Orygen Youth Health, Parkville, Victoria, Australia.
Early Interv Psychiatry. 2011 Aug;5(3):254-8. doi: 10.1111/j.1751-7893.2011.00281.x. Epub 2011 Jun 26.
The study aims to examine the themes of delusions and hallucinations in a cohort of adolescent and young adult patients (aged 15-26 years) presenting with a first episode of psychosis.
Information was collected retrospectively from 143 randomly selected medical files, using a questionnaire.
Over 70% of patients were found to have either delusions or hallucinations at initial presentation. Delusions of persecution, reference and second person auditory hallucinations were the most commonly reported psychotic symptoms at initial presentation.
Anxiety in the context of developmental life events may influence the presentation of patients in this age group. This patient group may also have a less well-developed system of delusional beliefs compared with older patients with established illness. A better understanding of delusions and hallucinations in a first episode of psychosis may help early identification and engagement of these patients.
本研究旨在探讨一组青少年和年轻成年患者（15-26 岁）首发精神病时出现的妄想和幻觉主题。
使用问卷对 143 名随机选择的患者的医疗档案进行回顾性信息收集。
超过 70%的患者在初次就诊时被发现存在妄想或幻觉。在初次就诊时，最常见的精神病症状是被害妄想、参照妄想和第二人称听觉幻觉。
在发展生活事件的背景下，焦虑可能会影响该年龄段患者的表现。与患有既定疾病的老年患者相比，该患者群体的妄想系统可能发育得不太完善。更好地理解首发精神病时的妄想和幻觉可能有助于早期识别和接触这些患者。
