Psychosocial situations, quality of depression and schizophrenia in adolescents

Gil Zalsman, Shay Posmanik, Tzvi Fischel, Netta Horesh, Doron Gothelf, Gilad Gal, Avi Sadeh, Abraham Weizman, Alan Apter

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

The relationships between acute life events and type of depression were evaluated among inpatient adolescents with schizophrenia. Forty-two adolescent inpatients were assessed, 25 with schizophrenia and 17 with personality disorder. Acute life events and other psychosocial situations were identified with the ICD-10 Axis V semistructured interviews. The Depression Equivalent Questionnaire for Adolescents (DEQ-A) and the Positive and Negative Symptom Scale (PANSS) were used to measure quality and severity of depression. In the patients with schizophrenia, psychosocial situations were related to the anaclitic type of depression, whereas in the subjects with personality disorder, they were highly correlated with introjective depression. In the schizophrenic group, the psychosocial situations related to depression were of a more intrapersonal nature and, in the personality-disordered group, they were more interpersonal. Environmental factors play an important role in the course of schizophrenia in adolescents and should remain a focus of study. Object relations theory may be of heuristic value in the investigation of these factors.

Original languageEnglish
Pages (from-to)149-157
Number of pages9
JournalPsychiatry Research
Volume129
Issue number2
DOIs
StatePublished - 15 Dec 2004

Keywords

  • Adolescent
  • Child psychology
  • Depression
  • Life change events
  • Negative life events
  • Schizophrenia
  • Suicide

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