Change of diagnosis in schizophrenia and first-rank symptoms: An eight-year follow-up |
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Authors: | CS Mellor ACP Sims RV Cope |
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Institution: | 1. Memorial University, St. John''s, Newfoundland, Canada;2. St. James University Hospital, Leeds, England;3. All Saint''s Hospital, Birmingham, England. |
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Abstract: | Fifty-seven patients diagnosed as schizophrenic at the inception hospital admission, because they had Schneider's first-rank symptoms, were investigated 8 years for change of diagnosis. The average duration of their psychiatric contact after the admission was 5 years. During this period 88% still had a diagnosis of schizophrenia, but seven patients had been given other diagnoses. Change of diagnosis was significantly associated with “voices discussing” when it was the only first-rank symptom. The question of whether “voices discussing” should be included in the canon of Schneiderian first-rank symptoms is discussed. |
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Keywords: | Address reprint requests to C S Mellor M D Professor of Psychiatry Memorial University St John's Newfoundland Canada A1B 3V6 |
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