Prodromal symptoms and signs of first episode schizophrenia in Iraq

<p>Shalan J R Al-Abbudi</p>

doi:10 .4172/2327-4581.1000411

Prodromal symptoms and signs of first episode schizophrenia in Iraq

Shalan J R Al-Abbudi

Al-Imamain Al-Kadhimain Medical City, Iraq

: J Spine Neurosurg

Abstract

Background: Onset of schizophrenia is often preceded by other symptoms and types of behaviour, usually referred to as prodromal symptoms. Objectives: Identify the main prodromal symptoms and signs preceding the full blown picture of first episode schizophrenia. Methods: This is a cross-section study. 328 Iraqi first episode schizophrenic inpatients admitted to Ibn-Rushed psychiatric mental hospital were examined during the period June, 1st, 2009 to June, 1st, 2011. Diagnosis confirmed through a Structured Clinical Interview for DSMIV- TR. List of sociodemographic and clinical data were used. Detailed psychiatric history taking and mental state examination were applied. Supplemental information was obtained from patients and family members. Results: The main frequent prodromal signs and symptoms preceding the development of full blown picture of first episode schizophrenia were; lack of sleep, aggression, restlessness, disorganized speech, anxiety, suspiciousness, social withdrawal, odd behavior, somatic complaints. Conclusions: The study explores the symptoms preceding the full blown picture of first episodes schizophrenia. Psycho-educational approach to patients and families may be mandatory to increase the awareness about schizophrenic prodromal symptoms to reduce the duration of untreated psychosis.