Practitioner Review: Psychosis in children and adolescents.

Practitioner Review: Psychosis in children and adolescents.
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DOI:
10.1111/jcpp.13777
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发表时间:
2023-07
影响因子:
7.6
通讯作者:
McClellan, Jon
McClellan, Jon
中科院分区:
医学1区
文献类型:
--
作者:
Sunshine, Anna;McClellan, Jon

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精神病症状,包括幻觉,妄想和混乱的思维和行为,是精神分裂症的标志;但也可能出现在其他精神和医疗条件的背景下。许多儿童和青少年描述了类似精神病的经历,这可能与其他类型的精神病理学和过去的经历有关(例如,创伤、物质使用、自杀倾向)。然而,大多数报告有这种经历的年轻人没有,也永远不会发展为精神分裂症或其他精神障碍。准确的评估至关重要,因为这些不同的表现具有不同的诊断和治疗意义。在这篇综述中,我们主要关注早发性精神分裂症的诊断和治疗。此外,我们回顾了以社区为基础的首发精神病规划的发展,以及早期干预和协调护理的重要性。
Psychotic symptoms, including hallucinations, delusions and disorganized thinking and behaviors, are the hallmarks of schizophrenia; but may also present in the context of other psychiatric and medical conditions. Many children and adolescents describe psychotic-like experiences, which can be associated with other types of psychopathology and past experiences (e.g., trauma, substance use, suicidality). However, most youth reporting such experiences do not have, nor will ever develop, schizophrenia or another psychotic disorder. Accurate assessment is critical, because these different presentations have different diagnostic and treatment implications. For this review, we focus primarily on the diagnosis and treatment of early onset schizophrenia. In addition, we review the development of community-based first-episode psychosis programming, and the importance of early intervention and coordinated care.
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