Associations between Self-Disorders and First-Rank Symptoms : An Empirical Study
(2020) In Psychopathology 53(2). p.103-110- Abstract
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... (More)
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.
(Less)
- author
- Nordgaard, Julie ; Henriksen, Mads Gram ; Berge, Jonas LU and Siersbæk Nilsson, Lars
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Anomalous self-experience, Diagnoses, EASE, Psychosis, Schizotypal disorder, Schneiderian
- in
- Psychopathology
- volume
- 53
- issue
- 2
- pages
- 8 pages
- publisher
- Karger
- external identifiers
-
- pmid:32610320
- scopus:85089204508
- ISSN
- 0254-4962
- DOI
- 10.1159/000508189
- language
- English
- LU publication?
- yes
- id
- 82ed6831-d490-47e3-b877-87cf26dbb2ae
- date added to LUP
- 2020-08-20 08:41:13
- date last changed
- 2024-04-03 11:46:51
@article{82ed6831-d490-47e3-b877-87cf26dbb2ae,
abstract = {{<p>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.</p>}},
author = {{Nordgaard, Julie and Henriksen, Mads Gram and Berge, Jonas and Siersbæk Nilsson, Lars}},
issn = {{0254-4962}},
keywords = {{Anomalous self-experience; Diagnoses; EASE; Psychosis; Schizotypal disorder; Schneiderian}},
language = {{eng}},
number = {{2}},
pages = {{103--110}},
publisher = {{Karger}},
series = {{Psychopathology}},
title = {{Associations between Self-Disorders and First-Rank Symptoms : An Empirical Study}},
url = {{http://dx.doi.org/10.1159/000508189}},
doi = {{10.1159/000508189}},
volume = {{53}},
year = {{2020}},
}