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Psychiatry Res. 1999 Oct 11;87(2):183-92. doi: 10.1016/s0165-1781(99)00061-x.

Diagnostic efficiency of the Rorschach schizophrenia and depression indices in identifying first-episode schizophrenia and severe depression.

Psychiatry research

Ilonen, Taiminen, Karlsson, Lauerma, Leinonen, Wallenius, Tuimala, Salokangas

Affiliations

  1. Department of Psychiatry, University of Turku, Turku University Central Hospital, Finland. [email protected]

PMID: 10579551 DOI: 10.1016/s0165-1781(99)00061-x

Abstract

We studied the diagnostic efficiency of the Rorschach schizophrenia (SCZI) and depression (DEPI) indices for detecting first-episode schizophrenia and severe depression with and without psychotic features using DSM-IV as a gold standard measure. Twenty-seven patients with first-episode schizophrenia, 13 with bipolar I disorder, 28 with psychotic depression, 29 with non-psychotic depression, and 60 healthy controls were recruited for the study. The SCZI was highly specific with a very low false positive rate. The lowest positive value of 4, however, may yield false positives, especially among manic patients. The DEPI identified severe non-psychotic depression but not psychotic depression, suggesting that these patient groups invoke different perceptual-cognitive processes in formulating and articulating their Rorschach responses. Anyway, both the SCZI and the DEPI based on the psychological organization and functioning that are known to play a clearly formulated role in schizophrenia and depression, respectively, provide a valuable addition for diagnostics characterized by overt symptoms.

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