Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-15T17:48:13.517Z Has data issue: false hasContentIssue false
  • English
  • Français

The Diagnosis and Assessment of Individuals Prodromal for Schizophrenic Psychosis

Published online by Cambridge University Press:  07 November 2014

Jean Addington
Get access Rights & Permissions [Opens in a new window]

Abstract

Accurate identification of individuals in the earliest symptomatic stages of psychosis offers new hope for developing more effective treatment strategies. Recently, research clinics have been set up to identify and possibly treat individuals who are seen as being at ultra-high risk of developing a psychotic disorder. This article reviews and describes measures that are currently being used and further developed in order to determine both the diagnostic criteria for the prodromal state and the severity of these putatively prodromal symptoms.

Type
Review Article
Information
CNS Spectrums , Volume 9 , Issue 8 , August 2004 , pp. 588 - 594
Copyright
Copyright © Cambridge University Press 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. McGorry, PD, Jackson, HJ, eds. The Recognition and Management of Early Psychosis. Cambridge, England: Cambridge University Press; 1999.Google Scholar
2. McGlashan, TH, Zipursky, R, Perkins, DO et al. The PRIME North America randomized double-blind clinical trial of olanzapine versus placebo in patients at risk of being prodromally symptomatic for psychosis. I. Study rationale and design. Schizophr Res. 2003;61:7–18.Google Scholar
3. Cornblatt, B, Obuchowski, M. Update of high-risk research: 1987-1997. International Review of Psychiatry. 1997;9:437–447.Google Scholar
4. Yung, AR, McGorry, PD, McFarlane, CA, Patton, GC, Rakkar, A. Monitoring and care of young people at incipient risk of psychosis. Schizophr Bull. 1996;22:283–303.CrossRefGoogle ScholarPubMed
5. Yung, AR, McGorry, PD. The initial prodrome in psychosis: descriptive and qualitative aspects. Aust N Z J Psychiatry. 1996;30:587–599.Google Scholar
6. Yung, AR, McGorry, PD. The prodromal phase of first-episode psychosis: past and current conceptualizations. Schizophr Bull. 1996;22:353–370.Google Scholar
7. McGorry, PD, Yung, A, Phillips, LEthics and early intervention in psychosis: keeping up the pace and staying in step. Schizophr Res. 2001;51:17–29.Google Scholar
8. Yung, AR, Phillips, L, McGorry, PD et al. Prediction of psychosis. Br J Psychiatry. 1998;172(suppl 33):14–20.CrossRefGoogle ScholarPubMed
9. Miller, TJ, McGlashan, TH, Rosen, JL et al. Prospective diagnosis of the initial prodrome for schizophrenia based on the Structured Interview for Prodromal Syndromes: preliminary evidence of interrater reliability and predictive validity. Am J Psychiatry. 2002;159:863–865.CrossRefGoogle ScholarPubMed
10. Yung, AR, Phillips, LJ, Yuen, H et al. Psychosis prediction: 12-month follow up of a high-risk (“prodromal”) group. Schizophr Res. 2003;60:21–32.Google Scholar
11. Schaffner, KF, McGorry, PD. Preventing severe mental illnesses--new prospects and ethical challenges. Schizophr Res. 2001;51:3–15.Google Scholar
12. Chapman, LJ, Chapman, JP. The search for symptoms predictive of schizophrenia. Schizophr Bull. 1987;13:497–503.Google Scholar
13. Chapman, LJ, Chapman, JP, Kwapil, TR, Eckblad, M, Zinser, MC. Putatively psychosis-prone subjects 10 years later. J Abnorm Psychol. 1994;103:171–183.Google Scholar
14. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed-rev. Washington, DC: American Psychiatric Association; 1987.Google Scholar
15. Jackson, HJ, McGorry, PD, Dudgeon, P. Prodromal symptoms of schizophrenia in first-episode psychosis: prevalence and specificity. Compr Psychiatry. 1995;36:241–250.Google Scholar
16. Yung, AR, Phillips, LJ, McGorry, PD, Ward, JL, Thompson, K. The Comprehensive Assessment of At-Risk Mental States (CAARMS). Melbourne, Australia: University of Melbourne; 2000.Google Scholar
17. Diagnostic and Statistical Manual of Mentd Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
18. Miller, TJ, McGlashan, TH, Woods, SW et al. Symptom assessment in schizophrenic prodromal states. Psychiatr Q. 1999;70:273–287.Google Scholar
19. McGlashan, TH. Psychosis treatment prior to psychosis onset: ethical issues. Schizophr Res. 2001;51:47–54.Google Scholar
20. Hawkins, KA, McGlashan, TH, Quinlan, D et al. Factorial structure of the Scale of Prodromal Symptoms. Schizophr Res. 2004;61:339–347.Google Scholar
21. Gross, G. The ‘basic’ symptoms of schizophrenia. Br J Psychiatry. 1989;155(suppl):21–25.Google Scholar
22. Klosterkötter, J. The meaning of basic symptoms for the development of schizophrenic psychosis. Neur Psychiatr Brain Res. 1992;1:30–41.Google Scholar
23. Klosterkötter, J, Gross, G, Huber, G, Wieneke, A, Steinmeyer, EM, Schultze-Lutter, F. Evaluation of the ‘Bonn Scale for the Assessment of Basic Symptoms– BSABS’ as an instrument for the assessment of schizophrenia proneness: a review of recent findings. Neur Psychiatr Brain Res. 1997;5:137–150.Google Scholar
24. Klosterkötter, J, Hellmich, M, Steinmeyer, EM, Schultze-Lutter, F. Diagnosing schizophrenia in the initial prodromal phase. Arch Gen Psychiatry. 2001;58:158–164.Google Scholar
25. Wieneke, A, Schultz-Lutter, F, Picker, H, Steinmeyer, EM, Klosterkötter, J. The Schizophrenia Prediction Instrument (SPI-A): first preliminary results of the evaluation study. Schizophr Res. 2002;53:37.Google Scholar
24. Addington, J. The prodromal stage of psychotic illness: observation, detection, or intervention? J Psychiatry Neurosci. 2003;28:93–97.Google Scholar
25. McGorry, PD, Yung, A, Phillips, L et al. Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms. Arch Gen Psychiatry. 2002;59:921–928.Google Scholar
26. Woods, SW, Breier, A, Zipursky, RB et al. Randomized trial of olanzapine vs placebo in the symptomatic treatment of patients meeting criteria for the schizophrenic prodrome. Biol Psychiatry. 2003;54:453–464.CrossRefGoogle Scholar