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["Trema, apophany, apocalypse"--is Conrad's phase model empirically founded?]
1Zentralinstitut für Seelische Gesundheit, Mannheim.
Fortschritte Der Neurologie-Psychiatrie
|December 1, 1993
Summary
This study tested Conrad's phase model for early schizophrenia. "Trema" was confirmed as the first stage, but the subsequent order of "apophany" and "apocalypse" was not validated, limiting the model's generalizability.
Area of Science:
- Psychiatry
- Clinical Psychology
Context:
- The study investigates early-stage schizophrenia progression.
- It examines Conrad's influential phase model in German psychiatry.
Purpose:
- To empirically test the validity of Conrad's phase model of schizophrenia using a representative sample.
- To assess the sequence of early schizophrenia symptoms: trema, apophany, and apocalypse.
Summary:
- The ABC-Schizophrenia-study analyzed 267 first-admissions retrospectively.
- Conrad's "trema" stage was confirmed as a frequent initial phase.
- The hypothesized order of "apophany" followed by "apocalypse" was not empirically supported.
Impact:
- Conrad's phase model requires revision as it cannot be fully generalized.
- Further research using additional data sources, like reports from significant others, is recommended to refine understanding of schizophrenia onset.