'Schizophrenia postdrome': a study of low-level psychotic experience after remission of first-episode schizophrenia

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Colleges, School and Institutes


Background: Despite remission being the primary objective following the first episode of schizophrenia, clinically stabilized patients nevertheless relapse. Aim: To assess the extent and fluctuation of low-level psychotic symptoms in patients who are in remission after first-episode schizophrenia and consider whether this is equivalent to symptomatology experienced by those at 'ultra high risk' (UHR) of developing first-episode psychosis. Methods: We examined the phenomenological characteristics of 11 patients who fulfilled international remission criteria using the Structured Interview for Prodromal Symptoms and compared this cohort with an UHR sample. Results: Remitted patients were experiencing attenuated positive symptoms (73%) and brief limited intermittent psychotic symptoms (18%), features that were similarly prevalent in the UHR group. There was no significant fluctuation in these low-level symptoms over the course of four interviews. Conclusions: Although further research is required in this novel field, such features could form the building blocks for better prediction of psychotic relapse.


Original languageEnglish
Pages (from-to)296-299
Number of pages4
JournalEarly Intervention in Psychiatry
Issue number4
Publication statusPublished - 1 Nov 2009


  • psychosis, schizophrenia, relapse, remission, residual symptoms