First Episode Psychosis - Prodromal Symptoms
Articol din publicatia Timisoara Medical Journal nr. 3/2005
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Author: Monica Ienciu, Ileana Stoica
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy Timisoara
Aim of the study: to analyze several parameters of early psychosis that are important in clinical practice. One of the fields of interest that has become lately the focus of many clinicians and theoreticians is the research of early psychosis. Recently the research has focused mainly on exploring the period preceding the first psychotic episode. Instruments and methods: This paper presents a one-year follow-up study in which all cases with the diagnosis of first psychotic episode hospitalized in the Timisoara Psychiatric Clinic during 2003 were included. The study analyzes several parameters of early psychosis of practical importance for clinicians: the prodrome, or pre-psychotic state, duration of untreated psychosis (DUP), as well as the relations between these parameters and the severity of the psychotic state, its length and short and long-term prognosis. As assessing instruments the Structured Interview for Prodromal Syndromes (SIPS); the Scale of Prodromal Symptoms SOPS); Brief Psychiatric Rating Scale (BPRS); Global Assessment of Functioning (GAF) were used.
Results: The study shows that the prodromal period is a clinical reality. Moreover, the study identifies transient and permanent pre-psychotic symptoms that act as warning signs for the onset of psychosis.
Conclusions: The study emphasizes the importance of an early detection of psychosis predictive symptoms, in order to enable an optimal therapeutic intervention.