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Anomalous subjective experience and psychosis risk in young depressed patients.
Psychopathology. 2009; 42(4):229-35.P

Abstract

BACKGROUND

Help-seeking young people often display depressive symptoms. In some patients, these symptoms may co-exist with clinically high-risk mental states for psychosis. The aim of this study was to determine differences in subjective experience and social perception in young depressed patients with and without psychosis risk.

METHODS

Participants were 68 young persons with major depressive disorder. Twenty-six patients also met the criteria of attenuated or brief limited intermittent psychotic symptoms according to the Comprehensive Assessment of At Risk Mental States (CAARMS) criteria. Subjective experiences were assessed with the Bonn Scale for the Assessment of Basic Symptoms (BSABS). Recognition of complex social emotions and mental states was assessed using the 'Reading the Mind in the Eyes' test.

RESULTS

Perplexity, self-disorder, and diminished affectivity significantly predicted psychosis risk. Depressed patients without psychosis risk displayed impaired recognition performance for negative social emotions, whereas patients with psychosis risk were also impaired in the recognition of cognitive expressions. In the high-risk group, self-disorder was associated with impaired recognition of facial expressions.

CONCLUSIONS

These results suggest that anomalous subjective experience and impaired recognition of complex emotions may differentiate between young depressed patients with and without psychosis risk.

Authors+Show Affiliations

Semmelweis University, Department of Psychiatry and Psychotherapy, Budapest, Hungary.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19451755

Citation

Szily, Erika, and Szabolcs Kéri. "Anomalous Subjective Experience and Psychosis Risk in Young Depressed Patients." Psychopathology, vol. 42, no. 4, 2009, pp. 229-35.
Szily E, Kéri S. Anomalous subjective experience and psychosis risk in young depressed patients. Psychopathology. 2009;42(4):229-35.
Szily, E., & Kéri, S. (2009). Anomalous subjective experience and psychosis risk in young depressed patients. Psychopathology, 42(4), 229-35. https://doi.org/10.1159/000218520
Szily E, Kéri S. Anomalous Subjective Experience and Psychosis Risk in Young Depressed Patients. Psychopathology. 2009;42(4):229-35. PubMed PMID: 19451755.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anomalous subjective experience and psychosis risk in young depressed patients. AU - Szily,Erika, AU - Kéri,Szabolcs, Y1 - 2009/05/16/ PY - 2008/01/08/received PY - 2008/10/09/accepted PY - 2009/5/20/entrez PY - 2009/5/20/pubmed PY - 2009/10/6/medline SP - 229 EP - 35 JF - Psychopathology JO - Psychopathology VL - 42 IS - 4 N2 - BACKGROUND: Help-seeking young people often display depressive symptoms. In some patients, these symptoms may co-exist with clinically high-risk mental states for psychosis. The aim of this study was to determine differences in subjective experience and social perception in young depressed patients with and without psychosis risk. METHODS: Participants were 68 young persons with major depressive disorder. Twenty-six patients also met the criteria of attenuated or brief limited intermittent psychotic symptoms according to the Comprehensive Assessment of At Risk Mental States (CAARMS) criteria. Subjective experiences were assessed with the Bonn Scale for the Assessment of Basic Symptoms (BSABS). Recognition of complex social emotions and mental states was assessed using the 'Reading the Mind in the Eyes' test. RESULTS: Perplexity, self-disorder, and diminished affectivity significantly predicted psychosis risk. Depressed patients without psychosis risk displayed impaired recognition performance for negative social emotions, whereas patients with psychosis risk were also impaired in the recognition of cognitive expressions. In the high-risk group, self-disorder was associated with impaired recognition of facial expressions. CONCLUSIONS: These results suggest that anomalous subjective experience and impaired recognition of complex emotions may differentiate between young depressed patients with and without psychosis risk. SN - 1423-033X UR - https://www.unboundmedicine.com/medline/citation/19451755/Anomalous_subjective_experience_and_psychosis_risk_in_young_depressed_patients_ L2 - https://www.karger.com?DOI=10.1159/000218520 DB - PRIME DP - Unbound Medicine ER -