Associations Between Self-Disorders and First-Rank Symptoms: An Empirical study
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Associations Between Self-Disorders and First-Rank Symptoms : An Empirical study. / Nordgaard, Julie ; Henriksen, Mads Gram; Berge, Jonas; Nilsson, Lars Siersbæk.
In: Psychopathology, Vol. 53, No. 2, 2020, p. 103–110.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Associations Between Self-Disorders and First-Rank Symptoms
T2 - An Empirical study
AU - Nordgaard, Julie
AU - Henriksen, Mads Gram
AU - Berge, Jonas
AU - Nilsson, Lars Siersbæk
PY - 2020
Y1 - 2020
N2 - Background: The diagnostic weight of the first-rank symptoms was deemphasized in DSM-5 and a similar change is expected in ICD-11. This change was motivated by a lack of solid, empirical evidence of the diagnostic significance of first-rank symptoms for schizophrenia. Yet, it seems that Schneider’s original concept of first-rank symptoms was overly simplified when it was introduced in DSM-III. Specifically, it was overlooked that first-rank symptoms, in Schneider’s understanding, fundamentally involve a disorder of the self. The aim here is to empirically test Schneider’s claim that first-rank symptoms involve self-disorders. Methods: In a modified, cross-sectional study of 98 first-admission patients, the relation between lifetime presence of first-rank symptoms and self-disorders was examined. Self-disorders were examined with the EASE (Examination of Anomalous Self-Experiences). Results: We found an odds ratio of 1.56 (95% CI 1.10–2.21) for having first-rank symptoms for each 5-point increase in the EASE (measuring self-disorder) using a generalized linear mixed model regression. We did not find first-rank symptoms in the absence of self-disorders. Conclusion: The close relation between first-rank symptoms and self-disorders seems to support Schneider’s original concept of first-rank symptoms. We suggest that first-rank symptoms occurring without the pervasively altered self-experiences might not be different from other psychotic phenomena in terms of their diagnostic significance. Awareness of self-disorders can help clinicians in assessing and detecting first-rank symptoms.
AB - Background: The diagnostic weight of the first-rank symptoms was deemphasized in DSM-5 and a similar change is expected in ICD-11. This change was motivated by a lack of solid, empirical evidence of the diagnostic significance of first-rank symptoms for schizophrenia. Yet, it seems that Schneider’s original concept of first-rank symptoms was overly simplified when it was introduced in DSM-III. Specifically, it was overlooked that first-rank symptoms, in Schneider’s understanding, fundamentally involve a disorder of the self. The aim here is to empirically test Schneider’s claim that first-rank symptoms involve self-disorders. Methods: In a modified, cross-sectional study of 98 first-admission patients, the relation between lifetime presence of first-rank symptoms and self-disorders was examined. Self-disorders were examined with the EASE (Examination of Anomalous Self-Experiences). Results: We found an odds ratio of 1.56 (95% CI 1.10–2.21) for having first-rank symptoms for each 5-point increase in the EASE (measuring self-disorder) using a generalized linear mixed model regression. We did not find first-rank symptoms in the absence of self-disorders. Conclusion: The close relation between first-rank symptoms and self-disorders seems to support Schneider’s original concept of first-rank symptoms. We suggest that first-rank symptoms occurring without the pervasively altered self-experiences might not be different from other psychotic phenomena in terms of their diagnostic significance. Awareness of self-disorders can help clinicians in assessing and detecting first-rank symptoms.
U2 - 10.1159/000508189
DO - 10.1159/000508189
M3 - Journal article
C2 - 32610320
VL - 53
SP - 103
EP - 110
JO - Psychopathology
JF - Psychopathology
SN - 0254-4962
IS - 2
ER -
ID: 241415456