Preliminary evidence supporting the practice of psychosis-risk screening within an inpatient psychiatric setting serving adolescents.
Preliminary evidence supporting the practice of psychosis-risk screening within an inpatient psychiatric setting serving adolescents.
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DOI：
10.1016/j.psychres.2021.114322
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发表时间：
2022-01
影响因子：
11.3
通讯作者：
Wolff JC
中科院分区：
文献类型：
--
作者：
Thompson EC;Visser KF;Schiffman J;Spirito A;Hunt J;Wolff JC
有证据支持使用简短的精神病谱系筛查措施来确定精神病风险较高的个人，然而，在因严重精神健康问题而住院的青少年中进行精神病谱系筛查的研究有限。考虑到这一人群的精神脆弱性，在住院环境中进行筛查可能有助于识别包括精神病在内的青少年持续精神健康问题的最大风险。这项研究调查了两种简单的筛查工具在精神科住院的青少年中识别精神病谱系症状的使用。在接受调查后，青少年完成了两项筛查措施，即Prime Screen修订版和青少年自我报告思维问题量表，然后进行简短的访谈，以评估精神病谱系的诊断。探讨筛查分数和诊断状态之间的关联，以评估这些工具在该人群中识别精神病谱系疾病的使用情况。样本包括57名青少年，其中28人符合精神病谱系标准。精神病谱系状态与Prime分数(r=.59)和思维问题T分数(r=.55)有很强的相关性。Logistic回归分析表明，这两种筛查方法在识别符合精神病谱系标准的青少年方面都显示出良好的准确性(74-81%)。PRIME和思想问题量表可能是在青少年住院环境中使用的适当筛查工具，以识别那些经历临床上明显的精神病谱系症状的人。
Evidence supports the use of brief psychosis-spectrum screening measures to identify individuals at elevated risk for psychosis, however, there is limited research on psychosis-spectrum screening among adolescents hospitalized for acute mental health concerns. Given the psychiatric vulnerability of this population, screening efforts within inpatient settings may help identify adolescents at greatest risk for ongoing mental health concerns including psychosis. This study investigates the use of two brief screening tools to identify psychosis-spectrum symptoms in psychiatrically hospitalized adolescents. Upon intake, adolescents completed two screening measures, the PRIME Screen-Revised and the Youth Self-Report Thought Problems scale, followed by a brief interview to evaluate psychosis-spectrum diagnoses. Associations between screening scores and diagnostic status were explored to evaluate the use of these tools to identify psychosis-spectrum conditions in this population. The sample included 57 adolescents, 28 of whom met psychosis-spectrum criteria. Psychosis-spectrum status was strongly correlated with PRIME scores (r = .59) and Thought Problems T scores (r = .55). Logistic regression analyses indicated that both screening measures demonstrate promising accuracy (74-81%) for identifying adolescents meeting psychosis-spectrum criteria. The PRIME and Thought Problems scale may be appropriate screening tools for use in adolescent inpatient settings to identify those experiencing clinically significant psychosis-spectrum symptoms.
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