Chan Vivien
501 Student Health, Student Health Center, University of California Irvine, Irvine, CA 92697-5200, USA; Behavioral Health Services, Children, Youth & Prevention Division, Center for Resiliency Wellness & Education (First Episode Psychosis), Orange County Health Care Agency, 729 W Town & Country Road, Building E, Orange, CA 92868, USA; Department of Psychiatry & Human Behavior, UCI Health, Orange, CA 92868, USA.
Child Adolesc Psychiatr Clin N Am. 2017 Apr;26(2):341-366. doi: 10.1016/j.chc.2016.12.014.
This article reviews the current state of diagnosis and treatment of schizophrenia, describing the recent proliferation of research in high-risk psychosis spectrum conditions, which are different from childhood-onset and early onset schizophrenia, and findings of psychotic-like experiences in the normal population. Taken from adult and childhood literature, clinical quandaries in accurate diagnosis, and treatment gaps in co-occurring, or sometimes confounding, conditions are discussed. Thoughts on the impact of schizophrenia on an emerging adulthood trajectory are offered. Recent best practices in the treatment of schizophrenia are consistent with a recovery-oriented model of mental health services for transitional age youth.
本文综述了精神分裂症的诊断和治疗现状，描述了近期在高危精神病谱系疾病方面研究的激增情况，这些疾病不同于儿童期起病和早发性精神分裂症，还阐述了普通人群中类精神病体验的研究结果。本文取材于成人和儿童文献，讨论了准确诊断方面的临床难题以及共病或有时相互混淆的病症在治疗上的差距。文中还提出了关于精神分裂症对新兴成年期发展轨迹影响的思考。精神分裂症治疗的近期最佳实践与针对过渡年龄青年的以康复为导向的心理健康服务模式相一致。
