Psychosis-like experiences and distress among adolescents using mental health services
Psychosis-like experiences and distress among adolescents using mental health services
复制标题
DOI：
10.1016/j.schres.2013.12.012
复制
发表时间：
2014-02-01
影响因子：
4.5
通讯作者：
Schiffman, Jason
中科院分区：
文献类型：
--
作者：
Kline, Emily;Thompson, Elizabeth;Schiffman, Jason
虽然“类似精神病的经历”（ple）可能反映了严重精神疾病发病的高风险，但许多报告ple的人并没有真正有发展为临床精神病的风险。基于访谈的工具定义和诊断“临床高风险”状态，试图通过探究这些经历是否会产生临床相关的担忧来区分正常的ple和表明精神病进展的减弱症状。最近开发的两种自我报告测量方法，前驱问卷-简要和前驱问卷-16，包含一个“痛苦量表”，帮助评估者以筛选的形式衡量痛苦。当前研究的目的是在一个寻求心理健康护理的年轻人样本中检查ple与痛苦的关系，并调查痛苦量表在区分符合和不符合临床高风险综合征标准化标准的参与者方面的有用性。66名接受心理健康服务的青少年和年轻人完成了前驱症状问卷和精神病风险综合征的结构化访谈。筛选者的评分方式强调了对受访者痛苦等级的不同解释。在该样本中，仅关注与痛苦相关的PLE可以改善临床高风险状态的预测，并且发现符合高风险临床标准的参与者相对于患有其他精神疾病的参与者报告的每个PLE更多的痛苦。研究结果表明，在筛查中加入痛苦量表有助于识别更有可能符合临床高风险标准的人群。此外，被调查者描述为中性或阳性的ple似乎与临床高风险筛查无关。(C) 2013 Elsevier B.V.版权所有
Although 'psychosis-like experiences' (PLEs) may reflect elevated risk for onset of serious mental illness, many individuals reporting PLEs are not truly at risk for developing clinical psychosis. Interview-based instruments that define and diagnose "clinical high risk" status attempt to distinguish between normative PLEs and attenuated symptoms indicating progression toward psychosis by probing whether such experiences create clinically relevant concerns. Two recently developed self-report measures, the Prodromal Questionnaire-Brief and the Prodromal Questionnaire-16, contain a 'distress scale' that helps assessors to gauge distress within a screening format. The aim of the current study is to examine the association of PLEs with distress within a sample of young people seeking mental health care and to investigate the usefulness of the distress scale in differentiating between participants who do and do not meet standardized criteria for a clinical high-risk syndrome. Sixty-six adolescents and young adults receiving mental health services completed the Prodromal Questionnaire-Brief and the Structured Interview for Psychosis Risk Syndromes. The screener was scored in ways that emphasized varying interpretations of respondents' distress ratings. Within this sample, focusing only on PLEs associated with distress yielded improved prediction of clinical high-risk status, and participants meeting high-risk clinical criteria were found to report more distress per PLE relative to participants with other psychiatric disorders. Findings suggest that including a distress scale within a screener aids in identifying a group more likely to meet clinical high-risk criteria. Further, PLEs that respondents describe as neutral or positive do not appear to be relevant for clinical high-risk screening. (C) 2013 Elsevier B.V. All rights reserved.