The Scottish First Episode Schizophrenia Study: I. Patient Identification and Categorisation

1987 ◽  
Vol 150 (3) ◽  
pp. 331-333 ◽  
Keyword(s):  
Physical Examination ◽  
Diagnostic Criteria ◽  
Present State ◽  
First Episode ◽  
Patient Identification ◽  
Abnormal Involuntary Movements ◽  
Neurological Signs ◽  
First Episode Schizophrenia ◽  
First Rank Symptoms ◽  
State Examination

Forty-nine first episode schizophrenics were identified and considered to be representative of the parent schizophrenic population. Patients were rated before treatment with the Present State Examination. Findings are presented with regard to Catego classes, prevalence of first rank symptoms, conformity to ICD diagnoses, Feighner and Research Diagnostic Criteria and presence of a depressive syndrome. Physical examination revealed isolated neurological signs; in addition two neuroleptically naive patients had abnormal involuntary movements.

Delusional Memories: First-Rank Symptoms?

1991 ◽  
Vol 159 (4) ◽  
pp. 472-474 ◽  
Author(s):  
Alec Buchanan
Keyword(s):  
Present State ◽  
First Rank Symptoms ◽  
State Examination

Delusional memories have an established place in psychiatric phenomenology and use of the term extends to its inclusion in the Present State Examination (Winget al,1974). Not all writers have used the term, however, and present definitions are inconsistent. This paper attempts to clarify the significance of delusional memories for a diagnosis of schizophrenia according to Schneiderian criteria.

The neurological examination in neuropsychiatry

2020 ◽  
pp. 23-34
Author(s):  
Jan A. Coebergh ◽  
Biba R. Stanton
Keyword(s):  
Nervous System ◽  
Patient Satisfaction ◽  
Physical Examination ◽  
Neurological Examination ◽  
Mental State ◽  
Interobserver Reliability ◽  
Neurological Signs ◽  
Sensitivity Specificity ◽  
State Examination ◽  
Limited Sensitivity

The neurological examination in neuropsychiatry is as essential as the mental state examination in neurology. The neurological examination includes the whole nervous system and is part of the wider physical examination. Many neurological signs have limited sensitivity, specificity, and intra- and interobserver reliability, so they need to be interpreted in the context of the assessment as a whole. Misinterpretation of the neurological examination can lead to unnecessary investigations and treatment or delay diagnosis and management. A focused neurological examination in neuropsychiatry, however, is essential for patient satisfaction and diagnosis and can be part of treatment. This chapter discusses how to approach the neurological examination in neuropsychiatry.

The Scottish First Episode Schizophrenia Study

1987 ◽  
Vol 150 (3) ◽  
pp. 340-344 ◽  
Author(s):  
Robin G. McCreadie ◽  
David H. Wiles ◽  
John W. Moore ◽  
Stewart M. Grant ◽  
George T. Crocket ◽  
...  
Keyword(s):  
Social Adjustment ◽  
Social Role ◽  
General Health Questionnaire ◽  
Leisure Activities ◽  
Self Report ◽  
First Episode ◽  
Care Giving ◽  
The Social ◽  
First Episode Schizophrenia ◽  
State Examination

An assessment of 31 main care-giving relatives living with schizophrenics was carried out using the General Health Questionnaire and the Social Adjustment Scale by Self Report. More than 75% of relatives had a high probability of themselves being a psychiatric case. Relatives also showed social role dysfunction and impairment especially marked in social and leisure activities. Relatives' distress was related to the level of symptoms in patients, as assessed by the Present State Examination.

Psychiatric assessment of older people

2020 ◽  
pp. 145-152
Author(s):  
Jonathan Huntley ◽  
Alan Thomas ◽  
Rob Stewart
Keyword(s):  
Physical Examination ◽  
Older People ◽  
Mental State ◽  
Psychiatric History ◽  
Psychiatric Assessment ◽  
Neurological Signs ◽  
Care Services ◽  
Health And Social Care ◽  
Holistic Assessment ◽  
State Examination

The venue for psychiatric assessment varies, but given the choice, there are substantial advantages in the first assessment being conducted at home. The aims of assessment are to do more than achieve a diagnosis, though this is crucial; the aim should also be to produce a holistic assessment of all needs, leading to the involvement of a range of appropriate professionals in health and social care services to address these needs and carry out their own specialist assessments. Information from informants will supplement that of the patient and enable completion of all the important domains in the psychiatric history. The mental state examination will include a special emphasis on cognitive assessment, and a brief physical examination looking for neurological signs is important.

The use of the Visual Analogue Mood and Alert Scales in diagnosing hospitalized affective psychoses

1979 ◽  
Vol 9 (1) ◽  
pp. 155-164 ◽  
Author(s):  
Richard E. Luria
Keyword(s):  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Present State ◽  
The Other ◽  
Consecutive Series ◽  
Functional Disorders ◽  
Affective Psychoses ◽  
State Examination ◽  
Analogue Scales ◽  
Index Cases

SYNOPSISA consecutive series of 90 admissions of functional patients was examined with thePresent State Examination(PSE). Based primarily on PSE findings together with previously published diagnostic criteria, we identified 11 clear or index cases of schizophrenia, 12 of affective psychoses, and 12 of neurotic/personality disorders. All patients were given daily 2 analogue scales, one measuring mood and the other alertness. Among the index cases, the depressives were distinguished by low scores on both scales and the manics by high scores. There was little overlap in the distribution of the scores among the diagnostic groups, suggesting that these scales might be effective psychological markers of clear affectiveversusclear non-affective functional disorders.Among the undiagnosed cases, those with low or high scores on both scales resembled index affectives phenomenologically, clinically, and demographically. The scores of the ‘affective-like’ patients overlapped little with those of the ‘non-affective-like’ patients. The scales therefore might be practical diagnostic aids.

Motor soft neurological signs in first episode schizophrenia: A two-year longitudinal study

2003 ◽  
Vol 60 (1) ◽  
pp. 129
Author(s):  
E.Y. Chen ◽  
R.C. Chan ◽  
E.L. Dunn ◽  
W.F. Chan ◽  
W.S. Yeung ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
First Episode ◽  
Neurological Signs ◽  
First Episode Schizophrenia

The Scottish First Episode Schizophrenia Study: III. Cognitive Performance

1987 ◽  
Vol 150 (3) ◽  
pp. 338-340 ◽  
Keyword(s):  
Cognitive Performance ◽  
Block Design ◽  
First Episode ◽  
Adult Intelligence Scale ◽  
Intelligence Scale ◽  
Wechsler Adult Intelligence Scale ◽  
The Mean ◽  
Wechsler Adult Intelligence ◽  
First Episode Schizophrenia ◽  
State Examination

Cognitive performance in 46 first episode schizophrenics was assessed within 1 week of admission to hospital by Progressive Matrices, Mill Hill Vocabulary Scale, Block Design and Similarities subtests of the Wechsler Adult Intelligence Scale, and Digit Copying Test. Patients' intellectual performance was at a dull normal level, just within one standard deviation from the mean. There was an association between the presence of anxiety and depression and lower scores on psychological tests. Patients assessed by the Present State Examination as belonging to the ‘uncertain psychosis' category performed more poorly.

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