Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophrenia

Background: The aim of this study was to examine the prevalence of Schneider's first-rank symptoms (FRS) in Zulu patients diagnosed with paranoid schizophrenia and to ascertain the diagnostic and prognostic significance of Schneider's FRS in this group. Methods: This descriptive study w...

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Main Authors: B. Schiopu, M. Nel, L.A. Hiemstra, B. Latecki
Format: Article
Language:English
Published: AOSIS 2005-04-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/188
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author B. Schiopu
M. Nel
L.A. Hiemstra
B. Latecki
author_facet B. Schiopu
M. Nel
L.A. Hiemstra
B. Latecki
author_sort B. Schiopu
collection DOAJ
description Background: The aim of this study was to examine the prevalence of Schneider's first-rank symptoms (FRS) in Zulu patients diagnosed with paranoid schizophrenia and to ascertain the diagnostic and prognostic significance of Schneider's FRS in this group. Methods: This descriptive study was done on 75 psychiatric Zulu in- and outpatients diagnosed with paranoid schizophrenia. A questionnaire was completed and included sociodemographic data, Schneider's FRS and a functional assessment. Results: Fifty-three percent of the patients heard voices at some or other time. Most patients (90.7%) confirmed having experienced at least one of the five related symptoms of thought disturbances and 80% of the patients confirmed the presence of passivity phenomena. Most patients (87%) indicated that they had presented at least one type of primary delusion, at the time of the interview. Regarding functional assessment, some (12%) patients were still entirely productive (“no problems”), 28% rated “mild problems”, 45% “moderate problems” and 15% “severe problems”. With regard to social functioning, 8% of the patients scored “no problems”, 25% “mild problems”, 50% “moderate problems” and 17% “severe problems”. Conclusions: The prevalence of Schneider's FRS in these patients is 100%, with a 95% confidence interval [95.2%; 100%]. Even though extremely sensitive for paranoid schizophrenia, the specificity of Schneider's FRS merits further study.
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spelling doaj-art-b470cffbbbb444418a6af30d08e1591c2025-08-20T03:07:23ZengAOSISSouth African Family Practice2078-61902078-62042005-04-0147310.1080/20786204.2005.10873203187Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophreniaB. Schiopu0M. Nel1L.A. Hiemstra2B. Latecki3University of the Free StateUniversity of the Free StateUniversity of the Free StateIndependentBackground: The aim of this study was to examine the prevalence of Schneider's first-rank symptoms (FRS) in Zulu patients diagnosed with paranoid schizophrenia and to ascertain the diagnostic and prognostic significance of Schneider's FRS in this group. Methods: This descriptive study was done on 75 psychiatric Zulu in- and outpatients diagnosed with paranoid schizophrenia. A questionnaire was completed and included sociodemographic data, Schneider's FRS and a functional assessment. Results: Fifty-three percent of the patients heard voices at some or other time. Most patients (90.7%) confirmed having experienced at least one of the five related symptoms of thought disturbances and 80% of the patients confirmed the presence of passivity phenomena. Most patients (87%) indicated that they had presented at least one type of primary delusion, at the time of the interview. Regarding functional assessment, some (12%) patients were still entirely productive (“no problems”), 28% rated “mild problems”, 45% “moderate problems” and 15% “severe problems”. With regard to social functioning, 8% of the patients scored “no problems”, 25% “mild problems”, 50% “moderate problems” and 17% “severe problems”. Conclusions: The prevalence of Schneider's FRS in these patients is 100%, with a 95% confidence interval [95.2%; 100%]. Even though extremely sensitive for paranoid schizophrenia, the specificity of Schneider's FRS merits further study.https://safpj.co.za/index.php/safpj/article/view/188schneider’s first-rank symptomsparanoid schizophrenia
spellingShingle B. Schiopu
M. Nel
L.A. Hiemstra
B. Latecki
Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophrenia
South African Family Practice
schneider’s first-rank symptoms
paranoid schizophrenia
title Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophrenia
title_full Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophrenia
title_fullStr Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophrenia
title_full_unstemmed Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophrenia
title_short Relevance of Schneider's first-rank symptoms in Zulu patients with paranoid schizophrenia
title_sort relevance of schneider s first rank symptoms in zulu patients with paranoid schizophrenia
topic schneider’s first-rank symptoms
paranoid schizophrenia
url https://safpj.co.za/index.php/safpj/article/view/188
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AT mnel relevanceofschneidersfirstranksymptomsinzulupatientswithparanoidschizophrenia
AT lahiemstra relevanceofschneidersfirstranksymptomsinzulupatientswithparanoidschizophrenia
AT blatecki relevanceofschneidersfirstranksymptomsinzulupatientswithparanoidschizophrenia