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Journal of Clinical and

                                                                   Basic Psychosomatics



                                        ORIGINAL RESEARCH ARTICLE
                                        Evolving or unchanged? Investigating

                                        perceptual profiles over time in psychosis and
                                        comparing with healthy controls



                                                      1
                                                                           1,2
                                                                                                   1
                                        Stefano Damiani , Cecilia Maria Esposito *, Marie Emilie Giovannelli ,
                                                          1
                                        Serena Chiara Civardi , Andrea Silva , Valentina Grecuzzo , Irma Bergamaschini ,
                                                                       1
                                                                                         1
                                                                                                            1
                                        Francesco Sommi , Silvia Gazzoli , Emma Laura Facchinetti , Pierluigi Politi ,
                                                                                                        1,2
                                                                    1
                                                       1
                                                                                          1
                                        and Paolo Fusar-Poli 1,3,4
                                        1 Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
                                        2 Department of Mental Health and Addiction, ASST Pavia, Pavia, Italy
                                        3 Early Psychosis: Interventions and Clinical-detection (EPIC) Laboratory, Department of
                                        Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King’s College London,
                                        United Kingdom
                                        4 OASIS Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom
                                        Abstract
                                        There is a growing body of evidence indicating altered perceptual profiles in
                                        psychosis, which can be assessed by evaluating exteroceptive (e.g., auditory and
                                        visual) and interoceptive (e.g., heartbeat and breathing) sensory processing through
                                        self-administered  questionnaires.  However,  the  unexplored  question  remains
            *Corresponding author:      whether perceptual alterations depend on the phase of illness. In this observational,
            Cecilia Maria Esposito
            (ceciliamaria.esposito@unipv.it)  STROBE-compliant study, we adopted the Multidimensional Assessment of
                                        Interoceptive Awareness (MAIA; eight domains), Adult/Adolescent Sensory Profile
            Citation: Damiani S, Esposito CM,   (AASP; four domains), and Positive and Negative Symptoms Scale (PANSS) to
            Giovannelli ME, et al., 2024,
            Evolving or unchanged?      measure interoception, exteroception, and symptom severity, respectively. Our
            Investigating perceptual profiles   primary aim was to compare MAIA, AASP, and PANSS differences in patients with
            over time in psychosis and   psychosis (PSY patients) between post-acute (PSY-T1) and remission phases (PSY-
            comparing with healthy controls. J
            Clin Basic Psychosom, 2(1): 1764.   T2). Student’s  t-tests or  Wilcoxon paired-sample tests were used based on the
            https://doi.org/10.36922/jcbp.1764  variable distribution. MAIA/AASP data were also collected from healthy controls
            Received: September 5, 2023  (HCs). As a secondary aim, we examined MAIA/AASP differences between PSY-T1/
                                        T2 and HC using MANOVA and Mann–Whitney tests. Bonferroni–Holm correction
            Accepted: December 1, 2023
                                        was implemented. Data were collected from 23 PSY patients (55% females; mean
            Published Online: January 19,   age: 38.35 ± 12.46 years) and 210 HC (46% females; mean age: 39.81 ± 13.78 years).
            2024                        No differences were found between PSY-T1 and PSY-T2 (Bonferroni–Holm P > 0.05)
            Copyright: © 2024 Author(s).   for MAIA/AASP scores, while PANSS total and positive scores were higher in PSY-T1
            This is an Open-Access article   compared to PSY-T2, with Bonferroni–Holm p-values of 0.032 and 0.045, respectively.
            distributed under the terms of the
            Creative Commons Attribution   Although MAIA/AASP domains (noticing/body listening and low registration) were
            License, permitting distribution,   increased in PSY-T1 compared to HC, no differences were observed between PSY-
            and reproduction in any medium,   T2 and HC. The heterogeneous results in the literature regarding perceptual profiles
            provided the original work is
            properly cited.             should be contextualized by considering that fluctuations in patients with psychosis
                                        can become significant when compared to the general population.
            Publisher’s Note: AccScience
            Publishing remains neutral with
            regard to jurisdictional claims in
            published maps and institutional   Keywords: Sensory processing; Psychosis; Schizophrenia; Sensory profile
            affiliations.



            Volume 2 Issue 1 (2024)                         1                        https://doi.org/10.36922/jcbp.1764
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