Schiffman Jason, Carpenter William T
Department of Psychology, University of Maryland, Baltimore County, Baltimore, Maryland, United States.
Department of Psychiatry, University of Maryland School of Medicine, Maryland Psychiatric Research Center, and VA Capitol Health Care Network (VISN 5) MIRECC, Baltimore, Maryland, United States.
Shanghai Arch Psychiatry. 2015 Feb 25;27(1):48-51. doi: 10.11919/j.issn.1002-0829.215015.
Given the unique characteristics of people who meet criteria for attenuated psychosis syndrome (APS) and the growing literature on the clinical benefits of providing services to individuals who meet these criteria, the APS diagnosis serves an important, and previously missing, role in psychiatry. The promotion of the APS diagnosis should help reduce the over-diagnosis and over-treatment of individuals with prodromal psychotic conditions and it should also encourage expanded training about attenuated psychosis among clinicians who primarily provide services to youth (a primary group who are diagnosed with APS). Only some of the individuals with APS subsequently develop psychosis, but all have existing clinical needs - regardless of subsequent conversion. The formal recognition of APS in DSM-5 will facilitate the research needed to identify and meet those needs.
鉴于符合轻度精神病综合征（APS）标准的人群具有独特特征，且针对符合这些标准的个体提供服务的临床益处方面的文献不断增多，APS诊断在精神病学中发挥着重要且此前缺失的作用。推广APS诊断应有助于减少前驱精神病性状况个体的过度诊断和过度治疗，还应鼓励在主要为青少年（被诊断为APS的主要群体）提供服务的临床医生中扩大关于轻度精神病的培训。只有部分APS个体随后会发展为精神病，但所有个体都有现存的临床需求——无论后续是否转化。《精神疾病诊断与统计手册》第五版（DSM-5）中对APS的正式认可将推动识别和满足这些需求所需的研究。
