Raballo Andrea, Larøi Frank
Danish National Research Foundation: Center for Subjectivity Research, University of Copenhagen, Denmark. anr@@hum.ku.dk
Clin Schizophr Relat Psychoses. 2011 Oct;5(3):155-8. doi: 10.3371/CSRP.5.3.6.
The development of formal, empirically grounded methods for assessing At-Risk Mental States (ARMS) is becoming prominent, especially in light of the eventual inclusion of a pertinent "Psychosis risk syndrome" category in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Indeed, the phenomenology of risk syndromes for psychosis is complex, nuanced and clinically overlapping with multifarious transitory mental states. Supplementing current prodromal/Ultra-High Risk (UHR) criteria with a dimensional psychopathological approach would favor a rational mapping of emergent needs in ARMS help seekers and provide a more fine-grained reference framework for patient-centered risk stratification and intervention.
用于评估处于风险中的精神状态（ARMS）的正式的、基于实证的方法正在兴起，尤其是考虑到《精神疾病诊断与统计手册》（DSM-5）第五版最终纳入了相关的“精神病风险综合征”类别。事实上，精神病风险综合征的现象学是复杂的、细微的，并且在临床上与多种短暂的精神状态相互重叠。用维度精神病理学方法补充当前的前驱期/超高风险（UHR）标准，将有助于合理规划ARMS求助者的新出现需求，并为以患者为中心的风险分层和干预提供更细致的参考框架。
