Skip to main content Accessibility help
×
Home
Hostname: page-component-7f7b94f6bd-98q29 Total loading time: 0.512 Render date: 2022-06-30T08:47:11.264Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

Perceived negative attitude of others as an early sign of psychosis

Published online by Cambridge University Press:  16 April 2020

Raimo K.R. Salokangas*
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland Psychiatric Clinic, Turku University Central Hospital, Turku, Finland Turku Psychiatric Clinic, Turku Mental Health Centre, Turku, Finland
Markus Heinimaa
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland
Tanja Svirskis
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland Turku Psychiatric Clinic, Turku Mental Health Centre, Turku, Finland
Tiina Laine
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland
Jukka Huttunen
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland
Terja Ristkari
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland
Tuula Ilonen
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland
Jyrki Korkeila
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland Turku Psychiatric Clinic, Turku Mental Health Centre, Turku, Finland
Leena Vaskelainen
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland
Jaakko Rekola
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland
Jarmo Hietala
Affiliation:
Department of Psychiatry, University of Turku, Turku, Finland Turku Psychiatric Clinic, Turku Mental Health Centre, Turku, Finland
Joachim Klosterkötter
Affiliation:
Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, Germany
Stephan Ruhrmann
Affiliation:
Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, Germany
Heinrich Graf von Reventlow
Affiliation:
Department of Psychiatry and Psychotherapy, University of Cologne, Cologne, Germany LWL-Universitaetsklinik Bochum, Ruhr-Universität Bochum, Bochum, Germany
Don Linszen
Affiliation:
Acadmic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
Peter Dingemans
Affiliation:
Acadmic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
Max Birchwood
Affiliation:
Early Intervention Service, University of Birmingham, Birmingham, UK
Paul Patterson
Affiliation:
Early Intervention Service, University of Birmingham, Birmingham, UK
*
*Correspondence to: Department of Psychiatry, University of Turku, Kiinamyllynkatu 4-8, FIN-20520 Turku, Finland. Tel.: +358 2 3131 740; fax: +358 2 3132 730. E-mail address: raimo.k.r.salokangas@tyks.fi (R. K. R. Salokangas).
Get access

Abstract

Aim

Risk of psychosis is defined by the presence of positive psychotic-like symptoms, by subtle self-perceived cognitive and perceptual deficiencies, or by decreased functioning with familial risk of psychosis. We studied the associations of psychiatric outpatients' self-reported functioning and interpersonal relationships with vulnerability to and risk of psychosis.

Methods

A total of 790 young patients attending psychiatric outpatient care completed the PROD screen [Heinimaa M, Salokangas RKR, Ristkari T, Plathin M, Huttunen J, Ilonen T, et al. PROD-screen – a screen for prodromal symptoms of psychosis. Int J Meth Psychiatr Res 2003;12:92–04.], including questions on functioning, interpersonal relationships and subtle specific (psychotic-like) and non-specific symptoms. Vulnerability to psychosis was assessed employing the patient's written descriptions of specific symptoms. Of the patients vulnerable to psychosis, those at current risk of psychosis were assessed using the Bonn Scale for Assessment of Basic Symptoms [Schultze-Lutter F, Klosterkötter J. Bonn scale for assessment of basic symptoms – prediction list, BSABS-P. Cologne: University of Cologne; 2002] and the Structured Interview for Positive symptoms [Miller TJ, McGlashan TH, Rosen JL, Somjee L, Markovich PJ, Stein K, et al. Prospective diagnosis of the initial prodrome for schizophrenia based on the structured interview for prodromal syndromes: preliminary evidence of interrater reliability and predictive validity. Am J Psychiatry 2002;159:863–65.].

Results

In all, 219 patients vulnerable to and 55 patients at current risk of psychosis were identified. Vulnerability to psychosis was associated with all items of functioning and interpersonal relationships. Current risk of psychosis, however, was associated only with the subjectively reported negative attitude of others. Negative attitude of others was also associated with feelings of reference at both vulnerability and risk levels.

Conclusion

The subjective experience of negative attitude of others towards oneself may be an early indicator of psychotic development.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Birchwood, M., Spencer, E.Early intervention in psychotic relapse. Clin Psychol Rev 2001;21:12111226CrossRefGoogle ScholarPubMed
Cannon, T.D., Cadenhead, K., Cornblatt, B., Woods, S.W., Addington, J., Walker, E.et al.Prediction of psychosis in youth at high clinical risk: a multisite longitudinal study in North America. Arch Gen Psychiatry 2008;65:2837CrossRefGoogle ScholarPubMed
Conrad, K.Die beginnende Schizophrenie StuttgartThieme Verlag 1958Google Scholar
Dworkin, R.H., Lewis, J.A., Cornblatt, B.A., Erlenmeyer-Kimling, L.Social competence deficits in adolescents at risk for schizophrenia. J Nerv Ment Dis 1994;182:103108CrossRefGoogle ScholarPubMed
Heinimaa, M., Salokangas, R.K.R., Ristkari, T., Plathin, M., Huttunen, J., Ilonen, T.et al.PROD-screen – a screen for prodromal symptoms of psychosis. Int J Meth Psychiatr Res 2003;12:92104CrossRefGoogle ScholarPubMed
Huber, G.Reine Defektsyndrome und Basisstadien endogener Psychosen. Fortschr Neurol Psychiatr 1966;34:409426Google Scholar
Irons, C., Gilbert, P.Evolved mechanisms in adolescent anxiety and depression symptoms: the role of the attachment and social rank systems. J Adolesc 2005;28:325341CrossRefGoogle ScholarPubMed
Jaspers, K.Algemeine Psychopathologie. Achte Auflage Berlin, HeidelbergSpringer-Verlag 1965CrossRefGoogle Scholar
Klosterkötter, J., Hellmich, M., Steinmeyer, E.M., Schultze-Lutter, F.Diagnosing schizophrenia in the initial prodromal phase. Arch Gen Psychiatry 2001;58:158164CrossRefGoogle ScholarPubMed
Klosterkötter, J., Ruhrmann, S., Schultze-Lutter, F., Salokangas, R.K.R., Linszen, D., Birchwood, M.et al.on behalf of the EPOS group The European Prediction of Psychosis Study (EPOS): integrating early recognition and intervention in Europe. World Psychiatr 2005;4:161167Google ScholarPubMed
Maurer, K., Hoermann, F., Häfner, H.Evaluation of psychosis risk by the schedule ERIraos. Results based on the German Schizophrenia Network Study. Schizophr Res 2006;86(Suppl.):19CrossRefGoogle Scholar
Miller, T.J., McGlashan, T.H., Rosen, J.L., Somjee, L., Markovich, P.J., Stein, K.et al.Prospective diagnosis of the initial prodrome for schizophrenia based on the Structured Interview for Prodromal Syndromes: preliminary evidence of Interrater reliability and predictive validity. Am J Psychiatry 2002;159:863865CrossRefGoogle ScholarPubMed
Schultze-Lutter, F., Klosterkötter, J.Bonn scale for assessment of basic symptoms – prediction list, BSABS-P CologneUniversity of Cologne 2002Google Scholar
Selten, J.P., Cantor-Graae, E.Social defeat: risk factor for schizophrenia?. Br J Psychiatry 2005;187:101102CrossRefGoogle Scholar
Sullivan, H.S.The interpersonal theory of psychiatry New YorkWW Norton 1953Google Scholar
Sullivan, H.S.Clinical studies in psychiatry New YorkWW Norton 1956Google Scholar
Svirskis, T., Korkeila, J., Heinimaa, M., Huttunen, J., Ilonen, T., Ristkari, T.et al.Quality of life and functioning ability in subjects vulnerable to psychosis. Compr Psychiatry 2006;48:155160CrossRefGoogle Scholar
Tyrka, A.R., Cannon, T.D., Haslam, N., Mednick, S.A., Schulsinger, F., Schulsinger, H.et al.The latent structure of schizotypy, I: premorbid indicators of a taxon of individuals at risk for schizophrenia-spectrum disorders. J Abnorm Psychol 1995;104:173183CrossRefGoogle ScholarPubMed
Uhlhaas, P.J., Mishara, A.L.Perceptual anomalies in schizophrenia: integrating phenomenology and cognitive neuroscience. Schizophr Bull 2007;33:142156CrossRefGoogle ScholarPubMed
von Weizsäcker, V.Gestaltkreis. Theorie der Einheit von Wahrnehmung und Bewegung StuttgartThieme Verlag 1968 [originally published in 1959]Google Scholar
Yung, A.R., McGorry, P.D.The initial prodrome in psychosis: descriptive and qualitative aspects. Aust N Z J Psychiatry 1996;30:587599CrossRefGoogle ScholarPubMed
Yung, A.R., McGorry, P.D.The prodromal phase of first episode pyschosis: past and current conceptualizations. Schizophr Bull 1996;22:353370CrossRefGoogle Scholar
Yung, A.R., Phillips, L.J., McGorry, P.D., McFarlane, C.A., Francey, S., Harrigan, S.et al.Prediction of pyschosis: a step towards indicated prevention of schizophrenia. Br J Psychiatry 1998;172:1420CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.
8
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.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 saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved 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.

Find out more about the Kindle Personal Document Service.

Perceived negative attitude of others as an early sign of psychosis
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Perceived negative attitude of others as an early sign of psychosis
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Perceived negative attitude of others as an early sign of psychosis
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *