TY  - JOUR
PY  - 2019//
TI  - The relation of basic self-disturbance to self-harm, eating disorder symptomatology and other clinical features: exploration in an early psychosis sample
JO  - Early intervention in psychiatry
A1  - Rasmussen, Andreas R.
A1  - Reich, Daniel
A1  - Lavoie, Suzie
A1  - Li, Emily
A1  - Hartmann, Jessica A.
A1  - McHugh, Meredith
A1  - Whitford, Thomas J.
A1  - Nelson, Barnaby
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND AND AIMS: The notion of basic self-disturbance has been proposed as a core feature of schizophrenia-spectrum disorders and as an indicator of future transition to psychosis in high-risk populations. However, the relation of this notion to many clinical characteristics has not been explored. The aim of this study was: (a) to investigate the distribution of self-disturbance and other symptoms dimensions in ultra-high risk (UHR), first-episode psychosis (FEP) and healthy control groups; and (b) to explore the association of self-disturbance with a history of self-harm, suicidal attempt, eating disorder symptomatology, school bullying victimization and sexual or physical abuse. <br><br>METHODS: Patients with UHR status (n = 38) or FEP (n = 26) and healthy controls (n = 33) were assessed with the Examination of Anomalous Self-Experience (EASE) and the Comprehensive Assessment of at Risk Mental States (CAARMS). The clinical-historical variables were assessed through medical records. <br><br>RESULTS: The FEP group scored significantly higher on the EASE than the UHR group, which scored significantly higher than the healthy control group, which had a very low score. Multivariate logistic regression analyses revealed that higher EASE score was significantly associated with a history of self-harm, disordered eating and bullying victimization (but not with suicide attempts or sexual/physical abuse) after controlling for positive, negative and depressive symptoms. <br><br>CONCLUSION: These novel findings suggest that self-disturbance may be related to a history of school bullying victimization, self-harm and eating disorder symptomatology in patients with or at-risk of psychosis. If further confirmed, these findings are potentially relevant to clinical risk assessment and therapy.<br><br>© 2019 John Wiley & Sons Australia, Ltd.<p />  <p>Language: en</p>
LA  - en
SN  - 1751-7885
UR  - http://dx.doi.org/10.1111/eip.12850
ID  - ref1
ER  -