du soi (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Modèles des risques proportionnels (MeSH)</term><term>Mâle (MeSH)</term><term>Pronostic (MeSH)</term><term>Psychologie des schizophrènes (MeSH)</term><term>Schizophrénie (diagnostic)</term><term>Symptômes prodromiques (MeSH)</term><term>Troubles psychotiques (diagnostic)</term><term>Troubles psychotiques (psychologie)</term><term>Études cas-témoins (MeSH)</term><term>Études longitudinales (MeSH)</term><term>Évolution de la maladie (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Psychotic Disorders</term><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Schizophrénie</term><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Psychotic Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Case-Control Studies</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Prodromal Symptoms</term><term>Prognosis</term><term>Proportional Hazards Models</term><term>Regression Analysis</term><term>Schizophrenic Psychology</term><term>Self Concept</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Analyse de régression</term><term>Concept du soi</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Modèles des risques proportionnels</term><term>Mâle</term><term>Pronostic</term><term>Psychologie des schizophrènes</term><term>Symptômes prodromiques</term><term>Études cas-témoins</term><term>Études longitudinales</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Phenomenological research indicates that disturbance of the basic sense of self may be a core phenotypic marker of schizophrenia spectrum disorders. Basic self-disturbance refers to a disruption of the sense of ownership of experience and agency of action and is associated with a variety of anomalous subjective experiences. In this study, we investigated the presence of basic self-disturbance in an "ultra high risk" (UHR) for psychosis sample compared with a healthy control sample and whether it predicted transition to psychotic disorder.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Forty-nine UHR patients and 52 matched healthy control participants were recruited to the study. Participants were assessed for basic self-disturbance using the Examination of Anomalous Self-Experience (EASE) instrument. UHR participants were followed for a mean of 569 days.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Levels of self-disturbance were significantly higher in the UHR sample compared with the healthy control sample (P < .001). Cox regression indicated that total EASE score significantly predicted time to transition (P < .05) when other significant predictors were controlled for. Exploratory analyses indicated that basic self-disturbance scores were higher in schizophrenia spectrum cases, irrespective of transition to psychosis, than nonschizophrenia spectrum cases.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>The results indicate that identifying basic self-disturbance in the UHR population may provide a means of further "closing in" on individuals truly at high risk of psychotic disorder, particularly of schizophrenia spectrum disorders. This may be of practical value by reducing inclusion of "false positive" cases in UHR samples and of theoretical value by shedding light on core phenotypic features of schizophrenia spectrum pathology.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22349924</PMID><DateCompleted><Year>2013</Year><Month>05</Month><Day>16</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1745-1701</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>6</Issue><PubDate><Year>2012</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Schizophrenia bulletin</Title><ISOAbbreviation>Schizophr Bull</ISOAbbreviation></Journal><ArticleTitle>Basic self-disturbance predicts psychosis onset in the ultra high risk for psychosis "prodromal" population.</ArticleTitle><Pagination><MedlinePgn>1277-87</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/schbul/sbs007</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Phenomenological research indicates that disturbance of the basic sense of self may be a core phenotypic marker of schizophrenia spectrum disorders. Basic self-disturbance refers to a disruption of the sense of ownership of experience and agency of action and is associated with a variety of anomalous subjective experiences. In this study, we investigated the presence of basic self-disturbance in an "ultra high risk" (UHR) for psychosis sample compared with a healthy control sample and whether it predicted transition to psychotic disorder.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Forty-nine UHR patients and 52 matched healthy control participants were recruited to the study. Participants were assessed for basic self-disturbance using the Examination of Anomalous Self-Experience (EASE) instrument. UHR participants were followed for a mean of 569 days.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Levels of self-disturbance were significantly higher in the UHR sample compared with the healthy control sample (P < .001). Cox regression indicated that total EASE score significantly predicted time to transition (P < .05) when other significant predictors were controlled for. Exploratory analyses indicated that basic self-disturbance scores were higher in schizophrenia spectrum cases, irrespective of transition to psychosis, than nonschizophrenia spectrum cases.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The results indicate that identifying basic self-disturbance in the UHR population may provide a means of further "closing in" on individuals truly at high risk of psychotic disorder, particularly of schizophrenia spectrum disorders. 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Yung</name></noCountry><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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