First Impact Factor released in June 2010 and now listed in MEDLINE!
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Early Intervention in Psychiatry 2015; 9: 248–251
doi:10.1111/eip.12150
Brief Report Clinical correlates of distorted auditory perception in first-episode psychosis Rachel Morenz,1* Cindy Woolverton,1,2 R. Brock Frost,1 Nicole A. Kiewel1 and Nicholas J.K. Breitborde1 Abstract
Departments of 1Psychiatry and 2 Psychology, The University of Arizona, Tucson, Arizona, USA Corresponding author: Dr Rachel Morenz, Department of Psychiatry, The University of Arizona, Tucson, AZ 85724, USA. Email: [email protected] Received 20 October 2013; accepted 25 March 2014 *Present Address: Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USA.
Aim: Auditory hallucinations are hypothesized to be based in distorted sensory perceptions, with increasingly distorted perceptions of reality possibly prompting the first psychotic phase of schizophrenia spectrum disorders. Our goal was to examine the association between distorted auditory perceptions and psychotic symptomatology, social functioning and quality of life among individuals with first-episode psychosis. Methods: Forty individuals with first-episode psychosis completed assessments of distorted auditory perception, psychotic symptomatology, social functioning and quality of life.
Conclusions: Our findings suggest that distorted auditory perceptions are associated with both positive and negative clinical correlates among individuals with first-episode psychosis. These results highlight the potential clinical importance of balancing the goal of symptomatic reduction with the need to maintain healthy coping strategies that may be biologically and psychologically entwined with the symptoms of psychosis, themselves.
Keywords: first-episode psychosis, hallucination.
INTRODUCTION Auditory hallucinations are a common symptom in psychotic disorders, with prevalence estimates ranging between 40% and 80% for those with schizophrenia.1 Recent research has focused on various cognitive explanations for the phenomenological aspects of auditory hallucinations. One of these explanations centres on how a combination of aberrant top-down and bottom-up sensory processing may result in a distorted perception of reality and more specifically, auditory hallucinations.2 It has additionally been hypothesized that this increasingly distorted perception of reality prompts the first psychotic phase of schizophrenia spectrum disorders.3 Unfortunately, limited attention has been directed towards exploring the clinical correlates of these aberrant perceptions among individuals with first-episode psychosis. Thus, the goal of this study is to examine the association between 248
Results: Both negative (greater symptomatology) and positive clinical correlates (better quality of life) were associated with greater distorted auditory perceptions.
distorted auditory perceptions and psychotic symptomatology, social functioning and quality of life among individuals with first-episode psychosis. METHODS Forty individuals with first-episode psychosis (72% male; mean age = 22.95 ± 4.20 years) were recruited from the Early Psychosis Intervention Center (EPICENTER; Breitborde, 20124). EPICENTER inclusion criteria are: (i) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSMIV) diagnosis of a schizophrenia spectrum or affective disorder with psychosis per the Structured Clinical Interview for the DSM-IV;5 (ii)
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Early Intervention in Psychiatry 2015; 9: 248–251
doi:10.1111/eip.12150
Brief Report Clinical correlates of distorted auditory perception in first-episode psychosis Rachel Morenz,1* Cindy Woolverton,1,2 R. Brock Frost,1 Nicole A. Kiewel1 and Nicholas J.K. Breitborde1 Abstract
Departments of 1Psychiatry and 2 Psychology, The University of Arizona, Tucson, Arizona, USA Corresponding author: Dr Rachel Morenz, Department of Psychiatry, The University of Arizona, Tucson, AZ 85724, USA. Email: [email protected] Received 20 October 2013; accepted 25 March 2014 *Present Address: Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USA.
Aim: Auditory hallucinations are hypothesized to be based in distorted sensory perceptions, with increasingly distorted perceptions of reality possibly prompting the first psychotic phase of schizophrenia spectrum disorders. Our goal was to examine the association between distorted auditory perceptions and psychotic symptomatology, social functioning and quality of life among individuals with first-episode psychosis. Methods: Forty individuals with first-episode psychosis completed assessments of distorted auditory perception, psychotic symptomatology, social functioning and quality of life.
Conclusions: Our findings suggest that distorted auditory perceptions are associated with both positive and negative clinical correlates among individuals with first-episode psychosis. These results highlight the potential clinical importance of balancing the goal of symptomatic reduction with the need to maintain healthy coping strategies that may be biologically and psychologically entwined with the symptoms of psychosis, themselves.
Keywords: first-episode psychosis, hallucination.
INTRODUCTION Auditory hallucinations are a common symptom in psychotic disorders, with prevalence estimates ranging between 40% and 80% for those with schizophrenia.1 Recent research has focused on various cognitive explanations for the phenomenological aspects of auditory hallucinations. One of these explanations centres on how a combination of aberrant top-down and bottom-up sensory processing may result in a distorted perception of reality and more specifically, auditory hallucinations.2 It has additionally been hypothesized that this increasingly distorted perception of reality prompts the first psychotic phase of schizophrenia spectrum disorders.3 Unfortunately, limited attention has been directed towards exploring the clinical correlates of these aberrant perceptions among individuals with first-episode psychosis. Thus, the goal of this study is to examine the association between 248
Results: Both negative (greater symptomatology) and positive clinical correlates (better quality of life) were associated with greater distorted auditory perceptions.
distorted auditory perceptions and psychotic symptomatology, social functioning and quality of life among individuals with first-episode psychosis. METHODS Forty individuals with first-episode psychosis (72% male; mean age = 22.95 ± 4.20 years) were recruited from the Early Psychosis Intervention Center (EPICENTER; Breitborde, 20124). EPICENTER inclusion criteria are: (i) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSMIV) diagnosis of a schizophrenia spectrum or affective disorder with psychosis per the Structured Clinical Interview for the DSM-IV;5 (ii)
