Longitudinal symptom network structure in first-episode psychosis: A possible marker for remission
- Authors
- Piao, Yan Hong; Yun, Je-Yeon; Nguyen, Thong Ba; Kim, Woo-Sung; Sui, Jing; Kang, Nam-In; Lee, Keon-Hak; Ryu, Seunghyong; Kim, Sung-Wan; Lee, Bong Ju; Kim, Jung Jin; Yu, Je-Chun; Lee, Kyu Young; Won, Seung-Hee; Lee, Seung-Hwan; Kim, Seung-Hyun; Kang, Shi Hyun; Kim, Euitae; Chung, Young Chul
- Issue Date
- Oct-2022
- Publisher
- Cambridge University Press
- Keywords
- First-episode psychosis; network analysis; prediction; remission
- Citation
- Psychological Medicine, v.52, no.14, pp 3193 - 3201
- Pages
- 9
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- Psychological Medicine
- Volume
- 52
- Number
- 14
- Start Page
- 3193
- End Page
- 3201
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/51963
- DOI
- 10.1017/S0033291720005280
- ISSN
- 0033-2917
1469-8978
- Abstract
- Background
Network approach has been applied to a wide variety of psychiatric disorders. The aim of the present study was to identify network structures of remitters and non-remitters in patients with first-episode psychosis (FEP) at baseline and the 6-month follow-up.
Methods
Participants (n = 252) from the Korean Early Psychosis Study (KEPS) were enrolled. They were classified as remitters or non-remitters using Andreasen's criteria. We estimated network structure with 10 symptoms (three symptoms from the Positive and Negative Syndrome Scale, one depressive symptom, and six symptoms related to schema and rumination) as nodes using a Gaussian graphical model. Global and local network metrics were compared within and between the networks over time.
Results
Global network metrics did not differ between the remitters and non-remitters at baseline or 6 months. However, the network structure and nodal strengths associated with positive-self and positive-others scores changed significantly in the remitters over time. Unique central symptoms for remitters and non-remitters were cognitive brooding and negative-self, respectively. The correlation stability coefficients for nodal strength were within the acceptable range.
Conclusion
Our findings indicate that network structure and some nodal strengths were more flexible in remitters. Negative-self could be an important target for therapeutic intervention.
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- Appears in
Collections - 2. Clinical Science > Department of Psychiatry > 1. Journal Articles
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