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Prokopez CR, Cesarini JI, Corral RM, Seré L, Chambeaud Helguera N, Alomo M. Renaming schizophrenia in Argentina: Could a change of name resolve the stigma? Results from a national survey. Schizophr Res 2024; 271:334-336. [PMID: 39089100 DOI: 10.1016/j.schres.2024.07.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 07/19/2024] [Accepted: 07/24/2024] [Indexed: 08/03/2024]
Affiliation(s)
- Cintia R Prokopez
- Braulio A. Moyano Neuropsychiatric Hospital, Buenos Aires, Argentina; Institute of Pharmacology, Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
| | | | | | - Lucía Seré
- Ineco Foundation, Buenos Aires, Argentina
| | | | - Martín Alomo
- Braulio A. Moyano Neuropsychiatric Hospital, Buenos Aires, Argentina; Faculty of Psychology, University of Buenos Aires, Buenos Aires, Argentina
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2
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Tandon R. Renaming schizophrenia - Why and why Not. Asian J Psychiatr 2024; 99:104219. [PMID: 39232426 DOI: 10.1016/j.ajp.2024.104219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/06/2024]
Affiliation(s)
- Rajiv Tandon
- Department of Psychiatry, WMU Homer Stryker School of Medicine, Kalamazoo, Michigan 49008, USA.
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3
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Goh KK, Lu CY, Chiu YH, Lu ML. The impact of renaming schizophrenia on destigmatization: The Asian experience. Asian J Psychiatr 2024; 99:104139. [PMID: 38970899 DOI: 10.1016/j.ajp.2024.104139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Revised: 05/11/2024] [Accepted: 05/26/2024] [Indexed: 07/08/2024]
Abstract
The term "schizophrenia" can indeed carry stigmatizing connotations. Proposals to rename schizophrenia have emerged as a potential strategy to alleviate this stigma, but the impact of such a change is not yet fully understood. In several Asian countries that have adopted a new name for schizophrenia, there is evidence that renaming is associated with improved attitudes towards individuals with schizophrenia and an increased willingness to disclose diagnoses. However, the portrayal of schizophrenia in the media seems unaffected by these name changes. In other countries where "schizophrenia" is still the standard term, alternative names have been suggested, but research on their effectiveness in reducing stigma shows mixed results. Mental health professionals frequently support a name change, recognizing the term's negative implications. However, it is crucial to recognize that a mere semantic revision, devoid of substantial conceptual alterations, may only offer a temporary decrease in stigma. Thus, renaming schizophrenia, coupled with a re-conceptualization of the disorder, may be a constructive step toward reducing its stigmatization.
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Affiliation(s)
- Kah Kheng Goh
- Department of Psychiatry and Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Cheng-Yu Lu
- School of Health in Social Science, University of Edinburgh, United Kingdom
| | - Yi-Hang Chiu
- Department of Psychiatry and Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Mong-Liang Lu
- Department of Psychiatry and Psychiatric Research Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
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4
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Landolt A, Müller M, Ilg Y, Schulz PJ, Hoff P, Seifritz E, Maatz A. Linguistic and (micro)cultural differences in the global debate about re-naming 'schizophrenia': A mixed-methods survey from Switzerland. Schizophr Res 2024; 267:341-348. [PMID: 38615562 DOI: 10.1016/j.schres.2024.03.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 11/03/2023] [Accepted: 03/28/2024] [Indexed: 04/16/2024]
Abstract
BACKGROUND AND HYPOTHESIS This survey explores Swiss mental health professionals', users', and relatives' opinions on re-naming schizophrenia exploiting Switzerland's specific multilingualism to examine possible effects of linguistic and microcultural differences on the issue. STUDY DESIGN Opinions on 'schizophrenia' were collected using a self-rated online questionnaire incl. Freetext answers available in the three main Swiss languages, German, French and Italian. It was distributed to the main professional and self-help organizations in Switzerland between June and October 2021. STUDY RESULTS Overall, 449 persons completed the questionnaire, 263 in German, 172 in French and 14 in Italian. Of the total sample, 339 identified as mental health professionals, 81 as relatives and 29 as users. Considering the whole sample, almost half favored a name-change with a significant difference between stakeholder- and between language groups. Also, the name 'schizophrenia' was evaluated more critically than the diagnostic concept. Qualitative analysis of freetext answers showed a highly heterogenous argumentation, but no difference between language groups. CONCLUSIONS Our results suggest the attitude towards re-naming might itself be subject to (micro)cultural difference, and they highlight the nature of 'schizophrenia' as not only a scientific, but also a linguistic and cultural object. Such local factors ought to be taken into consideration in the global debate.
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Affiliation(s)
- Anna Landolt
- Psychiatric Hospital, University of Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Lenggstrasse 31, 8032 Zürich, Switzerland
| | - Mario Müller
- Psychiatric Hospital, University of Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Lenggstrasse 31, 8032 Zürich, Switzerland; Psychiatric Hospital, University of Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Centre for Social Psychiatry, Militärstrasse 8, 8021 Zürich, Switzerland
| | - Yvonne Ilg
- German Department, University of Zurich, Schönberggasse, 8008 Zürich, Switzerland; Competence Centre Language & Medicine, University of Zurich, Switzerland
| | - Peter J Schulz
- Università della Svizzera Italiana, Institute of Communication and Health, Via Buffi 13, 6900 Lugano, Switzerland; Department of Communication & Media, Ewha Womans University, Seoul, South Korea
| | - Paul Hoff
- Psychiatric Hospital, University of Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Lenggstrasse 31, 8032 Zürich, Switzerland
| | - Erich Seifritz
- Psychiatric Hospital, University of Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Lenggstrasse 31, 8032 Zürich, Switzerland
| | - Anke Maatz
- Psychiatric Hospital, University of Zurich, Department of Psychiatry, Psychotherapy and Psychosomatics, Lenggstrasse 31, 8032 Zürich, Switzerland; Competence Centre Language & Medicine, University of Zurich, Switzerland.
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Escandón K. Toward non-stigmatizing media and language in mental health: Addressing the social stigma of schizophrenia. Schizophr Res 2024; 264:491-493. [PMID: 38277739 DOI: 10.1016/j.schres.2024.01.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 01/11/2024] [Accepted: 01/22/2024] [Indexed: 01/28/2024]
Affiliation(s)
- Karina Escandón
- Department of Psychology and Anthropology, Universidad de Salamanca, Spain.
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Stone WS, Phillips MR, Yang LH, Kegeles LS, Lieberman JA. Is schizophrenia neurodevelopmental, neurodegenerative or something else: A reply to Murray et al. (2022). Schizophr Res 2023; 261:234-235. [PMID: 37804599 DOI: 10.1016/j.schres.2023.09.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 09/24/2023] [Indexed: 10/09/2023]
Affiliation(s)
- William S Stone
- Harvard Medical School Department of Psychiatry at Beth, Israel Deaconess Medical Center, Boston, MA, USA.
| | - Michael R Phillips
- Shanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, Shanghai, China; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA
| | - Lawrence H Yang
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA; New York University College of Global Public Health, New York, NY, USA
| | - Lawrence S Kegeles
- Department of Psychiatry, Columbia University, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA
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Buck B, Wingerson M, Chander A, Tauscher JS. A preliminary study examining terminology used by individuals with lived experience describing beliefs about being targeted or harmed by others. Psychiatry Res 2023; 323:115129. [PMID: 36881949 PMCID: PMC10106418 DOI: 10.1016/j.psychres.2023.115129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 02/18/2023] [Accepted: 02/20/2023] [Indexed: 03/09/2023]
Abstract
While recent studies have prompted re-evaluation of the term "schizophrenia," few have examined the use of terms to describe persecutory ideation (PI) or paranoia. This study examines the preferences and terms used by a cross-diagnostic population of individuals (N = 184) with lived experience using an online survey. Participants most commonly described their PI in terms of the perceived source of threat, followed by clinical language, most commonly variants of "paranoia" and "anxiety." Of five selected terms assessed quantitatively - "anxiety," "paranoia," "persecutory thoughts," "suspiciousness," and "threat thoughts" - participants were more likely to report that "anxiety" aligned with their experience of PI, followed by "suspiciousness." Endorsement of terms more specific to PI was associated with self-report PI severity, while a preference for "anxiety" over other terms was both associated with less severe PI and lower scores on a measure of stigma. These results suggest that the heterogeneity of terms used by individuals with lived experience support a person-centered approach to language describing such experiences.
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Affiliation(s)
- Benjamin Buck
- Behavioral Research in Technology and Engineering Center, Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States.
| | - Mary Wingerson
- Behavioral Research in Technology and Engineering Center, Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States
| | - Ayesha Chander
- Behavioral Research in Technology and Engineering Center, Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States
| | - Justin S Tauscher
- Behavioral Research in Technology and Engineering Center, Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195, United States
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8
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Mesholam‐Gately RI, Johnston D, Keshavan MS. What's in the name "schizophrenia"? A clinical, research and lived experience perspective. World Psychiatry 2023; 22:156-157. [PMID: 36640406 PMCID: PMC9840481 DOI: 10.1002/wps.21033] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Affiliation(s)
- Raquelle I. Mesholam‐Gately
- Department of PsychiatryHarvard Medical SchoolBostonMAUSA,Massachusetts Mental Health Center, Public Psychiatry Division of the Beth IsraelDeaconess Medical CenterBostonMAUSA
| | - Dan Johnston
- Consumer Advisory Board, Massachusetts Mental Health Center, Public Psychiatry DivisionBeth Israel Deaconess Medical CenterBostonMAUSA
| | - Matcheri S. Keshavan
- Department of PsychiatryHarvard Medical SchoolBostonMAUSA,Massachusetts Mental Health Center, Public Psychiatry Division of the Beth IsraelDeaconess Medical CenterBostonMAUSA
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Maletta RM, Vass V. A 20-year review comparing the use of 'schizophrenia' and 'psychosis' in UK newspapers from 2000 to 2019: Implications for stigma reduction. Schizophr Res 2023; 251:66-73. [PMID: 36586355 DOI: 10.1016/j.schres.2022.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 11/11/2022] [Accepted: 12/10/2022] [Indexed: 12/31/2022]
Abstract
BACKGROUND There have been increasing calls for schizophrenia to be renamed to reduce negative associations with the diagnosis. 'Psychosis' is one proposed alternative, yet some research suggests this has greater negative connotations. This study compared the use of both terms within UK newspapers longitudinally to assess which is more negatively portrayed in the media. STUDY DESIGN Using LexisLibrary News, six UK newspaper archives were searched for the terms 'schizophrenia' and 'psychosis' in articles published between 2000 and 2019; the included article total was n = 9802. Articles were analysed using Linguistic Inquiry and Word Count software. STUDY RESULTS A two-level multilevel model was created of newspaper articles nested within newspapers. Adding predictors revealed that diagnostic term was a significant predictor of the emotional tone of articles (β = -2.30, SE = 0.51, p < .001, 95 % CI -3.30 to -1.30), with 'psychosis' having a more negative tone than 'schizophrenia.' Tabloids were shown to have a significantly more negative tone than broadsheets (β = -9.32, SE = 1.04, p < .001, 95 % CI -11.36 to -7.28), and emotional tone of writing had become more negative over time (β = -0.26, SE = 0.04, p < .001, 95 % CI -0.34 to -0.18). CONCLUSIONS These findings suggest 'psychosis' is associated with greater negativity than 'schizophrenia' within UK newspapers, and may be a poor substitute term to reduce stigma. As article tone worsened for both diagnoses over time, increased stigma reduction campaigns are required to target negativity within the media.
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Affiliation(s)
- Rosanna May Maletta
- Department of Psychology, Institute of Population Health, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool L69 7ZA, United Kingdom.
| | - Victoria Vass
- Department of Psychology, Institute of Population Health, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool L69 7ZA, United Kingdom.
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10
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Malaspina D. What social determinants can tell us about schizophrenia. Schizophr Res 2022:S0920-9964(22)00400-5. [PMID: 36528441 DOI: 10.1016/j.schres.2022.10.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 09/05/2022] [Accepted: 10/30/2022] [Indexed: 12/23/2022]
Affiliation(s)
- Dolores Malaspina
- Icahn School of Medicine at Mount Sinai, New York, NY, United States.
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11
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Varnum PV. The what, why, and so what of psychosis. Schizophr Res 2022; 250:41-42. [PMID: 36270045 DOI: 10.1016/j.schres.2022.09.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 09/28/2022] [Accepted: 09/28/2022] [Indexed: 12/12/2022]
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Cohen BM, Öngür D, Babb SM, Harris PQ. Diagnostic terms psychiatrists prefer to use for common psychotic and personality disorders. J Psychiatr Res 2022; 155:226-231. [PMID: 36095951 DOI: 10.1016/j.jpsychires.2022.08.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 08/26/2022] [Accepted: 08/31/2022] [Indexed: 10/31/2022]
Abstract
OBJECTIVE There are ongoing discussions on updating various standard psychiatric terms, including schizophrenia, which can be confusing, and personality disorders, which can be pejorative. To contribute to this process, suggestions and recommendations on terminology were sought from academic psychiatrists with substantial clinical experience. METHODS In an online survey, 263 psychiatrists were asked how often they used alternative instead of standard terms for the diagnosis or symptom description of psychotic disorders and DSM Cluster B personality disorders. They were also asked what specific terms they preferred to use. Reasons for their views and choices were obtained. RESULTS 125 clinicians (48%) responded. Only a minority of clinicians (31%) tended to use the term schizophrenia often, preferring to say psychosis or to refer to thinking and perceptual problems. Even lower proportions of clinicians (7-14%) often use the terms for Cluster B personality disorder subtypes: antisocial, narcissistic, histrionic, and borderline. Alternatives suggested for these disorders included discussing emotional dysregulation, traits of sensitivity and reactivity, and relational difficulties. Reasons cited for choosing alternative terms were to avoid miscommunication (71% of responders) and to avoid offending the patient (78% of responders). CONCLUSIONS There are practical alternatives to standard psychiatric terminology that may improve communication with patients and be more respectful choices, as well. The suggestions of the psychiatrists responding to this survey might be of immediate value to others in their practices and might be worthy of consideration by those writing the next versions of the standard manuals, both the DSM and the ICD.
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Affiliation(s)
- Bruce M Cohen
- Harvard Medical School, Boston, MA, USA; McLean Hospital, 115 Mill St., Belmont, MA, 02478, USA.
| | - Dost Öngür
- Harvard Medical School, Boston, MA, USA; McLean Hospital, 115 Mill St., Belmont, MA, 02478, USA
| | - Suzann M Babb
- Harvard Medical School, Boston, MA, USA; McLean Hospital, 115 Mill St., Belmont, MA, 02478, USA
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13
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Aker S, Kahve AC. What do psychiatrists think about renaming schizophrenia in Turkey? Schizophr Res 2022; 248:8-13. [PMID: 35907348 DOI: 10.1016/j.schres.2022.07.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 01/30/2022] [Accepted: 07/10/2022] [Indexed: 10/16/2022]
Abstract
In this study, it was aimed to evaluate the opinions of psychiatrists in Turkey on whether to change the name of schizophrenia in order to reduce stigma. This cross-sectional survey was conducted with psychiatrists (resident in psychiatry, specialist, and lecturer) in Turkey. An online survey was created via the Google Forms public web address. Online questionnaires were delivered through Google Forms by emailing and messaging on WhatsApp, Telegram, Google and Yahoo groups and asking them to pass the questionnaire to other possible participants in their network. The study was performed between June 20, 2021 and July 10, 2021. 460 psychiatrists participated in the study. Forty-five-point 2 % of psychiatrists think that the name of schizophrenia should be renamed to reduce stigma. Forty-two-point 8 % of those who support the name change state that this change should be done as soon as possible. While 64.1 % of psychiatrists stated that naming the disease with another (new) name instead of schizophrenia could increase the hopes of patients and their relatives for recovery, 12.6 % stated that renaming would not cause any positive or negative changes. There is no statistical difference between psychiatrists who have a relative diagnosed with schizophrenia and psychiatrists who do not, in terms of thinking that the name of schizophrenia should be renamed to reduce stigma. In order to remove the stigma on schizophrenia, many interventions are required in social, cultural, economic and political fields. Renaming schizophrenia may be a good start for interventions.
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Affiliation(s)
- Servet Aker
- Department of Medical Education, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.
| | - Aybeniz Civan Kahve
- Department of Psychiatry, Ankara City Hospital, University of Health Sciences, Ankara, Bilkent, Turkey
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Schizophrenia: A Narrative Review of Etiopathogenetic, Diagnostic and Treatment Aspects. J Clin Med 2022; 11:jcm11175040. [PMID: 36078967 PMCID: PMC9457502 DOI: 10.3390/jcm11175040] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Revised: 08/23/2022] [Accepted: 08/24/2022] [Indexed: 11/25/2022] Open
Abstract
Although schizophrenia is currently conceptualized as being characterized as a syndrome that includes a collection of signs and symptoms, there is strong evidence of heterogeneous and complex underpinned etiological, etiopathogenetic, and psychopathological mechanisms, which are still under investigation. Therefore, the present viewpoint review is aimed at providing some insights into the recently investigated schizophrenia research fields in order to discuss the potential future research directions in schizophrenia research. The traditional schizophrenia construct and diagnosis were progressively revised and revisited, based on the recently emerging neurobiological, genetic, and epidemiological research. Moreover, innovative diagnostic and therapeutic approaches are pointed to build a new construct, allowing the development of better clinical and treatment outcomes and characterization for schizophrenic individuals, considering a more patient-centered, personalized, and tailored-based dimensional approach. Further translational studies are needed in order to integrate neurobiological, genetic, and environmental studies into clinical practice and to help clinicians and researchers to understand how to redesign a new schizophrenia construct.
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15
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Usher C. Getting Real-er. J Am Acad Child Adolesc Psychiatry 2022; 61:1062-1063. [PMID: 35523376 DOI: 10.1016/j.jaac.2022.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 04/26/2022] [Indexed: 11/16/2022]
Abstract
Dilemmas of diagnostic heterogeneity in psychiatric disorders occur at many levels. Symptoms themselves and the experience of distress with symptoms may differ in nature. Put plainly, one child's sadness is not the same as another's, and the degree to which that young person finds their sadness distressing or impairing may differ from that of their peers.
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16
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Malhi GS, Bell E. Reframing schizophrenia: Altering our perceptions? Schizophr Res 2022; 244:8-9. [PMID: 35489287 DOI: 10.1016/j.schres.2022.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 03/30/2022] [Accepted: 04/13/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Gin S Malhi
- Academic Department of Psychiatry, Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; CADE Clinic, Royal North Shore Hospital, Northern Sydney Local Health District, New South Wales, Australia; Department of Psychiatry, University of Oxford, UK.
| | - Erica Bell
- Academic Department of Psychiatry, Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; CADE Clinic, Royal North Shore Hospital, Northern Sydney Local Health District, New South Wales, Australia
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17
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Schiffman J, Horton LE, Landa Y, Woods SW. Considerations for providing feedback to patients and families regarding clinical high-risk for psychosis status. Schizophr Res 2022; 244:55-57. [PMID: 35597133 DOI: 10.1016/j.schres.2022.01.059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 01/26/2022] [Accepted: 01/29/2022] [Indexed: 11/17/2022]
Affiliation(s)
| | - Leslie E Horton
- University of Pittsburgh Department of Psychiatry, United States of America
| | - Yulia Landa
- Icahn School of Medicine at Mount Sinai, United States of America
| | - Scott W Woods
- Department of Psychiatry, Yale University, United States of America
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18
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Askevis-Leherpeux F, Hazo JB, Agoub M, Baleige A, Barikova V, Benmessaoud D, Brunet F, Carta MG, Castelpietra G, Crepaz-Keay D, Daumerie N, Demassiet V, Fontaine A, Grigutyte N, Guernut M, Kishore J, Kiss M, Koenig M, Laporta M, Layoussif E, Limane Y, Lopez M, Mura G, Pelletier JF, Raharinivo M, Reed G, Richa S, Robles-Garcia R, Saxena S, Skourteli M, Tassi F, Stona AC, Thévenon C, Triantafyllou M, Vasilopoulos F, Wooley S, Roelandt JL. Accessibility of psychiatric vocabulary: An international study about schizophrenia essential features. Schizophr Res 2022; 243:463-464. [PMID: 35292181 DOI: 10.1016/j.schres.2022.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 02/27/2022] [Accepted: 03/02/2022] [Indexed: 11/26/2022]
Affiliation(s)
- Françoise Askevis-Leherpeux
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France; Equipe Inserm-Eceve (UMR 1123), Paris, France.
| | - Jean-Baptiste Hazo
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France; Equipe Inserm-Eceve (UMR 1123), Paris, France
| | - Mohamed Agoub
- Centre Psychiatrique Universitaire Ibn Rochd, Casablanca, Morocco
| | - Antoine Baleige
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France
| | | | - Dalila Benmessaoud
- Etablissement HospitaloUniversitaire Spécialisé de Psychiatrie Mahfoud BOUCEBCI, Chéraga, Algeria
| | - Floriane Brunet
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France
| | - Mauro-Giovanni Carta
- Centro di Psichiatria e Psicosomatica Azienda Ospedaliero, Universitaria di Cagliari, Italy
| | - Giulio Castelpietra
- Primary Care Services Area, Central Health Directorate, Trieste, Regione Friuli Venezia Giulia, Italy
| | | | - Nicolas Daumerie
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France
| | - Vincent Demassiet
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France; French Hearing Voices Network, France
| | - Audrey Fontaine
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France
| | | | - Mathilde Guernut
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France
| | | | - Marta Kiss
- Community Psychiatry Centre of Semmelweis University, Awakenings Foundation, Budapest, Hungary
| | - Marie Koenig
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France
| | - Marc Laporta
- Department of Psychiatry, McGill University, WHO CC, Montreal, Canada
| | | | | | - Marcelino Lopez
- Fundación Pública Andaluza para la Integración Social de Personas con Enfermedad Mental (FAISEM), Svilla, Spain
| | - Gioia Mura
- Centro di Psichiatria e Psicosomatica Azienda Ospedaliero, Universitaria di Cagliari, Italy
| | - Jean-François Pelletier
- Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montréal, Canada
| | | | - Geoffrey Reed
- World Health Organization, Department of Mental Health and Substance Abuse, Genève, Switzerland
| | - Sami Richa
- Hôpital Hôtel de Dieu de France, Beyrouth, Lebanon
| | - Rebecca Robles-Garcia
- Instituto National Nacional de Psiquiatría "Ramón de la Fuente Muñiz", Mexico City, Mexico
| | - Shekhar Saxena
- World Health Organization, Department of Mental Health and Substance Abuse, Genève, Switzerland
| | - Marina Skourteli
- Association for Regional Development and Mental Health (EPAPSY), Athens, Greece
| | - Fabio Tassi
- University of Udine, Mental Health Department of Trieste, Italy
| | - Anne-Claire Stona
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France
| | | | | | - Fotis Vasilopoulos
- Association for Regional Development and Mental Health (EPAPSY), Athens, Greece
| | | | - Jean-Luc Roelandt
- EPSM Lille-Métropole, French WHO CC, Armentières, France; French WHO CC, Lille-Hellemes, France; Equipe Inserm-Eceve (UMR 1123), Paris, France
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19
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Zick JL, Staglin B, Vinogradov S. Eliminate schizophrenia. Schizophr Res 2022; 242:147-149. [PMID: 35067455 PMCID: PMC9809202 DOI: 10.1016/j.schres.2022.01.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/27/2021] [Accepted: 01/02/2022] [Indexed: 01/05/2023]
Abstract
“Schizophrenia” is used as a unitary diagnostic term for an illness that is extremely heterogeneous in its etiology, pathophysiology, presentation, and trajectory. Furthermore, the presence of psychosis—its hallmark characteristic—can be observed in individuals with other diagnoses, and biologically- and computationally-defined psychosis biotypes differ from those associated with DSM diagnoses and yield different treatment predictions. We argue that schizophrenia is not only stigmatizing as a label, it is not useful as a diagnostic term, a disease concept, or a construct for scientific research. Until we are able to delineate a range of dysfunctions across molecular/cellular and/or macrocircuit levels that map onto psychosis-proneness and indicate optimal treatment pathways, we propose to eliminate schizophrenia and replace it with a new nomenclature as an interim solution. Similar to what is done with other broad descriptive disease concepts in medicine which are defined by hallmark clinical features and then further subtyped (e.g., sickle cell anemia, iron deficiency anemia), we propose that psychosis spectrum illnesses (PSIs) be characterized by their temporal characteristics, relevant modifying/causal and symptom features, and treatment responsiveness.
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Affiliation(s)
- Jennifer L. Zick
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center, Minnesota, USA,Corresponding author
| | | | - Sophia Vinogradov
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center, Minnesota, USA
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20
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Tandon R, Keshavan M, Nasrallah H. Reinventing schizophrenia. Updating the construct. Schizophr Res 2022; 242:1-3. [PMID: 35241314 DOI: 10.1016/j.schres.2022.02.024] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 02/17/2022] [Indexed: 02/04/2023]
Affiliation(s)
- Rajiv Tandon
- Department of Psychiatry, WMU Homer Stryker School of Medicine, Kalamazoo, MI, United States of America.
| | - Matcheri Keshavan
- Department of Psychiatry, BIDMC, Harvard Medical School, Boston, MA, United States of America
| | - Henry Nasrallah
- Department of Psychiatry, University of Cincinnati Medical School, Cincinnati, OH, United States of America
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21
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Nasrallah HA. Re-inventing the schizophrenia syndrome: The elusive "theory of everything". Schizophr Res 2022; 242:106-108. [PMID: 34799222 DOI: 10.1016/j.schres.2021.11.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 10/19/2021] [Accepted: 11/07/2021] [Indexed: 10/25/2022]
Affiliation(s)
- Henry A Nasrallah
- Neurology and Neuroscience, University of Cincinnati College of Medicine, United States of America.
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22
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Past due: improving the naming of psychiatric disorders. Lancet Psychiatry 2022; 9:264-266. [PMID: 34998479 DOI: 10.1016/s2215-0366(21)00478-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 11/03/2021] [Accepted: 11/19/2021] [Indexed: 12/31/2022]
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23
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Keshavan MS, Yassin W, Stone WS. Conceptualizing psychosis as an information processing disorder: Signal, bandwidth, noise, and bias. Schizophr Res 2022; 242:70-72. [PMID: 35177283 DOI: 10.1016/j.schres.2022.01.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 01/11/2022] [Accepted: 01/11/2022] [Indexed: 01/26/2023]
Affiliation(s)
- Matcheri S Keshavan
- Beth Israel Deaconess Medical Center, Boston, MA, United States of America; Massachusetts Mental Health Center, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America.
| | - Walid Yassin
- Beth Israel Deaconess Medical Center, Boston, MA, United States of America; Massachusetts Mental Health Center, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America; McLean Hospital, Belmont, MA, United States of America
| | - William S Stone
- Beth Israel Deaconess Medical Center, Boston, MA, United States of America; Massachusetts Mental Health Center, Boston, MA, United States of America; Harvard Medical School, Boston, MA, United States of America
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24
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Tandon R. Putting the cart before the horse. Schizophrenia does need a name change, but the time is not right. Schizophr Res 2022; 240:22-23. [PMID: 34906885 DOI: 10.1016/j.schres.2021.11.050] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Accepted: 11/28/2021] [Indexed: 10/19/2022]
Affiliation(s)
- Rajiv Tandon
- Department of Psychiatry, WMU Homer Stryker School of Medicine, Kalamazoo, MI 49008, USA.
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25
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The term "psychosis" is archaic. Schizophr Res 2022; 240:31. [PMID: 34915249 DOI: 10.1016/j.schres.2021.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 11/29/2021] [Accepted: 12/04/2021] [Indexed: 11/23/2022]
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26
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What is my diagnosis, Doc?: Discussing psychosis diagnosis with patients and families. Schizophr Res 2022; 239:92-94. [PMID: 34864440 DOI: 10.1016/j.schres.2021.10.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 10/01/2021] [Accepted: 10/04/2021] [Indexed: 11/21/2022]
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27
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Nasrallah HA. To change the label of schizophrenia, first revise the construct. Schizophr Res 2021; 238:201-202. [PMID: 34800757 DOI: 10.1016/j.schres.2021.11.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Accepted: 11/07/2021] [Indexed: 10/19/2022]
Affiliation(s)
- Henry A Nasrallah
- Neurology and Neuroscience, University of Cincinnati College of Medicine, United States of America.
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