Format

Send to

Choose Destination
Indian J Psychol Med. 2015 Oct-Dec;37(4):399-402. doi: 10.4103/0253-7176.168564.

Symptoms at Onset in First Episode Schizophrenia: Caregivers Perspectives.

Author information

1
Consultant Psychiatrist, Schizophrenia Research Foundation, Chennai, Tamil Nadu, India.

Abstract

BACKGROUND:

Early recognition of symptoms is important in the management of psychosis. Caregivers understanding and attribution of symptoms plays a major role in treatment selection.

AIM:

The aim was to identify the various symptoms cluster recognized by caregivers at illness onset in first episode schizophrenia.

SUBJECTS AND METHODS:

In a cross-sectional study 40 key caregivers of patients with first episode of Schizophrenia (International Classification of Diseases-10) attending the outpatient services of Schizophrenia Research Foundation were recruited. Caregivers were assessed using a questionnaire adapted from the Psychiatric and Personal History Schedule.

STATISTICAL ANALYSIS:

Principal component (PCP) analysis.

RESULTS:

Caregivers were predominantly women. Parents (58%), siblings (18%), spouse (12%), and children (12%) formed the sample. The caregiver easily recognized depressive symptoms. An analysis was done to analyze symptom data rated on the caregiver questionnaire indicated a four-factor solution. PCP analysis produced a clear depressive, anxious, irritable, and vegetative factor (Eigenvalue >0.05). Caregivers (40%) attributed present lifestyle as causality. The first contact of help in almost half of the sample (45%) was to a psychiatric facility.

CONCLUSION:

Caregiver's perception about mental illness and ability to identify the four factors has important treatment implications. Studying patterns of help seeking may be a useful strategy in early intervention programs.

KEYWORDS:

Caregivers; first episode; prodrome; schizophrenia

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
Loading ...
Support Center