Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North India
Background: The Schneiderian first-rank symptoms (SFRS) have played an extremely important role in the diagnostic systems in psychiatry. However, all studies do not seem to support Schneider’s claim that FRS confer a clear indication of schizophrenia when no organic syndrome is present. Objectives:...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Annals of Indian Psychiatry |
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| Online Access: | https://journals.lww.com/10.4103/aip.aip_81_24 |
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| author | Aditi Jain Abbas Mehdi |
| author_facet | Aditi Jain Abbas Mehdi |
| author_sort | Aditi Jain |
| collection | DOAJ |
| description | Background:
The Schneiderian first-rank symptoms (SFRS) have played an extremely important role in the diagnostic systems in psychiatry. However, all studies do not seem to support Schneider’s claim that FRS confer a clear indication of schizophrenia when no organic syndrome is present.
Objectives:
The objectives of this study were as follows: (1) to examine the presence of SFRS in untreated cases of psychosis, (2) to see the degree of improvement in SFRS with treatment over 12 weeks of short-term follow-up, (3) to see correlation of SFRS with sociodemographic and clinical parameters in our patients, and (4) to see the correlation of SFRS among diagnostic subgroups in our patients.
Materials and Methods:
Setting: Psychiatry department of a multi specialty tertiary care center in North India.
Study Design:
This was a short-term prospective study. After taking ethical clearance from the institutional ethics committee and written informed consent from all the patients, data sets were prepared for 60 patients of untreated psychosis. Data analysis was done using the SPSS version 20.0.
Results:
Voices discussing (83.33%) and voices commenting (80%) were the most commonly noted SFRS, and the mean number of SFRS in our sample was 3.34. Somatic passivity (f = 10.80, P = 0.0001) and thought insertion (f = 6.75 and P = 0.004) could significantly differentiate between schizophrenia and other diagnostic subgroups of untreated psychosis in our study.
Conclusions:
Only somatic passivity, delusional perception, and thought insertion were extremely specific in distinguishing the patients of schizophrenia from nonschizophrenic patients. |
| format | Article |
| id | doaj-art-81e3ea6c88cf42cc83d5057571b18c02 |
| institution | Kabale University |
| issn | 2588-8358 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Psychiatry |
| spelling | doaj-art-81e3ea6c88cf42cc83d5057571b18c022025-02-10T10:35:19ZengWolters Kluwer Medknow PublicationsAnnals of Indian Psychiatry2588-83582025-01-0191596810.4103/aip.aip_81_24Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North IndiaAditi JainAbbas MehdiBackground: The Schneiderian first-rank symptoms (SFRS) have played an extremely important role in the diagnostic systems in psychiatry. However, all studies do not seem to support Schneider’s claim that FRS confer a clear indication of schizophrenia when no organic syndrome is present. Objectives: The objectives of this study were as follows: (1) to examine the presence of SFRS in untreated cases of psychosis, (2) to see the degree of improvement in SFRS with treatment over 12 weeks of short-term follow-up, (3) to see correlation of SFRS with sociodemographic and clinical parameters in our patients, and (4) to see the correlation of SFRS among diagnostic subgroups in our patients. Materials and Methods: Setting: Psychiatry department of a multi specialty tertiary care center in North India. Study Design: This was a short-term prospective study. After taking ethical clearance from the institutional ethics committee and written informed consent from all the patients, data sets were prepared for 60 patients of untreated psychosis. Data analysis was done using the SPSS version 20.0. Results: Voices discussing (83.33%) and voices commenting (80%) were the most commonly noted SFRS, and the mean number of SFRS in our sample was 3.34. Somatic passivity (f = 10.80, P = 0.0001) and thought insertion (f = 6.75 and P = 0.004) could significantly differentiate between schizophrenia and other diagnostic subgroups of untreated psychosis in our study. Conclusions: Only somatic passivity, delusional perception, and thought insertion were extremely specific in distinguishing the patients of schizophrenia from nonschizophrenic patients.https://journals.lww.com/10.4103/aip.aip_81_24north indiapsychosisschizophreniaschneiderian first-rank symptoms |
| spellingShingle | Aditi Jain Abbas Mehdi Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North India Annals of Indian Psychiatry north india psychosis schizophrenia schneiderian first-rank symptoms |
| title | Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North India |
| title_full | Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North India |
| title_fullStr | Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North India |
| title_full_unstemmed | Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North India |
| title_short | Evaluation of Schneiderian First-rank Symptoms in Patients of Psychosis Attending a Tertiary Care Center from North India |
| title_sort | evaluation of schneiderian first rank symptoms in patients of psychosis attending a tertiary care center from north india |
| topic | north india psychosis schizophrenia schneiderian first-rank symptoms |
| url | https://journals.lww.com/10.4103/aip.aip_81_24 |
| work_keys_str_mv | AT aditijain evaluationofschneiderianfirstranksymptomsinpatientsofpsychosisattendingatertiarycarecenterfromnorthindia AT abbasmehdi evaluationofschneiderianfirstranksymptomsinpatientsofpsychosisattendingatertiarycarecenterfromnorthindia |