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Schizophrenia: Schneider's First-Rank Symptoms and Outcome

Published online by Cambridge University Press:  29 January 2018

Roger C. Bland
Affiliation:
Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada, T6G 2G3
Helene Orn
Affiliation:
Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada, T6G 2G3

Summary

The files of a narrowly defined group of schizophrenic patients, admitted to hospital for the first time in their lives in 1963, and who were representative of cases from a large un-selected population, were examined for Schneider's first-rank symptoms. Forty-three such patients were followed-up in 1977. Using stepwise regression, it was found that Schneider's first-rank symptoms relate to outcome such that they can ‘explain’ from 17 per cent to 26 per cent of the variance on four outcome measures. The presence of some first-rank symptoms correlated positively with good outcome, others negatively, whilst some correlated differently with different outcome measures. Thus, assessment of only the presence, absence or number of first-rank symptoms is unlikely to relate to outcome.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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