Psychotic-Like Experiences: A Challenge in Definition and Assessment.

Psychotic-Like Experiences: A Challenge in Definition and Assessment.
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DOI:
10.3389/fpsyt.2021.582392
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发表时间:
2021
影响因子:
4.7
通讯作者:
Mossaheb N
Mossaheb N
中科院分区:
医学3区
文献类型:
--
作者:
Hinterbuchinger B;Mossaheb N

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假设在精神病性体验和精神病性症状之间存在一个连续体,且在健康个体以及非精神病性和精神病性障碍患者之间存在对应关系,近期的研究聚焦于亚临床精神病性体验。精神病样体验(PLEs)的定义、评估工具和概念多种多样,这可能导致关于其患病率、持续率以及临床影响的研究结果参差不齐。在这篇叙述性综述中,我们阐述了PLEs的各种术语、定义和评估工具以及与之相关的诸多问题。此外,还描述了先前关于PLEs临床相关性的研究中不明确的结果。总之,我们探讨了临床意义,并强烈建议在PLEs的术语和定义方面做到概念清晰和达成共识。开发一种被认可的“金标准”评估工具似乎对于未来研究中获得更具可比性的结果至关重要。
Assuming a continuum between psychotic experiences and psychotic symptoms aligned between healthy individuals and patients with non-psychotic and psychotic disorders, recent research has focused on subclinical psychotic experiences. The wide variety of definitions, assessment tools, and concepts of psychotic-like experiences (PLEs) might contribute to the mixed findings concerning prevalence and persistence rates and clinical impact. In this narrative review, we address the panoply of terminology, definitions, and assessment tools of PLEs and associated concerns with this multitude. Moreover, the ambiguous results of previous studies regarding the clinical relevance of PLEs are described. In conclusion, we address clinical implications and highly suggest conceptual clarity and consensus concerning the terminology and definition of PLEs. The development of an agreed upon use of a “gold standard” assessment tool seems essential for more comparable findings in future research.
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