Negative symptoms in first episode non‐affective psychosis
Abstract
Objective: To determine the prevalence of negative symptoms and to examine secondary sources of influence on negative symptoms and the role of specific negative symptoms in delay associated with seeking treatment in first episode non‐affective psychosis. Method: One hundred and ten patients who met Diagnostic Statistical Manual‐IV (DSM‐IV) criteria for a first episode of schizophrenia spectrum psychoses were rated for assessment of negative, positive, depressive and extrapyramidal symptoms, the premorbid adjustment scale and assessment of demographic and clinical characteristics including duration of untreated psychosis (DUP). Results: Alogia/flat affect and avolition/anhedonia were strongly influenced by parkinsonian and depressive symptoms, respectively. A substantial proportion (26.8%) of patients showed at a least moderate level of negative symptoms not confounded by depression and Parkinsonism. DUP was related only to avolition/anhedonia while flat affect/alogia was related to male gender, diagnosis of schizophrenia, age of onset and the length of the prodrome. Conclusion: Negative symptoms that are independent of the influence of positive symptoms, depression and extra pyramidal symptoms (EPS) are present in a substantial proportion of first episode psychosis patients and delay in seeking treatment is associated mainly with avolition and anhedonia.
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CBM may overcome the barrier of negative symptoms, which may deter patients from seeking face-to-face therapy.
“CBM may also overcome the barrier of negative symptoms, which may deter patients from seeking face-to-face therapy [9].”
From A qualitative study of the acceptability of cognitive bias modification for paranoia (CBM-pa) in patients with psychosis (2019) · cites this paper as [9]
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Self-citation
- Authors
- Malla, A. K., Takhar, J. J., Norman, R. M. G., Manchanda, R., Cortese, L., Haricharan, R., Verdi, M., & Ahmed, R.
- Affiliations
- Western University (CA)
- Corresponding author
- Malla, Ashok K.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2002-06
- Volume
- 105
- Issue
- 6
- Pages
- 431-439
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2062522511
- Cited by
- 118
- References
- 37
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 3 · 2022: 9 · 2021: 2 · 2020: 4 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 8 · 2012: 14
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly Canada
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- negative symptoms, first-episode psychosis, schizophrenia, non-affective psychosis, alogia, flat affect, avolition, anhedonia, duration of untreated psychosis, treatment delay, depression, parkinsonism, extrapyramidal symptoms, prodromal symptoms, premorbid adjustment
- MeSH terms
- Adult, Affect, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotic Disorders, Severity of Illness Index, Time Factors
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