PMID- 31420200 OWN - NLM STAT- MEDLINE DCOM- 20201005 LR - 20201005 IS - 1573-2509 (Electronic) IS - 0920-9964 (Linking) VI - 212 DP - 2019 Oct TI - Basic self-disturbances independently predict recovery in psychotic disorders: A seven year follow-up study. PG - 72-78 LID - S0920-9964(19)30350-0 [pii] LID - 10.1016/j.schres.2019.08.009 [doi] AB - BACKGROUND: Recovery is the ultimate goal of psychosis treatment. Basic self-disturbances (BSDs) are non-psychotic phenomena associated with clinical outcome, present in prodromal, psychotic and residual phases of psychotic disorders. AIM: To investigate the relationship between BSDs and recovery seven years after first treatment in patients with psychotic disorders. METHOD: Prospective longitudinal study of 56 patients recruited during first adequate treatment for schizophrenia (n = 35) and other psychotic disorders (n = 21) (psychotic bipolar disorder, delusional disorder, psychotic disorder NOS). At baseline and follow-up BSDs were assessed using the Examination of Anomalous Self-Experience (EASE) manual, while standard clinical instruments were used to ascertained diagnosis, clinical symptom severity, and functioning. Recovery was defined as absence of psychotic symptoms and regaining of functioning that persisted the last two years before follow-up. RESULTS: At follow up, 34% achieved recovery (5 (14%) with schizophrenia and 14 (67%) with other psychoses at baseline). Recovery was predicted by an absence of a schizophrenia diagnosis, low baseline level of BSDs and further reductions in BSDs from baseline to follow-up. Change in BSDs was the strongest predictor, also after adjusting for premorbid adjustment and duration of untreated psychosis, and was not confounded by diagnosis. CONCLUSION: Low baseline levels of basic self-disturbances and further reductions over time independently predict recovery seven years later in first treated psychosis patients. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Svendsen, Ingrid Hartveit AU - Svendsen IH AD - Innlandet Hospital Trust, Department of Acute Psychiatry and Psychosis Treatment, Presteseter 1, 2840 Reinsvoll, Norway; University of Oslo, Faculty of Medicine, P. B. 1018 Blindern, 0315 Oslo, Norway. Electronic address: ingridhartveit.svendsen@sykehuset-innlandet.no. FAU - Oie, Merete G AU - Oie MG AD - Department of Psychology, University of Oslo, Pb 1094 Blindern, Norway; Division of Research, Innlandet Hospital Trust, Norway. Electronic address: m.g.oie@psykologi.uio.no. FAU - Moller, Paul AU - Moller P AD - Vestre Viken Hospital Trust, Division of Mental Health and Addiction, Department of Mental Health Research and Development, Norway. Electronic address: Paul.Moller@vestreviken.no. FAU - Nelson, Barnaby AU - Nelson B AD - Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, 35 Poplar Rd (Locked Bag 10), Parkville, Victoria 3052, Australia. Electronic address: barnaby.nelson@orygen.org.au. FAU - Haug, Elisabeth AU - Haug E AD - Innlandet Hospital Trust, Department of Acute Psychiatry and Psychosis Treatment, Presteseter 1, 2840 Reinsvoll, Norway. Electronic address: elisabeth.haug@sykehuset-innlandet.no. FAU - Melle, Ingrid AU - Melle I AD - NORMENT KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, P.O. Box 1039 Blindern, 0315 Oslo, Norway; Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 1039 Blindern, 0315 Oslo, Norway. Electronic address: ingrid.melle@medisin.uio.no. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190814 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adolescent MH - Adult MH - Affective Disorders, Psychotic/diagnosis/*physiopathology/rehabilitation MH - *Ego MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Psychotic Disorders/diagnosis/*physiopathology/rehabilitation MH - Schizophrenia/diagnosis/*physiopathology/rehabilitation MH - Young Adult OTO - NOTNLM OT - Bipolar disorder OT - Examination of anomalous self-experience OT - Longitudinal study OT - Outcome OT - Schizophrenia EDAT- 2019/08/20 06:00 MHDA- 2020/10/06 06:00 CRDT- 2019/08/18 06:00 PHST- 2018/11/02 00:00 [received] PHST- 2019/07/31 00:00 [revised] PHST- 2019/08/05 00:00 [accepted] PHST- 2019/08/20 06:00 [pubmed] PHST- 2020/10/06 06:00 [medline] PHST- 2019/08/18 06:00 [entrez] AID - S0920-9964(19)30350-0 [pii] AID - 10.1016/j.schres.2019.08.009 [doi] PST - ppublish SO - Schizophr Res. 2019 Oct;212:72-78. doi: 10.1016/j.schres.2019.08.009. Epub 2019 Aug 14.