Clinical Correlates of Anhedonia and Perceptual Aberration in First-Episode Patients With Schizophrenia and Affective Disorder

Joanna Katsanis, William G. Iacono, Morton Beiser, Lizabeth Lacey

Research output: Contribution to journalArticle

62 Scopus citations

Abstract

We examined the association between scales measuring physical anhedonia, social anhedonia, and perceptual aberration and premorbid functioning, clinical state, and current level of adjustment in 91 psychotic subjects. The patients were examined at the onset of their first psychotic episode and again 18 months later. For patients with schizophrenia, anhedonia was significantly related to premorbid functioning. No association was found between the scales and clinical state or level of adjustment at intake or follow-up. In affective disorder patients, no correlation was found between premorbid functioning (a stable characteristic) and scale scores, but moderately large correlations emerged between the scales and clinical state and level of adjustment at both assessment times. These results suggest that schizophrenic and affective disorder patients endorse items on these scales for different reasons. We hypothesize that for patients with schizophrenia, the scales assess enduring personality characteristics, whereas for the affective disorder patients, they assess clinical condition at the time of testing.

Original languageEnglish (US)
Pages (from-to)184-191
Number of pages8
JournalJournal of Abnormal Psychology
Volume101
Issue number1
DOIs
StatePublished - Feb 1992

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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