Early detection of psychosis in children and adolescents - have developmental particularities been sufficiently considered?

Schultze-Lutter, Frauke; Resch, Franz; Koch, Eginhard; Schimmelmann, Benno G (2011). Early detection of psychosis in children and adolescents - have developmental particularities been sufficiently considered? Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 39(5), 301-11; quiz 311. Bern: Huber 10.1024/1422-4917/a000124

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The early detection and treatment of persons at risk for psychosis is currently regarded as a promising strategy in fighting the devastating consequences of psychotic disorders. The two current favored at-risk approaches, i.e., the «ultra high risk» and the «basic symptom» criteria, were developed mainly using adult samples. Initial evidence suggests, however, that they cannot simply be applied to children and adolescents. For «ultra-high risk» criteria, there is indication of some attenuated psychotic symptoms being potentially nonspecific in adolescents, and of brief limited intermittent symptoms being difficult to clinically classify in children when observable behavioral correlates are missing. For basic symptoms, too, only a preliminary indication of their usefulness in children and adolescents exists. Since developmental peculiarities in the assessment of basic symptoms should be considered, a child and youth version of the Schizophrenia Proneness Instrument (SPI-CY) was developed. In conclusion, research on the clinical-prognostic validity of the at-risk criteria and their potential adaption to the special needs of children and adolescents is needed. If a «Prodromal Risk Syndrome for Psychosis» or «Attenuated Psychotic Symptoms Syndrome» are included in the upcoming DSM-5, it should be highlighted that its suitability for children and adolescents is only insufficiently known.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy
UniBE Contributor:	Schultze-Lutter, Frauke, Schimmelmann, Benno Karl Edgar
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1422-4917
Publisher:	Huber
Language:	German
Submitter:	Myriam Pyrlik
Date Deposited:	04 Oct 2013 14:18
Last Modified:	05 Dec 2022 14:05
Publisher DOI:	10.1024/1422-4917/a000124
PubMed ID:	21882153
Web of Science ID:	000294481900002
URI:	https://boris.unibe.ch/id/eprint/5795 (FactScience: 210629)