J. Klosterkotter et al., EARLY SELF-EXPERIENCED NEUROPSYCHOLOGICAL DEFICITS AND SUBSEQUENT SCHIZOPHRENIC DISEASES - AN 8-YEAR AVERAGE FOLLOW-UP PROSPECTIVE-STUDY, Acta psychiatrica Scandinavica, 95(5), 1997, pp. 396-404
The aim of the present study was to investigate the potential predicti
ve value of early self-experienced neuropsychological deficits for the
subsequent development of schizophrenia. A total of 96 patients with
DSM-III-R diagnoses of personality disorders (formerly called 'neuroti
c disorders') who had been examined for the presence of such subjectiv
e experiences of deficits with standardized instruments were re-examin
ed for the possible development of schizophrenic symptoms. After an av
erage follow-up period of about 8 years, more than 50% of the patients
had developed schizophrenia according to DSM-III-R criteria. In 77% o
f cases the outcome 'schizophrenia vs, no schizophrenia' was correctly
predicted by the earlier presence or absence of self-experienced dist
urbances of thought, speech, memory, perception and action. These find
ings suggest that certain self-experienced neuropsychological deficits
are able to indicate susceptibility to psychosis.