Search results for "schizophrenia."

showing 10 items of 592 documents

Early improvement as a predictor of remission and response in schizophrenia: Results from a naturalistic study

2009

AbstractObjectiveTo examine the predictive validity of early improvement in a naturalistic sample of inpatients and to identify the criterion that best defines early improvement.MethodsTwo hundred and forty-seven inpatients who fulfilled ICD-10 criteria for schizophrenia were assessed with the Positive And Negative Syndrome Scale (PANSS) at admission and at biweekly intervals until discharge from hospital. Remission was defined according to the recently proposed consensus criteria, response as a reduction of at least 40% in the PANNS total score from admission to discharge.ResultsReceiver operating characteristic (ROC) analyses showed that early improvement (reduction of the PANSS total sco…

AdultMalePredictive validitymedicine.medical_specialtyDrug trialAdolescentmedicine.medical_treatmentConsensus criteriaSensitivity and SpecificitySeverity of Illness Index03 medical and health sciences0302 clinical medicineNaturalistic observationInternational Classification of DiseasesInternal medicinemedicineHumans030212 general & internal medicinePsychiatryAntipsychoticAgedPsychiatric Status Rating ScalesPositive and Negative Syndrome ScaleReceiver operating characteristicPatient SelectionMiddle Agedmedicine.diseaseAntidepressive Agents030227 psychiatryPsychiatry and Mental healthTranquilizing AgentsTreatment OutcomeROC CurveSchizophreniaArea Under CurveSchizophreniaFemalePsychologyAntipsychotic AgentsFollow-Up StudiesEuropean Psychiatry
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Visuospatial deficits in schizophrenia: central executive and memory subsystems impairments

2002

Object and spatial visual working memory are impaired in schizophrenic patients. It is not clear if the impairments reside in each memory subsystem alone or also in the central executive component that coordinates these processes. In order to elucidate which memory component is impaired, we developed a paradigm with single spatial and object working memory tasks and dual ones with two different delays (5 and 30 s). Fifteen schizophrenic patients and 14 control subjects performed these tests. Schizophrenic patients had a poorer performance compared to normal controls in all tasks and in all time delays. Both schizophrenics and controls performed significantly worse in the object task than in…

AdultMalePrefrontal CortexSpatial memoryVisual memoryForm perceptionMemorySchizophrenic PsychologyReaction TimemedicineHumansPrefrontal cortexBiological PsychiatryMemory DisordersWorking memoryCognitionmedicine.diseaseForm PerceptionPsychiatry and Mental healthSchizophreniaSpace PerceptionMental RecallSchizophreniaFemaleSchizophrenic PsychologyCognition DisordersPsychologyPsychomotor PerformanceCognitive psychologySchizophrenia Research
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Evaluation of standardized rater training for the Positive and Negative Syndrome Scale (PANSS)

1998

The Positive and Negative Syndrome Scale (PANSS) is employed increasingly for the evaluation of therapeutic outcome in studies on schizophrenia. Rater training is important to improve the concordance and accuracy of ratings; however, there are no established guidelines for carrying out such training. We conducted rater training, under clinical conditions, of psychiatrists and clinical psychologists who were rather unfamiliar with the PANSS. Based on videotapes of PANSS interviews, all participants were trained during five successive standardized weekly sessions. The results were analyzed with respect to conventional criteria of concordance with standard expert ratings and interrater reliabi…

AdultMalePsychiatric Status Rating ScalesPositive and Negative Syndrome ScalePsychometricsConcordanceeducationMiddle AgedRater trainingmedicine.diseasePsychiatry and Mental healthInter-rater reliabilityTreatment OutcomeEvaluation Studies as TopicSchizophreniaTraining outcomeSchizophreniamedicineHumansFemalePsychologyBiological PsychiatryPsychopathologyClinical psychologySchizophrenia Research
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A polydiagnostic scale for dimensional classification of endogenous depression. Derivation and validation.

1986

Several operational diagnoses (OPD) for endogenous depression have been proposed. However--though aiming at similar clinical concepts--the amount of association and agreement between different OPD is rather low. In this study the relationship between eight OPD (Research Diagnostic Criteria, DSM-III, Michigan Discrimination Index, Newcastle Scale I, Newcastle Scale II, Taylor-Abrams Criteria, Vienna Research Criteria, Hamilton Endogenomorphy Index) was assessed by applying latent trait analyses to the classificatory data of these eight OPD which were rated simultaneously in a sample of 173 depressive inpatients. According to these analyses six OPD (RDC, DSM-III, NCS-I, NCS-II, TAC and VRC) a…

AdultMalePsychiatric Status Rating Scalesmedicine.medical_specialtyDepressive DisorderBipolar DisorderPsychometricsScale (ratio)Neurotic DisordersPsychometricsResearch Diagnostic CriteriaTest validityPsychiatry and Mental healthAdjustment DisordersManuals as TopicLatent traitEndogenous depressionmedicineSchizophreniaHumansFemaleMedical diagnosisPsychiatryPsychologyDepression (differential diagnoses)Acta psychiatrica Scandinavica
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Effectiveness of the Cognitive Differentiation Program of the Integrated Psychological Therapy

2011

The aim of the current pilot study was to compare two strategies in the application of the cognitive differentiation program of Integrated Psychological Therapy for people with schizophrenia. Twenty-six outpatients were randomly assigned to the application of the program in group sessions (CDg), or to its application in individualized sessions (CDi). The program provides cognitive exercises to promote better performance in cognition, and both groups of participants completed the same number of exercises following the same number of sessions per week. Outcomes were assessed on neuropsychological measures of attention, executive functioning and everyday memory, and everyday functioning. Effec…

AdultMalePsychological therapyPilot ProjectsNeuropsychological Testslaw.inventionRandomized controlled triallawmedicineHumansSingle-Blind MethodSocial functioningCognitive Behavioral TherapyNeuropsychologyCognitionMiddle Agedmedicine.diseasePsychiatry and Mental healthTreatment OutcomeCognitive remediation therapySchizophreniaPsychotherapy GroupFemaleCognition DisordersPsychologyEveryday memoryClinical psychologyJournal of Nervous & Mental Disease
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Development of a new measure for assessing insight: Psychometric properties of the insight orientation scale (IOS)

2015

Abstract Introduction Given the centrality of insight in promoting change, the relevance of measures for assessing this construct has become increasingly clear. This paper describes a new self-report measure for assessing some of the characteristics of insight, the insight orientation scale (IOS). Aims In study 1, we evaluated the factor structure and the reliability of the scale. In study 2, we analyzed the concurrent and discriminant validity of the scale in patients with different clinical diagnoses. Methods In study 1 participants were 600 individuals (41.1% male, 58.9% female) with a mean age of 33.95 years (SD = 13.04). In study 2 participants were 136 individuals divided into the fol…

AdultMalePsychometricsPsychometricsSubstance-Related DisordersSettore M-PSI/08 - PSICOLOGIA CLINICANeuropsychological TestsAssessmentDevelopmental psychologyYoung AdultCognitionOrientationDiagnosismedicineHumansBiological PsychiatryReliability (statistics)Psychiatric Status Rating ScalesAnalysis of VarianceDepressive DisorderDiscriminant validityCognitionMiddle Agedmedicine.diseasePersonality disordersPsychotherapyPsychiatry and Mental healthPsychotic DisordersSchizophreniaScale (social sciences)SchizophreniaFemaleSelf ReportInsightConstruct (philosophy)PsychologyInsight; Assessment; Psychotherapy; DiagnosisClinical psychology
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Straight gyrus morphology in first-episode schizophrenia-spectrum patients

2010

et al.

AdultMalePsychosisAdolescentFirst episode schizophreniaGyrus rectusYoung AdultmedicineImage Processing Computer-AssistedHumansBrain magnetic resonance imagingBiological PsychiatryPharmacologyFirst episodeCerebral CortexPsychiatric Status Rating ScalesAnalysis of VarianceBrain MappingConfoundingHealthy subjectsAnatomyMiddle Agedmedicine.diseaseMagnetic Resonance ImagingFirst-episode schizophreniaStraight gyrusStraight gyrusSchizophreniaSchizophreniaFemaleSchizophrenic PsychologyPsychologyNeuroscienceMRI
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Reduced oscillatory gamma-band responses in unmedicated schizophrenic patients indicate impaired frontal network processing

2004

Abstract Objective Integration of sensory information by cortical network binding appears to be crucially involved in target detection. Studies in schizophrenia using functional and diffusion tensor neuroimaging, event-related potentials and EEG coherence indicate an impairment of cortical network coupling in this disorder. Previous electrophysiological investigations in animals and humans suggested that gamma activity (oscillations at around 40 Hz) is essential for cortical network binding. Studies in medicated schizophrenia provide evidence for a reduced gamma activity in the context of auditory stimulus processing. This is the first investigation of oscillatory activations in the gamma-b…

AdultMalePsychosisAdolescentSensory systemStimulus (physiology)ElectroencephalographyAuditory cortexNeuroimagingEvent-related potentialPhysiology (medical)Reaction TimemedicineHumansAnalysis of Variancemedicine.diagnostic_testElectroencephalographymedicine.diseaseSensory SystemsFrontal LobeAcoustic StimulationNeurologyFrontal lobeSchizophreniaFemaleNeurology (clinical)Nerve NetPsychologyNeuroscienceClinical Neurophysiology
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Predictors of neurocognitive impairment at 3years after a first episode non-affective psychosis

2013

Abstract Background Neurocognitive impairment is a core component of schizophrenia. However, patients show great variability in the level and course of deficits. The goal of the present longitudinal study was to identify predictors of neurocognitive impairment in first episode psychosis patients. Methods N eurocognitive performance was analyzed in a cohort of 146 patients 3 years after a first episode non-affective psychosis. Subgroups, impaired vs. unimpaired, were compared on baseline clinical, neuropsychological, premorbid and sociodemographic characteristics. Results Fifty-nine percent of participants presented general neurocognitive impairment and regression analyses demonstrated that …

AdultMalePsychosisAdolescentTrail Making TestPoison controlNeuropsychological TestsYoung AdultMemoryPredictive Value of TestsmedicineHumansLongitudinal StudiesBiological PsychiatryIntelligence TestsPsychiatric Status Rating ScalesPharmacologyFirst episodeTrail Making TestWechsler ScalesNeuropsychologyMiddle AgedPrognosismedicine.diseaseDiagnostic and Statistical Manual of Mental DisordersPsychotic DisordersSocioeconomic FactorsMotor SkillsSchizophreniaSchizophreniaRegression AnalysisFemaleSchizophrenic PsychologyVerbal memoryCognition DisordersPsychologyNeurocognitiveFollow-Up StudiesClinical psychologyProgress in Neuro-Psychopharmacology and Biological Psychiatry
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A replication study on P300 single trial analysis in schizophrenia: confirmation of a reduced number of 'true positive' P300 waves.

2000

A single trial analysis of event-related potentials (auditory odd-ball paradigm) of 20 schizophrenics was performed in comparison to matched healthy controls. The purpose of the study was to test the hypothesis that in schizophrenia the well-known P300 amplitude reduction of averaged event-related potentials is due to fewer elicited single trial P300 waves. The results of the present study support this finding of our previous exploratory investigation and point to the view that schizophrenics reveal basal disturbances in information processing due to inadequately elicited electrophysiological responses to target stimuli.

AdultMalePsychosisBasal (phylogenetics)Replication (statistics)medicineHumansFalse Positive ReactionsBiological PsychiatryBrainCognitionMiddle Agedmedicine.diseaseP300 amplitudeEvent-Related Potentials P300Psychiatry and Mental healthElectrophysiologySchizophreniaCase-Control StudiesAuditory PerceptionEvoked Potentials AuditorySchizophreniaFemaleSingle trialPsychologyNeuroscienceJournal of psychiatric research
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