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Int. J. Mol. Sci. 2016, 17(7), 1039; doi:10.3390/ijms17071039

Prognostic Value of Affective Symptoms in First-Admission Psychotic Patients

1
RSMB-Algorta-Vizcaya, Osakidetza, University of the Basque Country (EHU/UPV), Leioa 48940, Vizcaya, Spain
2
CIBERSAM, BIOARABA Health Research Institute, OSI Araba, Department of Psychiatry, Araba University Hospital-Santiago, University of the Basque Country (EHU/UPV), Vitoria 01004, Alava, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Humberto González-Díaz
Received: 26 April 2016 / Revised: 22 June 2016 / Accepted: 24 June 2016 / Published: 30 June 2016
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Abstract

Background: Very little research has been conducted in patients with first-episode psychosis using a dimensional approach. Affective dimensional representations might be useful to predict the clinical course and treatment needs in such patients. Methods: Weincluded 112 patients with first-episode psychosis in a longitudinal-prospective study with a five-year follow-up (N = 82). Logistic analyses were performed to determine the predictive factors associated with depressive, manic, activation, and dysphoric dimensions. Results: High scores on the depressive dimension were associated with the best prognosis. On the other hand, high scores on the activation dimension and the manic dimension were associated with a poorer prognosis in terms of relapses. Only the dysphoric dimension was not associated with syndromic or functional prognosis. Conclusion: Ourresults suggest that the pattern of baseline affective symptoms helps to predict the course of psychotic illness. Therefore, the systematic assessment of affective symptoms would enable us to draw important conclusions regarding patients’ prognosis. Interventions for patients with high scores on manic or activation dimensions could be beneficial in decreasing relapses in first-episode psychosis. View Full-Text
Keywords: prognostic; affective; dimension; first-episode psychosis prognostic; affective; dimension; first-episode psychosis
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Arrasate, M.; González-Ortega, I.; García-Alocén, A.; Alberich, S.; Zorrilla, I.; González-Pinto, A. Prognostic Value of Affective Symptoms in First-Admission Psychotic Patients. Int. J. Mol. Sci. 2016, 17, 1039.

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