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精神障碍的前驱期:识别、预测与预防性治疗

The Prodrome of Psychotic Disorders: Identification, Prediction, and Preventive Treatment.

作者信息

Nelson Barnaby, McGorry Patrick

机构信息

Orygen, The National Centre of Excellence in Youth Mental Health, The University of Melbourne, Parkville, Victoria 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road (Locked Bag 10), Parkville, Victoria 3052, Australia.

Orygen, The National Centre of Excellence in Youth Mental Health, The University of Melbourne, Parkville, Victoria 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road (Locked Bag 10), Parkville, Victoria 3052, Australia.

出版信息

Child Adolesc Psychiatr Clin N Am. 2020 Jan;29(1):57-69. doi: 10.1016/j.chc.2019.08.001. Epub 2019 Oct 9.

Abstract

Twenty-five years ago "at risk" for psychosis criteria were introduced to the field. Prediction studies have identified a range of risk factors involved in transition from "at risk" status to first episode psychotic illness, with recent interest in dynamic and multimodal prediction models. Treatment studies have indicated that risk of transition to psychotic disorder can at least be delayed in this clinical population. Although the strongest evidence to date is for cognitive behavioral therapy, the optimal type and sequence of treatment remains an active area of research.

摘要

25年前,“精神病风险”标准被引入该领域。预测研究已经确定了一系列从“风险”状态转变为首次发作精神病性疾病所涉及的风险因素,近期人们对动态和多模式预测模型产生了兴趣。治疗研究表明,在这一临床群体中,转变为精神障碍的风险至少可以被延缓。尽管迄今为止最有力的证据是认知行为疗法,但最佳的治疗类型和顺序仍是一个活跃的研究领域。

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