Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up study

IntroductionDepression is the most common co-morbid psychiatric disorder in patients with schizophrenia and has a negative effect on functional outcomes and quality of life. There are several possible pathways leading to depressive symptoms in schizophrenia. Self-disorders are disturbances in the de...

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Main Authors: Elisabeth Haug, Merete Glenne Øie, Ingrid Hartveit Svendsen, Paul Møller, Barnaby Nelson, Ingrid Melle
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1521366/full
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author Elisabeth Haug
Merete Glenne Øie
Merete Glenne Øie
Ingrid Hartveit Svendsen
Ingrid Hartveit Svendsen
Paul Møller
Barnaby Nelson
Barnaby Nelson
Ingrid Melle
Ingrid Melle
author_facet Elisabeth Haug
Merete Glenne Øie
Merete Glenne Øie
Ingrid Hartveit Svendsen
Ingrid Hartveit Svendsen
Paul Møller
Barnaby Nelson
Barnaby Nelson
Ingrid Melle
Ingrid Melle
author_sort Elisabeth Haug
collection DOAJ
description IntroductionDepression is the most common co-morbid psychiatric disorder in patients with schizophrenia and has a negative effect on functional outcomes and quality of life. There are several possible pathways leading to depressive symptoms in schizophrenia. Self-disorders are disturbances in the deepest, pre-reflective level of the self and are suggested to be core features of schizophrenia. The relationship between self-disorders, and depressive symptoms has only been studied to a limited extent, and there are no longitudinal studies. This study aimed to explore the relationship between self-disorders at baseline and the development of depression over the follow-up periodMethodsSelf-disorders were examined with the Examination of Anomalous Self-Experience (EASE) instrument in 31 patients with schizophrenia during their first treatment. Seven years later we measured the total number of depressive episodes since the start of treatment.ResultsWe found a clear association between self-disorders at baseline and the total number of depressive episodes over the follow-up period.DiscussionSelf-disorders may play a role in the development of depression in schizophrenia. This may have implications for therapeutic approaches targeting a condition that is characterized by considerable suffering and an elevated risk of suicide.
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spelling doaj-art-fa390fb2c6114281a8829ca29fb54a392025-01-08T06:12:06ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.15213661521366Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up studyElisabeth Haug0Merete Glenne Øie1Merete Glenne Øie2Ingrid Hartveit Svendsen3Ingrid Hartveit Svendsen4Paul Møller5Barnaby Nelson6Barnaby Nelson7Ingrid Melle8Ingrid Melle9District Psychiatric Centre Gjøvik, Division of Mental Health Care, Innlandet Hospital Trust, Brumunddal, NorwayDepartment of Research, Innlandet Hospital Trust, Brumunddal, NorwayDepartment of Psychology, University of Oslo, Oslo, NorwayDepartment of competence and education, Innlandet Hospital Trust, Brumunddal, NorwayDepartment of Health Sciences, Norwegian University of Science and Technology Gjøvik, Gjøvik, NorwayDepartment of Mental Health Research and Development, Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, NorwayCentre for Youth Mental Health, University of Melbourne, Parkville, VIC, AustraliaOrygen, Parkville, VIC, AustraliaAdult Psychiatry Department, Institute of Clinical Medicine, University of Oslo, Oslo, Norway0Section for Clinical Psychosis Research, Oslo University Hospital, Oslo, NorwayIntroductionDepression is the most common co-morbid psychiatric disorder in patients with schizophrenia and has a negative effect on functional outcomes and quality of life. There are several possible pathways leading to depressive symptoms in schizophrenia. Self-disorders are disturbances in the deepest, pre-reflective level of the self and are suggested to be core features of schizophrenia. The relationship between self-disorders, and depressive symptoms has only been studied to a limited extent, and there are no longitudinal studies. This study aimed to explore the relationship between self-disorders at baseline and the development of depression over the follow-up periodMethodsSelf-disorders were examined with the Examination of Anomalous Self-Experience (EASE) instrument in 31 patients with schizophrenia during their first treatment. Seven years later we measured the total number of depressive episodes since the start of treatment.ResultsWe found a clear association between self-disorders at baseline and the total number of depressive episodes over the follow-up period.DiscussionSelf-disorders may play a role in the development of depression in schizophrenia. This may have implications for therapeutic approaches targeting a condition that is characterized by considerable suffering and an elevated risk of suicide.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1521366/fullschizophreniadepressionself-disorderspsychosisfollow-up,
spellingShingle Elisabeth Haug
Merete Glenne Øie
Merete Glenne Øie
Ingrid Hartveit Svendsen
Ingrid Hartveit Svendsen
Paul Møller
Barnaby Nelson
Barnaby Nelson
Ingrid Melle
Ingrid Melle
Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up study
Frontiers in Psychiatry
schizophrenia
depression
self-disorders
psychosis
follow-up,
title Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up study
title_full Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up study
title_fullStr Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up study
title_full_unstemmed Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up study
title_short Basic self-disorders may play a role in the development of depression in schizophrenia: a seven-year follow-up study
title_sort basic self disorders may play a role in the development of depression in schizophrenia a seven year follow up study
topic schizophrenia
depression
self-disorders
psychosis
follow-up,
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1521366/full
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