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. 2021 Jul 14;272(3):381–393. doi: 10.1007/s00406-021-01295-3

Table 1.

A list of included studies for associations between FTD and functioning outcomes

First author Publication year Published journal Study groups Sample size Mean age FTD measures Outcome measures Main findings and conclusion
Harrow, M 1986 Schizophrenia Bulletin SCZ, other psychotic patients, and non-psychotic patients 191 23 Bizarre-idiosyncratic thinking Occupational functioning, subsequent unemployment, relapse/re-hospitalisation rates (LKPS and SCS) Subsequent unemployment and higher relapse/re-hospitalisation rates in schizophrenia patients experiencing enduring FTD
Marengo, JT 1987 Arch Gen Psychiatry SCZ, other psychotic, and non-psychotic patients 191 23 Bizarre-idiosyncratic thinking Occupational functioning, subsequent unemployment, relapse/re-hospitalisation rates (LKPS and SCS) Patients with enduring thought disorder signs proved to be a poor-outcome group
Racenstein, JM 1999 J Nerv Ment Dis SCZ, other psychotic, and non-psychotic patients 191 23 Bizarre-idiosyncratic thinking Occupational functioning, subsequent unemployment, relapse/re-hospitalisation rates (LKPS and SCS) FTD and functioning correlated in the first eight-year of schizophrenia. A stronger correlation between FTD and occupational than social functioning
Kotov, R 2016 Journal of Abnormal Psychology First-admission inpatients with psychosis 628 30 SAPS and SANS GAF, QLS (Social and role functioning), residential independency A four-factors model (reality distortion, disorganization, inexpressivity, and apathy/asociality) having a stable and replicable validity in predicting outcomes
Minor, KS 2016 J Abnorm Psychol Early stages of psychosis 38 24.89 CDI GFS and GFR Positive FTD and affective reactivity were consistently accounting for poor social functioning and associated with poor role functioning in some cases in EP
Roche, E 2016 Schizophrenia Research FEP 680 33.42 Disorganization, verbosity, poverty of speech Social and occupational functioning (MIRECC GAF subscales), number of hospitalisations Higher baseline severity of disorganization predicted a greater number of hospitalisations and prolonged hospitalisation during the first year of illness
Burton, CZ 2019 Schizophrenia Research CLR, CHR, EFEP 327 16.69 SIPS GFS and GFR Baseline negative symptoms and thought disorder appeared to predict the functional outcome for up to 2 years among adolescents and young adults at risk for psychosis
Bearden, CE 2011 Journal of the American Academy of Child and Adolescent Psychiatry CHR 105 16.66 Illogical thinking, poverty of content (POC), and referential cohesion GFS and GFR Transited to psychosis, predicted significantly social and role functioning at follow-up

FTD formal thought disorder, CDI communication disturbances index, FEP first episode psychosis, EP early psychosis, CLR clinical low risk, CHR clinical high risk, UHR ultra-high risk, HR high risk, LR low risk, ARMS at-risk mental state, APS attenuated psychosis syndrome, APSS attenuated positive symptom syndrome, LKPS levenstein, klein, and pollack scale, SCS strauss and carpenter scale, OPCRIT operational criteria for psychotic illness tool, SAPS scale for the assessment of positive symptoms, SANS scale for the assessment of negative symptoms, CAARMS comprehensive assessment of at-risk mental states, SIPS structured interview for prodromal syndromes, SCZ schizophrenia, SOPS scale of prodromal symptoms, WERCAP Washington early recognition center affectivity and psychosis screen, GAF global assessment of functioning, GFS global functioning scale-social GFR global functioning scale-role, QLS quality of life scale