To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Decline in social functioning occurs in individuals who later develop psychosis.
To investigate whether baseline differences in disability are present in those who do and those who do not make a transition to psychosis in a group clinically at high risk and whether disability is a risk factor for transition.
Prospective multicentre, naturalistic field study with an 18-month follow-up period on 245 help-seeking individuals clinically at high risk. Disability was assessed with the Disability Assessment Schedule of the World Health Organization (WHODAS–II).
At baseline, the transition group displayed significantly greater difficulties in making new friends (z =−3.40, P = 0.001), maintaining a friendship (z =−3.00, P = 0.003), dealing with people they do not know (z =−2.28, P = 0.023) and joining community activities (z =−2.0, P = 0.05) compared with the non-transition group. In Cox regression, difficulties in getting along with people significantly contributed to the prediction of transition to psychosis in our sample (β = 0.569, s.e. = 0.184, Wald = 9.548, P = 0.002, hazard ratio (HR) = 1.767, 95% CI 1.238–2.550).
Certain domains of social disability might contribute to the prediction of psychosis in a sample clinically at high risk.
Cognitive disturbances have been demonstrated in individuals with
potentially prodromal symptoms in objective–neuropsychological as well as
subjective-symptomatic studies. Yet, the relation between subjective and
objective deficits and to different prodromal states is unclear
To explore interactions between subjective and objective cognitive
measures in different prodromal states
In participants with an early (n=33) or late
(n=69) initial prodromal state, cognitive subjective
and objective deficits were assessed with the Schizophrenia Proneness
Instrument and a comprehensive neuropsychological test battery
Participants with an early initial prodromal state were less impaired
than those with a late initial state. Subjective and objective cognitive
deficits were unrelated, excepttime-limited neurocognitive speed measures
and subjectively reduced stress tolerance, especially in participants
with an early initial prodromal state
Subjective and objective cognitive deficits are generally unrelated in
the psychosis prodrome and as such they can add complementary information
valuable for prediction. However, possible associations between the two
levels might be better detectable in the less impaired early initial
Depression is a frequent condition in early psychosis. Therefore, early
detection instruments should distinguish depression from beginning
To examine whether basic symptoms, i.e. subtle subjective deficits,
differ between participants suffering from a potential prodrome
(n = 146), first-episode schizophrenia
(n= 153) and non-psychotic depression
(n = 115)
Basic symptoms were assessed with the Schizophrenia Proneness
The prodrome and schizophrenia groups did not differ in level of basic
symptoms but both had higher levels than the depression group. DSM – IV
depression was frequent in those suffering from a potential prodrome
(38%) and first-episode schizophrenia (21%). In both groups, participants
with and without depression did not differ in basic symptoms. In
multivariate analyses, consideration of current depression generally
facilitated correct group classification, except for participants
suffering from both a potential prodrome and depression
Cognitive basic symptoms distinguished well between all three groups.
However, identification of persons suffering from a potential prodrome
might be enhanced by considering current affective status
Email your librarian or administrator to recommend adding this to your organisation's collection.