Prevalence of spontaneous dyskinesia in first episode, drug naive schizophrenia, and its relation to the positive and negative symptoms of schizophrenia
Journal Title: Open Journal of Psychiatry & Allied Sciences - Year 2017, Vol 8, Issue 2
Abstract
Aims and objectives: This study aims to assess the prevalence of abnormal involuntary movement in never medicated patients with schizophrenia and to find its relation with demographic variables, and with the positive and negative symptoms of schizophrenia; this study also aims to assess the topography of the dyskinesia. Methodology: Socio-demographic data of 100 consecutively selected patients who fulfilled the ICD-10 Diagnostic Criteria for Research were collected in a 12-month period. These patients were rated with the Positive And Negative Syndrome Scale (PANSS) and Abnormal Involuntary Movement Scale (AIMS). Patients were labeled as having spontaneous dyskinesia if they fulfilled the criteria of Schooler and Kane which needs a score of two (mild) in at least two areas or score of three (moderate) or four (severe) in one area. Results: Fifty two per cent of the study samples were male and 48% were female with mean age of 30.72 years with standard deviation of 8.7 years. Sixteen per cent of the patients had dyskinesia when examined with AIMS. However, only 14% fulfilled the Schooler and Kane’s criteria for spontaneous dyskinesia. A strong correlation was found between the presence of dyskinesia and negative symptoms of schizophrenia. 57.1% of these 14 patients had dyskinesia located in their oral and facial region. Seventy one per cent of these patients with dyskinesia had no awareness of their involuntary movements. Conclusions: Spontaneous dyskinesia, negative symptoms, and lack of awareness of the abnormal involuntary movement can be taken as one of the presenting symptoms of schizophrenia.
Authors and Affiliations
Samrat Singh Bhandari, Dipesh Bhagabati
Keywords
Related Articles
- EP ID EP183762
- DOI 10.5958/2394-2061.2017.00005.2
- Views 93
- Downloads 0
Phenomenology and predisposing factors of morbid jealousy in a psychiatric outdoor: a cross-sectional, descriptive study
Background: Jealousy in a sexual relation has some advantage that it ensures propagation of one’s own gene as put by evolutionary psychologists. However, if this belief is based on unfounded evidence it may impair the re...
Menstrual-related psychosis
Menstrual cycle and women mental health is related to each other. It is because of the endocrinological changes in women during her menstruation period. Psychosis in women during her menstruation is one of the serious me...
Rett's syndrome: a case report
Rett’s syndrome is a neurodevelopmental disorder that occurs almost exclusively in females and has a typically deteriorating course. We describe a case of Rett’s syndrome in a girl of three years. She had normal developm...
Anxiety level among family members attending patients admitted in intensive care unit
Background: As family is an integral part of patients’ care, they are often the ones who determine satisfaction of care provided, as well as with the overall critical care experience. This is always observed that family...
Somatoform disorders and the subtypes: do diferences exist?
Background: Psychiatric diagnoses, especially somatoform disorders, are based on phenomenology, i.e. the subjective experience of the symptoms by the patient. The concept of “medically unexplained symptoms” (MUS) is now...