Identifying youth at risk for psychosis using the Behavior Assessment System for Children, Second Edition
Identifying youth at risk for psychosis using the Behavior Assessment System for Children, Second Edition
复制标题
DOI：
10.1016/j.schres.2013.09.022
复制
发表时间：
2013-12-01
影响因子：
4.5
通讯作者：
Schiffman, Jason
中科院分区：
文献类型：
--
作者：
Thompson, Elizabeth;Kline, Emily;Schiffman, Jason
识别青少年有精神病风险或患有早期精神病已成为许多研究和临床举措的重点，因为早期干预可能与更好的长期结果有关。为促进识别而做出的努力导致了几种自我报告工具的发展，这些工具旨在快速评估“减弱”的精神病，可能会筛选人们进行进一步评估。广泛使用的儿童行为评估系统，第二版（BASC-2）包括危险性量表，该量表可用于风险筛查，因为它旨在识别精神病的新症状。目前的研究旨在评估BASC-2在70名12-22岁寻求帮助的参与者样本中识别高临床风险或早期精神病青年的实用性。将不典型性评分与由临床医生管理的精神病风险综合征结构化访谈（SIPS）确定的风险状态（低风险、高风险或早期精神病）进行比较。针对专门设计用于识别该人群的三个自我报告筛选器，评价了重复性量表的相对准确性。结果表明，BASC-2的重复性量表可能是一个有用的工具，用于识别青年精神病的早期阶段。此外，在预测能力方面，如果不是上级，也可以与其他专门的风险筛查工具相媲美。鉴于BASC-2在教育和心理健康环境中的广泛使用，BASC-2成瘾量表和SIPS诊断之间的趋同效度证据有可能使筛查可用于更多人群，并促进早期检测和干预。(C)2013年爱思唯尔B。版权所有© 2016
Identification of youth at risk for or with early psychosis has become the focus of many research and clinical initiatives, as early intervention may be linked to better long-term outcomes. Efforts to facilitate identification have led to the development of several self-report instruments that intend to quickly assess "attenuated" psychosis, potentially screening people for further evaluation. The widely used Behavior Assessment System for Children, Second Edition (BASC-2) includes the atypicality scale, a scale that may be useful for risk screening as it is designed to recognize emerging symptoms of psychosis. The current study aimed to evaluate the utility of the BASC-2 for identifying youth at high clinical risk or with early psychosis within a sample of 70 help-seeking participants aged 12-22. Atypicality scores were compared to risk status (low-risk, high-risk or early psychosis) as determined by the clinician-administered Structured Interview for Psychosis-Risk Syndromes (SIPS). The relative accuracy of the atypicality scale was evaluated against three self-report screeners specifically designed to identify this population. Results indicate that the BASC-2 atypicality scale may be a useful tool for identifying youth in early stages of psychosis. Moreover, the atypicality scale is comparable if not superior to other specialized risk screening instruments in terms of predictive ability. Given the widespread use of the BASC-2 across educational and mental health settings, evidence for convergent validity between the BASC-2 atypicality scale and SIPS diagnoses has the potential to make screening available to a greater population and facilitate earlier detection and intervention. (C) 2013 Elsevier B. V. All rights reserved.