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EPA-0179 – First Presenting Symptoms in the First Episode of Psychotic Disorders

Published online by Cambridge University Press:  15 April 2020

E. Yildizhan ,
A.T. Türkcan ,
S. Inan ,
F. Oncş  and
M.C. Ger
E. Yildizhan
Affiliation:
Psychiatry, Trabzon Ataköy Regional State Hospital for Psychiatry, Trabzon, Turkey
A.T. Türkcan
Affiliation:
Psychiatry, Bakirköy Research and Training Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey
S. Inan
Affiliation:
Psychiatry, Gaziantep Sehit Kamil State Hospital, Gaziantep, Turkey
F. Oncş
Affiliation:
Psychiatry, Bakirköy Research and Training Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey
M.C. Ger
Affiliation:
Psychiatry, Bakirköy Research and Training Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey

Abstract

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Purpose:

Identifying the first presenting symptoms and determining the differences of the prodromal features of affective and non-affective psychosis were also important in discovering the psychotic break process [1].

Method:

43 adolescent patients (11 females, 32 males) who had been hospitalized within the first episode of psychosis were analyzed during a period of one year were analyzed for the first presenting symptoms. Prodromal symptoms were investigated retrospectively at the begining of the hospitalization. Mood disorders with psychotic features were included in affective psychosis (AP) group and the other psychotic disorders with unkown etiology were included in non-affective psychosis (NAP) group.

Results:

The most common first symptoms in descending order were dysphoric mood, sleep disturbance, ideas of reference for the AP group. In the NAP group, most common first symptoms were social withdrawal, dysphoric mood, ideas of reference. For the AP group; mean Duration of Untreated Psychosis (DUP) was 1,9 ± 1,2 weeks, mean Duration of Untreated Illness (DUI) was 24,6 ± 37,3 weeks. For the NAP group; mean DUP was 9,8 ± 15,5 weeks, mean DUI was 47,3 ± 55,9 weeks.

Conclusions:

Affective and non-affective psychotic disorders have differences for prodromal presentations which may be clues for definitive diagnosis.

Type
EPW01 - Schizophrenia 1
Information
European Psychiatry , Volume 29 , Issue S1: Abstracts of the 22nd European Congress of Psychiatry , 2014 , pp. 1
Copyright
Copyright © European Psychiatric Association 2014

References

Perkins, D.O., Leserman, J., Jarskog, L.F., Graham, K., Kazmer, J., Lieberman, J.A.Characterizing and dating the onset of symptoms in psychotic illness: The Symptom Onset in Schizophrenia (SOS) inventory. Schizophr Res 2000; 44(1): 110CrossRefGoogle ScholarPubMed
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