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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Depressive symptoms in first episode schizophrenia spectrum disorder
Schizophrenia Research, Volume 134, No. 1, Year 2012
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Description
Background: Depressive symptoms in 'non-affective' first episode schizophrenia spectrum disorders (FES) are common, but poorly understood, resulting in a range of conceptual and clinical management issues. This study had three aims: (i) to determine the prevalence of moderate to severe depressive symptoms (defined as a Clinical Global Impressions Scale-Bipolar Disorder (CGI-BP depression) score > 3) in a large representative sample of FES patients; (ii) to compare the clinical and functional characteristics of FES patients with and without these depressive symptoms at service entry; and (iii) to compare the characteristics of FES patients with and without persistent depressive symptoms. Methods: Medical file audit methodology was employed to collect information on 405 patients with FES treated at the Early Psychosis Prevention and Intervention Centre (EPPIC), Melbourne, Australia. Results: 26.2% (n = 106) of the patients had moderate to severe depression at service entry. At service entry and at discharge, those with depressive symptoms had greater insight into their illness but did not differ from those without depressive symptoms in terms of severity of overall psychopathology. Substance use was significantly less common in those with depressive symptoms at service entry and at discharge. Of those who were depressed at baseline, 14.2% (n = 15) continued to have moderate to severe depressive symptoms at discharge. Discussion: Depressive symptoms are common in patients with FES. Understanding the nature and characteristics of depression in FES has important clinical implications for both early intervention and treatment. © 2011 Elsevier B.V.
Authors & Co-Authors
Cotton, Sue M.
Australia, Melbourne
Orygen Youth Health
Berk, Michael
Australia, Melbourne
Orygen Youth Health
Australia, Geelong
Deakin University
Australia, Melbourne
The Florey
Hides, Leanne M.
Australia, Brisbane
Queensland University of Technology
McGorry, Patrick D.
Australia, Melbourne
Orygen Youth Health
Conus, Philippe O.
Switzerland, Lausanne
Université de Lausanne Unil
Statistics
Citations: 78
Authors: 5
Affiliations: 8
Identifiers
Doi:
10.1016/j.schres.2011.08.018
ISSN:
15732509
Research Areas
Mental Health
Substance Abuse
Study Design
Randomised Control Trial
Cross Sectional Study