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  • Negative symptoms that do not improve following antipsychotic treatment represent a challenge for development of effective treatments. Few studies have been carried out so far, especially in first-episode schizophrenia patients, to clarify prevalence, correlates and impact of persistent negative symptoms (PNS) on short- and long-term outcome of the disease. All patients from EUFEST study for whom both baseline and 12-month assessments were available were included (N=345). PNS were defined as the presence of at least one negative symptom of moderate or higher severity, not confounded by depression or parkinsonism, at baseline and after 1 year of treatment. Patients with PNS were compared to those with at least one negative symptom of moderate or higher severity at the baseline, not persisting after 1 year, on demographic, clinical, neurocognitive, global functioning and quality of life measures. PNS not confounded by depression or parkinsonism were present in 6.7% of the sample. The symptom that more often persisted was blunted affect. Patients with PNS differed from those without PNS for a longer duration of untreated psychosis (DUP) and a more frequent discontinuation of study treatment; they also had a poorer psychopathological outcome and a worse global functioning after 1 year of treatment. The presence of PNS was associated to poorer improvement of all psychopathological dimensions and worse global functioning after 1 year of treatment. The longer DUP in subjects with PNS suggests that programs aimed at shortening DUP might reduce the prevalence of PNS and improve prognosis of schizophrenia.
  • Negative symptoms that do not improve following antipsychotic treatment represent a challenge for development of effective treatments. Few studies have been carried out so far, especially in first-episode schizophrenia patients, to clarify prevalence, correlates and impact of persistent negative symptoms (PNS) on short- and long-term outcome of the disease. All patients from EUFEST study for whom both baseline and 12-month assessments were available were included (N=345). PNS were defined as the presence of at least one negative symptom of moderate or higher severity, not confounded by depression or parkinsonism, at baseline and after 1 year of treatment. Patients with PNS were compared to those with at least one negative symptom of moderate or higher severity at the baseline, not persisting after 1 year, on demographic, clinical, neurocognitive, global functioning and quality of life measures. PNS not confounded by depression or parkinsonism were present in 6.7% of the sample. The symptom that more often persisted was blunted affect. Patients with PNS differed from those without PNS for a longer duration of untreated psychosis (DUP) and a more frequent discontinuation of study treatment; they also had a poorer psychopathological outcome and a worse global functioning after 1 year of treatment. The presence of PNS was associated to poorer improvement of all psychopathological dimensions and worse global functioning after 1 year of treatment. The longer DUP in subjects with PNS suggests that programs aimed at shortening DUP might reduce the prevalence of PNS and improve prognosis of schizophrenia. (en)
Title
  • Persistent negative symptoms in first episode patients with schizophrenia: Results from the European First Episode Schizophrenia Trial
  • Persistent negative symptoms in first episode patients with schizophrenia: Results from the European First Episode Schizophrenia Trial (en)
skos:prefLabel
  • Persistent negative symptoms in first episode patients with schizophrenia: Results from the European First Episode Schizophrenia Trial
  • Persistent negative symptoms in first episode patients with schizophrenia: Results from the European First Episode Schizophrenia Trial (en)
skos:notation
  • RIV/00179906:_____/13:10126130!RIV14-MZ0-00179906
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
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  • 95850
http://linked.open...ai/riv/idVysledku
  • RIV/00179906:_____/13:10126130
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Remission; Cognitive functioning; Global functioning; Quality of life; Duration of untreated psychosis (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NL - Nizozemsko
http://linked.open...ontrolniKodProRIV
  • [10ECFFD87F66]
http://linked.open...i/riv/nazevZdroje
  • European Neuropsychopharmacology
http://linked.open...in/vavai/riv/obor
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http://linked.open...UplatneniVysledku
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  • 23
http://linked.open...iv/tvurceVysledku
  • Libiger, Jan
  • Fleischhacker, W. W.
  • Galderisi, S.
  • Kahn, R. S.
  • Bitter, I.
  • Bucci, P.
  • Mucci, A.
http://linked.open...ain/vavai/riv/wos
  • 000316436900003
issn
  • 0924-977X
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.euroneuro.2012.04.019
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