A five year diagnostic follow-up of 1840 patients after a first episode non-schizophrenia and non-affective psychosis

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: WFRF:(Boden Robert) > A five year diagnos...

Details
MARC

Björkenstam, E.Karolinska Institutet (author)

A five year diagnostic follow-up of 1840 patients after a first episode non-schizophrenia and non-affective psychosis

Article/chapterEnglish2013

Publisher, publication year, extent ...

Elsevier BV,2013
printrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:su-92947
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-92947URI
https://doi.org/10.1016/j.schres.2013.07.011DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-209409URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:127415430URI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

AuthorCount: 5;Funding Agency:Marta and Nicke Nasvell Foundation
ObjectiveIt is not clear which patients with a first psychotic episode will develop schizophrenia. We performed a diagnostic follow-up of patients treated for a first time non-affective, non-schizophrenia psychosis and explored potential predictors of a subsequent schizophrenia or schizoaffective diagnosis.MethodsThis register-based cohort study comprises individuals born between 1973 and 1978 in Sweden, with a first hospital-treated psychosis excluding schizophrenia, schizoaffective disorder, bipolar disorder and depressive disorder with psychotic symptoms (n = 1840). The patients were followed for five years regarding subsequent diagnoses. Psychiatric, social, family history of psychiatric illness, premorbid intellectual level, head injuries and obstetrical complications were investigated by logistic regression as predictors of schizophrenia or schizoaffective diagnosis.ResultsDuring the follow-up, 18% were diagnosed with schizophrenia or schizoaffective disorder, 5% were diagnosed with bipolar disorder, whereas 29% were not re-admitted to a psychiatric clinic. Patients with a first-degree relative hospitalized for schizophrenia and/or bipolar disorder had an increased risk of subsequent diagnosis for schizophrenia or schizoaffective disorder (odds ratio 1.9 and 95% confidence interval 1.1 to 3.0)), whereas previous severe criminality was associated with a decreased risk (odds ratio 0.5, 95% confidence interval 0.3–0.8).ConclusionDiagnostic outcome was diverse after a first non-schizophrenia and non-affective psychosis. Family history of severe mental illness and no previous conviction for severe criminality were the strongest risk factors for a future schizophrenia or schizoaffective diagnosis.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

Björkenstam, C.Karolinska Institutet (author)
Hjern, AndersStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)(Swepub:su)ahjer (author)
Reutfors, J.Karolinska Institutet (author)
Bodén, Robert,1973-Karolinska Institutet,Uppsala universitet,Psykiatri, Akademiska sjukhuset,Centre for pharmacoepidemiology, Karolinska Institutet(Swepub:uu)marilund (author)
Karolinska InstitutetCentrum för forskning om ojämlikhet i hälsa (CHESS) (creator_code:org_t)

Related titles

In:Schizophrenia Research: Elsevier BV150:1, s. 205-2100920-99641573-2509

Internet link

Find in a library

Schizophrenia Research (Search for host publication in LIBRIS)

To the university's database

Find more in SwePub

By the author/editor: Björkenstam, E.; Björkenstam, C.; Hjern, Anders; Reutfors, J.; Bodén, Robert, 1 ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

Articles in the publication: Schizophrenia Re ...

By the university: Stockholm University; Uppsala University; Karolinska Institutet

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se