First self-perceived signs and symptoms in emerging psychosis compared with depression

Jacqueline Aston, Nadine Bull, Ute Gschwandtner, Marlon Pflueger, Stefan Borgwardt, Rolf Dieter Stieglitz, Anita Riecher-Rössler*

*Corresponding author for this work
5 Citations (Scopus)


Aim: To investigate differences between the early symptoms of schizophrenia and depressive disorders. Methods: Sixty-one individuals with an at-risk mental state (ARMS), 17 of whom later made the transition to psychosis, 37 patients with a first episode of psychosis and 16 controls with depressive disorders were interviewed about first self-perceived signs and symptoms. Results: In ARMS and first episode of psychosis, on average, first self-perceived signs or symptoms had occurred about 5-6years before the interview. In ARMS, including transition to psychosis, 'loss of energy' and 'difficulties concentrating' were the most frequently recalled first signs. There was much overlap for the four most frequently mentioned symptoms in the three groups. As compared with ARMS, controls with depressive disorders significantly more often recalled 'depression' and 'social isolation' as the very first signs of disease. Conclusions: Clinicians should consider the development of self-recalled first signs over time carefully when assessing suspected early prodromal stages of schizophrenia and beginning depressive disorder.

Original languageEnglish
JournalEarly Intervention in Psychiatry
Issue number4
Pages (from-to)455-459
Number of pages5
Publication statusPublished - 11.2012


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