The SSAGA interview provides several questions regarding current psychopathology including affective symptoms. The instruction to the interviewer was “All items on this rating sheet refer to behavior, attitudes, cognition, and appearance during the Interview.” Items were answered “yes” or “no.” (1 or 0). For affective symptoms The psychopathological Items included at both wave I and II affective symptoms regarding facial expression (e.g., sad, gloomy, hostile…), psychomotor activity (e.g., agitation, tics, tremor…), flow of thoughts (e.g., blocking, circumstantial, tangential…), mood and affect (e.g., depressed mood, labile mood, elated mood…, 6 items), content of thought (e.g., Ideas of hopelessness, Ideas of worthlessness, delusions of grandeur…) and others. All individuals included into the analyses had an average baseline symptom count (range 0–6) of 0.21 ± 0.65 and 0.49 ± 0.84 at follow-up. The rate of individuals who had more than 2 mood symptoms was n = 11 (5.5%) at baseline and n = 28 (13.9%) at follow – up. Most of the participants were in an euthymic mood state at the time of the interview.