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Talk:Basic symptoms of schizophrenia

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Wiki Education Foundation-supported course assignment

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This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): MichL4, TrevorShoniker.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 17:51, 17 January 2022 (UTC)[reply]

Suggestions to improve the page

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Hello, we are a group of medical students editing this page as part of our class assignment. We have compiled a list of suggestions to improve this article and would appreciate community feedback before we proceed with these edits. Here is a list of our suggestions:

1. We propose to include the following statement in the lead paragraph of Basic symptoms of schizophrenia: People who were assessed to be high risk according to the basic symptoms criteria have a 48.5% likelihood of progressing to psychosis.[1] The purpose of this is to demonstrate the clinical value in assessing basic symptoms. This sentence will be placed between the existing sentences 4 and 5.

2. We propose to add clarification to the different terminology being used interchangeably throughout the article in the lead paragraph of Basic symptoms of schizophrenia, such as between “schizophrenia”, “psychosis” and suggest including the phrase “prodromal psychosis”: Basic symptoms are more specific to identifying patients who exhibit signs of prodromal (link to “prodrome” page) psychosis are more likely to develop schizophrenia over other disorders related to psychosis.[2] Schizophrenia is a psychotic disorder, but is not synonymous with psychosis (link to “psychosis” page).[2]

We noticed there were also links here that should be hyperlinked as per comments below. Please see the changes below: We propose to add clarification to the different terminology being used interchangeably throughout the article in the lead paragraph of Basic symptoms of schizophrenia, such as between “schizophrenia”, “psychosis” and suggest including the phrase “prodromal psychosis”: Basic symptoms are more specific to identifying people who exhibit signs of prodromal psychosis (prodrome) are more likely to develop schizophrenia over other disorders related to psychosis.[2] Schizophrenia is a psychotic disorder, but is not synonymous with psychosis.[2] Lauren.wierenga (talk) 18:04, 10 November 2017 (UTC)[reply]

3. We propose to include additional information near the conclusion of the Basic symptoms of schizophrenia#Course section, after the following sentences in the article at the end of its first paragraph. We suggest the following addition: Poorer long-term outcomes such as increases in relapses, increases in hospitalizations, and poorer social/occupational functioning are associated with the age of onset of these symptoms, suggesting the importance of early intervention.[3] This provides context regarding the importance of identifying basic symptoms as well as clarification of what may consist of an “impairment”.

4. We propose to include the following statements after the first sentence of the Basic symptoms of schizophrenia#Course section in order to provide a mechanistic rationale for the development of symptoms: Recent work in the field of neuronal oscillation (link this to the page) has demonstrated that aberrant excitatory and inhibitory signalling throughout the brain during development plays an important in the pathogenesis of basic symptoms.[4] These signalling disturbances can lead to cognitive deficits that result in the future appearance of more complicated symptoms of the disorder.[4]

What do you mean by "(link this to the page)"? A wikilink on neuronal oscillation? If so, add 2x [ before and after] the word to insert wikilinks to wikipedia articlesJenOttawa (talk) 01:19, 9 November 2017 (UTC)[reply]
Thank you for your suggestion. Please see the following changes: We propose to include the following statements after the first sentence of the Basic symptoms of schizophrenia#Course section in order to provide a mechanistic rationale for the development of symptoms: Recent work in the field of neural oscillation has demonstrated that defective excitatory and inhibitory signalling in the brain during development plays an important role in the formation of basic symptoms.[4] These signalling disturbances can lead to cognitive deficits that result in the future appearance of more complicated symptoms of the disorder.[4] Lauren.wierenga (talk) 18:04, 10 November 2017 (UTC)[reply]

5. We propose to include the following content at the end of the Basic symptoms of schizophrenia#Course section: "The recognition of these basic symptoms in the prodromal phase can lead to early interventions (link to this page) that aid in the delay or prevention of schizophrenia.[5] Such early interventions include, cognitive behavioural therapy (CBT), the use of antipsychotic drugs or omega 3 fatty acids.[5] "

can you try to add a link here with ['s?JenOttawa (talk) 01:28, 9 November 2017 (UTC)[reply]
Thank you for your suggestion. Please see the following changes: We propose to include the following content at the end of the Basic symptoms of schizophrenia#Course section: "The recognition of these basic symptoms in the prodromal phase can lead to early intervention in psychosis that aids in the delay or prevention of schizophrenia.[5] Such early interventions include cognitive behavioural therapy (CBT) or the use of antipsychotic drugs.[5]" Lauren.wierenga (talk) 18:04, 10 November 2017 (UTC)[reply]

6. We propose to add the following content at the beginning of the Basic symptoms of schizophrenia#Course section: There are several factors that interact prior to the development of basic symptoms, including predisposed vulnerability, environmental stressors, and support systems. The interaction of these factors increases the risk for development of basic symptoms of schizophrenia.[6] It is important to identify when an individual is exposed to these factors to prevent, modify or delay the onset of basic symptoms through early intervention.[6]

change "individual" to person?JenOttawa (talk) 01:28, 9 November 2017 (UTC)[reply]
Thank you for your suggestion. Please see the following changes: We propose to add the following content at the beginning of the Basic symptoms of schizophrenia#Course section: There are several factors that interact prior to the development of basic symptoms, including predisposed vulnerability, environmental stressors, and support systems.[6] The interaction of these factors increases the risk for development of basic symptoms of schizophrenia.[6] It is important to identify when a person is exposed to these factors to prevent, modify or delay the onset of basic symptoms through early intervention.[6] Lauren.wierenga (talk) 18:06, 10 November 2017 (UTC)[reply]

7. We propose to insert the following content into the Basic symptoms of schizophrenia#Evaluation section, as there are additional scales used to assess basic symptoms that were not yet mentioned in the article: The Bonn Scale for Assessment of Basic Symptoms (BSABS) is an another scale used to evaluate subjective symptoms of schizophrenia.[7] This is a semi-structured interview scheme that was designed to specifically assess anomalous self-experience.[7]

Thank you very much for taking the time to read through our suggestions for this article. We welcome any feedback or suggestions you may have. Lauren.wierenga (talk) 15:20, 3 November 2017 (UTC)[reply]

COMMENT: Bonus points for finding some refs that provide full access to the article, not just the abstract. Bonus points for all refs linking, and for figuring out how to use a ref more than once. Your proposed text for #4 is too strong on medicalese. The others are better, so I trust you can reword. For #5, omega-3 fatty acids - really?!? If you get into the Results, that was based on only one clinical trial, and the authors themselves downplayed the results. David notMD (talk) 21:52, 3 November 2017 (UTC)[reply]
Thank you for your suggestions. We have modified the language in the fourth point. Also we have removed omega 3 fatty acids as a treatment approach from the fifth point. We agree there is lacking evidence in support of this treatment. Thank you for bringing this to our attention. Lauren.wierenga (talk) 18:04, 10 November 2017 (UTC):[reply]

References

  1. ^ Fusar-Poli, P; Bonoldi, I; Yung, AR; Borgwardt, S; Kempton, MJ; Valmaggia, L; Barale, F; Caverzasi, E; McGuire, P (March 2012). "Predicting psychosis: meta-analysis of transition outcomes in individuals at high clinical risk". Archives of general psychiatry. 69 (3): 220–9. doi:10.1001/archgenpsychiatry.2011.1472. PMID 22393215.
  2. ^ a b c d Piras, S; Casu, G; Casu, MA; Orrù, A; Ruiu, S; Pilleri, A; Manca, G; Marchese, G (2014). "Prediction and prevention of the first psychotic episode: new directions and opportunities". Therapeutics and clinical risk management. 10: 241–53. doi:10.2147/TCRM.S55770. PMID 24729711.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  3. ^ Immonen, J; Jääskeläinen, E; Korpela, H; Miettunen, J (27 April 2017). "Age at onset and the outcomes of schizophrenia: A systematic review and meta-analysis". Early intervention in psychiatry. doi:10.1111/eip.12412. PMID 28449199.
  4. ^ a b c d Uhlhaas, PJ; Singer, W (15 June 2015). "Oscillations and neuronal dynamics in schizophrenia: the search for basic symptoms and translational opportunities". Biological psychiatry. 77 (12): 1001–9. doi:10.1016/j.biopsych.2014.11.019. PMID 25676489.
  5. ^ a b c d Stafford, MR; Jackson, H; Mayo-Wilson, E; Morrison, AP; Kendall, T (18 January 2013). "Early interventions to prevent psychosis: systematic review and meta-analysis". BMJ (Clinical research ed.). 346: f185. PMID 23335473.
  6. ^ a b c d e Cheng, SC; Walsh, E; Schepp, KG (December 2016). "Vulnerability, Stress, and Support in the Disease Trajectory from Prodrome to Diagnosed Schizophrenia: Diathesis-Stress-Support Model". Archives of psychiatric nursing. 30 (6): 810–817. doi:10.1016/j.apnu.2016.07.008. PMID 27888978.
  7. ^ a b Parnas, J; Henriksen, MG (2014). "Disordered self in the schizophrenia spectrum: a clinical and research perspective". Harvard review of psychiatry. 22 (5): 251–65. doi:10.1097/HRP.0000000000000040. PMID 25126763.
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