التفاصيل البيبلوغرافية
| العنوان: |
Clinical Characteristics and Predictors of Outcome of Schizophrenia-Spectrum Psychosis in Children and Adolescents:A Systematic Review |
| المؤلفون: |
Stentebjerg-Olesen, Marie, Pagsberg, Anne K., Fink-Jensen, Anders, Correll, Christoph U., Jeppesen, Pia |
| المصدر: |
Stentebjerg-Olesen , M , Pagsberg , A K , Fink-Jensen , A , Correll , C U & Jeppesen , P 2016 , ' Clinical Characteristics and Predictors of Outcome of Schizophrenia-Spectrum Psychosis in Children and Adolescents : A Systematic Review ' , Journal of Child and Adolescent Psychopharmacology , vol. 26 , no. 5 , pp. 410-427 . https://doi.org/10.1089/cap.2015.0097 |
| سنة النشر: |
2016 |
| مصطلحات موضوعية: |
psy, socio |
| الوصف: |
Objective: Treatment of early-onset schizophrenia spectrum psychosis (EOS) is hampered by limited data on clinical presentation and illness course. We aimed to systematically review the clinical characteristics, diagnostic trajectories, and predictors of illness severity and outcomes of EOS. Methods: We conducted a systematic PubMed, PsycINFO, and Embase literature review including studies published from January 1, 1990 to August 8, 2014 of EOS patients with 1) ≥50% nonaffective psychosis cases; 2) mean age of subjects <19 years; 3) clinical samples recruited through mental health services; 4) cross-sectional or prospective design; 5) ≥20 participants at baseline; 6) standardized/validated diagnostic instruments; and 7) quantitative psychotic symptom frequency or severity data. Exploratory analyses assessed associations among relevant clinical variables. Results: Across 35 studies covering 28 independent samples (n = 1506, age = 15.6 years, age at illness onset = 14.5 years, males = 62.3%, schizophrenia-spectrum disorders = 89.0%), the most frequent psychotic symptoms were auditory hallucinations (81.9%), delusions (77.5%; mainly persecutory [48.5%], referential [35.1%], and grandiose [25.5%]), thought disorder (65.5%), bizarre/disorganized behavior (52.8%), and flat or blunted affect/negative symptoms (52.3%/50.4%). Mean baseline Positive and Negative Syndrome Scale (PANSS)-total, positive, and negative symptom scores were 84.5 ± 10.9, 19.3 ± 4.4 and 20.8 ± 2.9. Mean baseline Clinical Global Impressions-Severity and Children's Global Assessment Scale/Global Assessment of Functioning (CGAS/GAF) scores were 5.0 ± 0.7 and 35.5 ± 9.1. Comorbidity was frequent, particularly posttraumatic stress disorder (34.3%), attention-deficit/hyperactivity and/or disruptive behavior disorders (33.5%), and substance abuse/dependence (32.0%). Longer duration of untreated psychosis (DUP) predicted less CGAS/GAF improvement (p < 0.0001), and poor premorbid adjustment and a diagnosis of schizophrenia predicted less PANSS . |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| Relation: |
https://curis.ku.dk/portal/da/publications/clinical-characteristics-and-predictors-of-outcome-of-schizophreniaspectrum-psychosis-in-children-and-adolescents(35a60885-a6e9-44b7-aaf7-a0d15b8b1481).html |
| الاتاحة: |
https://curis.ku.dk/portal/da/publications/clinical-characteristics-and-predictors-of-outcome-of-schizophreniaspectrum-psychosis-in-children-and-adolescents(35a60885-a6e9-44b7-aaf7-a0d15b8b1481).html |
| Rights: |
undefined |
| رقم الانضمام: |
edsbas.823BE9F0 |
| قاعدة البيانات: |
BASE |