Depersonalisation and schizophrenia: Comparative study of initial and multiple episodes of schizophrenia

Abstract Introduction The phenomena of depersonalisation/derealisation have classically been associated with the initial phases of psychosis, and it is assumed that they would precede (even by years) the onset of clinical psychosis, being much more common in the prodromal and acute phases of the ill...

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Published inRevista de psiquiatria y salud mental (English ed.) Vol. 9; no. 3; pp. 143 - 149
Main Authors Luque-Luque, Rogelio, Chauca-Chauca, Geli Marie, Alonso-Lobato, Pablo, Jaen-Moreno, M. Jose
Format Journal Article
LanguageEnglish
Published Elsevier España, S.L.U 01.07.2016
Subjects
Depersonalisation
Derealisation
Despersonalizacion
Desrealización
Esquizofrenia
Internal Medicine
Psicosis
Psychiatric/Mental Health
Psychosis
Schizophrenia
Psychosis
Esquizofrenia
Depersonalisation
Psicosis
Derealisation
Schizophrenia
Desrealización
Despersonalizacion
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Summary:Abstract Introduction The phenomena of depersonalisation/derealisation have classically been associated with the initial phases of psychosis, and it is assumed that they would precede (even by years) the onset of clinical psychosis, being much more common in the prodromal and acute phases of the illness. The aims of the present study are to analyse the differences in depersonalisation/derealisation between patients with initial and multiple episodes and the factors that could influence this. Material and methods A descriptive, controlled and cross-sectional study of 48 patients diagnosed with paranoid schizophrenia (20 with an initial episode and 28 with multiple episodes). These patients were assessed using scales such as the Cambridge Depersonalization Scale , the Positive and Negative Symptom Scale , and the Dissociative Experiences Scale. Results Participants with initial episodes score higher on both the Cambridge Depersonalisation Scale , and the subscale of the Dissociative Experiences Scale that evaluates such experiences. There were no associations between these types of experience and the positive symptoms subscale of the Positive and Negative Symptom Scale. Conclusions Depersonalisation/derealisation experiences appear with greater frequency, duration and intensity in patients in the early stages of the illnesses, gradually decreasing as they become chronic.
ISSN:2173-5050
2173-5050
DOI:10.1016/j.rpsmen.2016.06.003