Olsen K A, Rosenbaum B
Centre of Psychiatry Glostrup, Copenhagen County University Hospital Glostrup, Glostrup, Denmark.
Acta Psychiatr Scand. 2006 Apr;113(4):273-82. doi: 10.1111/j.1600-0447.2005.00698.x.
To review assessment instruments used for detection of prodromal or at-risk mental states, and discuss their role in current research.
A systematic electronic literature search was conducted and supplemented by a manual search. All relevant scales were selected for the purpose of the review.
Six interviews and four screening instruments were found. Two main traditions are prevailing: the Attenuated Positive Symptoms approach and the Basic Symptoms approach. Reports of psychometric properties of the interviews are preliminary.
The instruments detect individuals with an increased risk of psychosis in clinical populations, but predictive validity and measures of reliability is insufficiently evaluated. Studies including instruments from both traditions should be conducted, in order to obtain an empirical basis of hypothesized relations between instruments. Instruments elucidating phenomenological aspects of anomalies in self-experience may contribute with valuable data on the pre-onset phase of psychosis.
回顾用于检测前驱或高危精神状态的评估工具，并讨论它们在当前研究中的作用。
进行了系统的电子文献检索，并辅以手工检索。为本次综述目的选择了所有相关量表。
发现了六种访谈工具和四种筛查工具。目前主要存在两种传统方法：症状减弱的阳性症状法和基本症状法。关于这些访谈工具心理测量特性的报告尚属初步。
这些工具可检测临床人群中患精神病风险增加的个体，但预测效度和信度测量评估不足。应开展包括来自两种传统方法工具的研究，以便获得工具之间假设关系的实证依据。阐明自我体验异常现象学方面的工具可能会为精神病发病前期提供有价值的数据。
