Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare; Department of Psychology, University of Helsinki, Helsinki.
Early Interv Psychiatry. 2014 Feb;8(1):87-90. doi: 10.1111/eip.12045. Epub 2013 Apr 10.
Adolescents with severe disruptive behaviour have an elevated risk for adult psychosis. We investigated whether the Structured Interview for Prodromal Syndromes (SIPS) is a useful psychosis risk-screening tool for adolescents with disruptive behaviour.
Fifty-three adolescents residing in a reform school due to severe behavioural problems were interviewed with SIPS to ascertain clinical high-risk (CHR) state. CHR status was compared to self-reported psychiatric problems, and to registry data on hospital treatments for mental health disorders during a 5-year follow-up time.
CHR was associated with self-reported internalizing problems and thought problems. It failed to predict psychoses but was associated with hospital treatment for mood and conduct disorders.
The SIPS interview has limited power for predicting psychosis among adolescents with severe behavioural problems. However, SIPS appears to be useful for screening and predicting other psychiatric problems.
具有严重破坏性行为的青少年有更高的成年精神病风险。我们研究了结构访谈前驱症状（SIPS）是否是一种有用的破坏性行为青少年精神病风险筛查工具。
53 名因严重行为问题而被送进改造学校的青少年接受了 SIPS 访谈，以确定其是否处于前驱状态。将前驱状态与自我报告的精神问题以及 5 年随访期间心理健康障碍住院治疗的登记数据进行比较。
前驱状态与自我报告的内在问题和思维问题有关。它未能预测精神病，但与心境和行为障碍的住院治疗有关。
SIPS 访谈对预测有严重行为问题的青少年的精神病的能力有限。然而，SIPS 似乎对筛查和预测其他精神问题有用。
