Professional Documents
Culture Documents
07-064
aris
bun#a r i2 a
a$tinina
rumata
08-0-4
"&345*67'1
NSS minor neuological signs indicating non spesific cerebral disfunction Their presence has been documented extensively in schizofrenia but not during the first psychotic episode
&)MS
To review studies that have specifically investigated NSS as the time of the first psychotic episode
M89H61
A review of studies investigating neurological function in the first episode psychosis, using a clinical examination.
results
The patient with first episode psychosis show an excess of NSS, particularly in the areas of motor coordination and sequencing, sensory integration and in developmental reflexes. urthermore, NSS may be associated with a specific laterality pattern.
1)S37SS)6'
Neurological sign in schizophrenia are concentrated in three main domains!
*apid alternatin# .ist-ed#e-palm movement test .in#er thumb opposition .in#er-nose test *hythm tappin# 6s2erets i test
1is$ussion
There were $ studies from %$&$ to '((( using ) different neurological clinical examination! %.Neurological *valuation Scale +,uchanan-.einrichs, %$&$/ '.0ondensed Neurological *xamination +1ossi et al, %$$( 2.Standard neurological examination 3.Neurological examination +adapted from 4uit5in et al, %$67/ ).The Scottish Schizophrenia 1esearch 8roup, %$&6
No medication at all for those who suffers from any psychological condition will definitely have a NSS
.owever antipsychotic medication might also resulting in side effect such ass NSS.
3on$lusion
/atients su;;erin# their ;irst episode o; s$hi2ophrenia or psy$hosis and indeed in hi#h ris sub=e$ts without psy$hosis, 'eurolo#i$al per;orman$e appears to be worse in the areas o; motor $oordination and se>uen$in# < in sensory inte#ration and in developmental re;le:es 9hese anomalies are ;ound parti$ularly in males and in sub=e$ts with lower edu$ation< and possibly in those with a more severe $lini$al pi$ture,
$on$lusion
9he presen$e o; neurolo#i$al abnormalities $annot be e:plained away as $onse>uen$es o; neurolepti$ use< althou#h hi#her 'SS s$ores are observed in those ;irst-episode sub=e$ts on neurolepti$ treatment, &sso$iation between neurolo#i$al si#n and a spe$i;i$ pattern o; laterality< as su##ested by their parti$ular e:$ess in mi:ed handed sub=e$ts and by some preliminary reports o; their laterali2ation to one side o; the body,< whi$h usually a$$ompanied by a positive ;amily psy$hosis
3riti$al appraisal
Title! @Neurological soft signs in first<episode psychosis! a systematic reviewA >hat the question did the systematic review addressB
9he title $onsistin# 11 words o; a =ournal title,< and strai#ht to the point o; the theme o; the =ournal, Stated in a simple relation o; =ournal,
9he abstra$t had been providin# with si#ni;i$ant point that understandable, 3onsistin# with all the ne$essary points, )ntrodu$tion provided by the resour$es with minimal in;ormation =ust to eep the reader in the main loop, 9he title $onsistin# 11 words o; a =ournal title< and strai#ht to the point o; the theme o; the =ournal, Stated in a simple relation o; =ournal,
3riti$al appraisal
"ethod ! A review of studies investigating neurological function in first<episode psychosis, using a clinical examination. 9s it unli5ely that important, relevant studies were missedB >ere the criteria used to select articles for inclusion appropriateB rom the methods that has been used there were possibility some important and relevant studies were missed. The method was not well presented as this :ournal has no criteria to be compared to other :ournal.
3riti$al &ppraisal
1esult! #atients with first<episode psychosis show an excess of NSS, particularly in the areas of motor coordination and sequencing, sensory integration and in developmental reflexes. urthermore, NSS may be associated with a specific laterality pattern. >ere the results similar from study to studyB .ow are the results presentedB <The results that has been compared to the other :ournal has been resulting similarly. <The result however was not presented very well as it mostly written in words and not presented in table to be easily read.
Than5 you