Schizophrenia: early warning signs

2000 ◽  
Vol 6 (2) ◽  
pp. 93-101 ◽  
Author(s):  
Max Birchwood ◽  
Elizabeth Spencer ◽  
Dermot McGovern
Keyword(s):  
Early Warning ◽  
Relapse Prevention ◽  
Psychosocial Interventions ◽  
Warning Signs ◽  
Residual Symptoms ◽  
Strong Interest ◽  
Early Warning Signs ◽  
Social Disablement ◽  
Highly Correlated

Relapse in schizophrenia remains common and cannot be entirely eliminated even by the best combination of biological and psychosocial interventions (Linszen et al, 1998). Relapse prevention is crucial as each relapse may result in the growth of residual symptoms (Shepherd et al, 1989) and accelerating social disablement (Hogarty et al, 1991). Many patients feel ‘entrapped’ by their illnesses, a factor highly correlated with depression (Birchwood et al, 1993), and have expressed a strong interest in learning to recognise and prevent impending psychotic relapse.

Fear of psychotic relapse: exploring dynamic interactions with common early warning signs of relapse using experience sampling methodology

2021 ◽  
Author(s):  
Stephanie Allan ◽  
Ciarán O'Driscoll ◽  
Hamish J. McLeod ◽  
John Gleeson ◽  
John Farhall ◽  
...  
Keyword(s):  
Negative Affect ◽  
Early Warning ◽  
Relapse Prevention ◽  
Time Window ◽  
Small Degree ◽  
Warning Signs ◽  
Dynamic Interactions ◽  
Cross Sectional ◽  
Hearing Voices ◽  
Early Warning Signs

Background: Fear of relapse is an independent risk factor for future relapse events indicating its importance in clinical management and early warning signs-based relapse prevention monitoring.Methods: 25 participants who were taking part in a clinical trial of relapse prevention in schizophrenia responded to daily ecological momentary assessment prompts assessing common early warning signs of relapse and self-reported positive experiences like feeling supported by others. We conducted multilevel vector auto-regression using common symptoms assessed in early warning signs monitoring relapse prevention while controlling for positive self-reported experiences like feeling supported by others to estimate three networks (to explore concurrent, temporal and mean levels across the whole time period).Results: Reporting fear of relapse was positively associated (within the same cross-sectional time window) with hearing voices, alongside anxiety, negative affect and sleep change. Fear of relapse appeared to predict anxiety and negative affect on the next consecutive day. Experiencing fear of relapse on one day meant being more likely to also experience fear of relapse again at the next consecutive time point. However, none of the common early warning signs predicted fear of relapse within the temporal window and all observed relationships were small. Discussion: Early warning signs themselves appear poor predictors of experiencing fear of relapse but because fear of relapse predicts later anxiety and negative affect (even to a small degree) it may be a valuable intervention target within the daily life of people diagnosed with schizophrenia.

scholarly journals Perspectives of patients, carers and mental health staff on early warning signs of relapse in psychosis: a qualitative investigation

BJPsych Open ◽  
2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Stephanie Allan ◽  
Simon Bradstreet ◽  
Hamish J. McLeod ◽  
John Gleeson ◽  
John Farhall ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Early Warning ◽  
Relapse Prevention ◽  
Objective Response ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Health Staff ◽  
Mental Health Staff ◽  
Early Warning Signs

Background Relapse prevention strategies based on monitoring of early warning signs (EWS) are advocated for the management of psychosis. However, there has been a lack of research exploring how staff, carers and patients make sense of the utility of EWS, or how these are implemented in context. Aims To develop a multiperspective theory of how EWS are understood and used, which is grounded in the experiences of mental health staff, carers and patients. Method Twenty-five focus groups were held across Glasgow and Melbourne (EMPOWER Trial, ISRCTN: 99559262). Participants comprised 88 mental health staff, 21 patients and 40 carers from UK and Australia (total n = 149). Data were analysed using constructivist grounded theory. Results All participants appeared to recognise EWS and acknowledged the importance of responding to EWS to support relapse prevention. However, recognition of and acting on EWS were constructed in a context of uncertainty, which appeared linked to risk appraisals that were dependent on distinct stakeholder roles and experiences. Within current relapse management, a process of weighted decision-making (where one factor was seen as more important than others) described how stakeholders weighed up the risks and consequences of relapse alongside the risks and consequences of intervention and help-seeking. Conclusions Mental health staff, carers and patients speak about using EWS within a weighted decision-making process, which is acted out in the context of relationships that exist in current relapse management, rather than an objective response to specific signs and symptoms.

A randomised trial of early warning signs relapse prevention training in the treatment of alcohol dependence

2005 ◽  
Vol 30 (6) ◽  
pp. 1111-1124 ◽  
Author(s):  
Gerald A. Bennett ◽  
Jacqueline Withers ◽  
Peter W. Thomas ◽  
David S. Higgins ◽  
James Bailey ◽  
...  
Keyword(s):  
Alcohol Dependence ◽  
Early Warning ◽  
Relapse Prevention ◽  
Randomised Trial ◽  
Warning Signs ◽  
Early Warning Signs ◽  
Prevention Training

Journey towards best practices in acting on early warning signs in complex projects within a Russian context

2015 ◽  
Vol 8 (4) ◽  
pp. 828-843 ◽  
Author(s):  
Gulnara Sharaborova ◽  
Derek H.T. Walker ◽  
Guinevere Gilbert
Keyword(s):  
Early Warning ◽  
Point Of View ◽  
Warning Signs ◽  
Theory And Practice ◽  
Doctoral Study ◽  
Content Type ◽  
Early Warning Signs ◽  
Complex Projects ◽  
Research Findings ◽  
Phd Thesis

Purpose – The purpose of this paper is to provide a summary report and reflect on a recently passed PhD thesis (Sharaborova, 2014b) related to project management topics. Design/methodology/approach – This paper focussed on narrative reflection upon the completed doctoral journey. Findings – This paper presents the thesis findings, the research models, the guide in dealing with the early warning signs that developed as a result of this research and the contribution made to theory and practice. Research limitations/implications – Limitations of the research and the perspectives of the further diffusion of the research findings are considered. Originality/value – This TRN is a PhD candidate’s point of view as well as the opinions of the scientific research supervisors about the doctoral study and its outcome. The paper could be useful for novice researchers who wish to conduct their research and did not yet make a decision.

Early Warning Signs

Orthopedics ◽  
2005 ◽  
Vol 28 (10) ◽  
pp. 1147-1147
Author(s):  
Charles Sorbie
Keyword(s):  
Early Warning ◽  
Warning Signs ◽  
Early Warning Signs

scholarly journals Knowledge about Cervical Cancer Early Warning Signs and Symptoms, Risk Factors and Vaccination among Students at a Medical School in Al-Ahsa, Kingdom of Saudi Arabia

2014 ◽  
Vol 15 (6) ◽  
pp. 2529-2532 ◽  
Author(s):  
Abdulaziz Ahmed Al-Darwish ◽  
Abdullah Fouad Al-Naim ◽  
Khalid Saleh Al-Mulhim ◽  
Nasser Khaled Al-Otaibi ◽  
Mohammed Saad Morsi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Saudi Arabia ◽  
Medical School ◽  
Early Warning ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Kingdom Of Saudi Arabia ◽  
Early Warning Signs

Early warning signs: FDG-PET to diagnose bleomycin toxicity

2017 ◽  
Vol 58 (5) ◽  
pp. 1016-1018 ◽  
Author(s):  
Michael Dickinson ◽  
Lou Irving ◽  
Michael Hofman
Keyword(s):  
Early Warning ◽  
Fdg Pet ◽  
Warning Signs ◽  
Early Warning Signs
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