title: Prognostic Value of Affective Symptoms in First-Admission Psychotic Patients.
abstract: BACKGROUND
  Very little research has been conducted in patients with first-episode psychosis using a dimensional approach. Affective dimensional representations might be useful to predict the clinical course and treatment needs in such patients.
  
  
  METHODS
  Weincluded 112 patients with first-episode psychosis in a longitudinal-prospective study with a five-year follow-up (N = 82). Logistic analyses were performed to determine the predictive factors associated with depressive, manic, activation, and dysphoric dimensions.
  
  
  RESULTS
  High scores on the depressive dimension were associated with the best prognosis. On the other hand, high scores on the activation dimension and the manic dimension were associated with a poorer prognosis in terms of relapses. Only the dysphoric dimension was not associated with syndromic or functional prognosis.
  
  
  CONCLUSIONS
  Ourresults suggest that the pattern of baseline affective symptoms helps to predict the course of psychotic illness. Therefore, the systematic assessment of affective symptoms would enable us to draw important conclusions regarding patients' prognosis. Interventions for patients with high scores on manic or activation dimensions could be beneficial in decreasing relapses in first-episode psychosis.
authors.affiliation: RSMB-Algorta-Vizcaya, Osakidetza, University of the Basque Country (EHU/UPV), Leioa 48940, Vizcaya, Spain. marta.arrasategil@osakidetza.eus.
authors.forename: Marta
authors.initials: M
authors.lastname: Arrasate
authors.affiliation: CIBERSAM, BIOARABA Health Research Institute, OSI Araba, Department of Psychiatry, Araba University Hospital-Santiago, University of the Basque Country (EHU/UPV), Vitoria 01004, Alava, Spain. itxaso.gonzalezortega@osakidetza.eus.
authors.forename: Itxaso
authors.initials: I
authors.lastname: González-Ortega
authors.affiliation: CIBERSAM, BIOARABA Health Research Institute, OSI Araba, Department of Psychiatry, Araba University Hospital-Santiago, University of the Basque Country (EHU/UPV), Vitoria 01004, Alava, Spain. adriana.garciaalocen@osakidetza.eus.
authors.forename: Adriana
authors.initials: A
authors.lastname: García-Alocén
authors.affiliation: CIBERSAM, BIOARABA Health Research Institute, OSI Araba, Department of Psychiatry, Araba University Hospital-Santiago, University of the Basque Country (EHU/UPV), Vitoria 01004, Alava, Spain. susana.alberichmesa@osakidetza.eus.
authors.forename: Susana
authors.initials: S
authors.lastname: Alberich
authors.affiliation: CIBERSAM, BIOARABA Health Research Institute, OSI Araba, Department of Psychiatry, Araba University Hospital-Santiago, University of the Basque Country (EHU/UPV), Vitoria 01004, Alava, Spain. inaki.zorrillamartinez@osakidetza.eus.
authors.forename: Iñaki
authors.initials: I
authors.lastname: Zorrilla
authors.affiliation: CIBERSAM, BIOARABA Health Research Institute, OSI Araba, Department of Psychiatry, Araba University Hospital-Santiago, University of the Basque Country (EHU/UPV), Vitoria 01004, Alava, Spain. anamaria.gonzalez-pintoarrillaga@osakidetza.eus.
authors.forename: Ana
authors.initials: A
authors.lastname: González-Pinto
mesh_terms: D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000503:physiopathology*; D000368:Aged; D003710:Demography; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D016017:Odds Ratio; D011379:Prognosis; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012008:Recurrence; D055815:Young Adult
keywords: affective; dimension; first-episode psychosis; prognostic