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Psychiatric Quarterly

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02.11.2016 | Original Paper

Detecting incipient schizophrenia: a validation of the Azima battery in first episode psychosis

verfasst von: Hiba Zafran, Barbara Mazer, Beverlea Tallant, Gevorg Chilingaryan, Isabelle Gelinas

Erschienen in: Psychiatric Quarterly | Ausgabe 3/2017

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Abstract

Early psychosis intervention aims to accurately detect adolescents and young adults at risk for major mental disorders, particularly schizophrenia, yet early biomedical diagnostic accuracy remains poor. However, phenomenological approaches focusing on eliciting and understanding the subjective experience of help-seeking youth better detect incipient schizophrenia. The Azima Battery is an occupational therapy projective assessment that uses expressive media in a standard setup, in order to phenomenologically elicit and describe the activity performance and narratives of individuals at risk of, or on, the psychotic-spectrum.

The purpose of this study was to estimate the predictive validity of the Azima Battery with youth seeking help for a first episode of psychosis, and identify patterns of performance distinctive of a diagnosis of schizophrenia 1-year later. A mixed methods phenomenological approach was used to calculate the predictive validity of the Azima Battery in detecting incipient schizophrenia, and to qualitatively identify patterns of performance. Study results demonstrate that the diagnostic accuracy of the Azima Battery is greater than psychiatric interviewing for a future diagnosis of schizophrenia (N = 62: 88.7 % vs 42 %). Performance elements and patterns statistically distinctive of schizophrenia are described, and relate to the structure of the created objects. Therefore, the Azima Battery is a valid measure for clinical use by occupational therapists working in early intervention for psychosis as a complement to traditional psychiatric interviewing.

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Titel: Detecting incipient schizophrenia: a validation of the Azima battery in first episode psychosis
verfasst von: Hiba Zafran
Barbara Mazer
Beverlea Tallant
Gevorg Chilingaryan
Isabelle Gelinas
Publikationsdatum: 02.11.2016
Verlag: Springer US
Erschienen in: Psychiatric Quarterly / Ausgabe 3/2017
Print ISSN: 0033-2720
Elektronische ISSN: 1573-6709
DOI: https://doi.org/10.1007/s11126-016-9482-7

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