识别早期精神病患者的青少年：转诊者的筛选清单。
Identifying adolescents in the early stage of psychosis: A screening checklist for referrers.
机构信息
Department of Mental Health and Pathological Addictions, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Department of Mental Health and Pathological Addictions, Azienda USL di Parma, Parma, Italy.
出版信息
J Clin Psychol. 2022 Jun;78(6):1184-1200. doi: 10.1002/jclp.23280. Epub 2021 Nov 19.
OBJECTIVE
The early identification of adolescents at the onset of psychosis is crucial to provide effective interventions. The aim of this study is to examine the validity of the "early detection Primary Care Checklist" (PCC) in an Italian adolescent population. The PCC is a 20-item tool designed to assist primary care practitioners in identifying young people with early psychosis.
METHODS
The checklist was completed by the referring practitioners of 129 adolescents. The validity of this instrument was established by comparing screen results with the "Comprehensive Assessment of At-Risk Mental States."
RESULTS
The simple checklist had excellent 98% sensitivity, but low specificity (58%). Using only a PCC total score of ≥20 as cutoff, there was a substantial improvement in specificity (87%).
CONCLUSION
The Italian version of the PCC performed well to identify adolescents in the early stage of psychosis and may be used in primary care settings.
目的
早期识别精神病发病的青少年对于提供有效的干预措施至关重要。本研究旨在检验“初级保健检查表”（PCC）在意大利青少年人群中的有效性。PCC 是一种 20 项的工具，旨在帮助初级保健医生识别有早期精神病的年轻人。
方法
由 129 名青少年的转诊医生完成检查表。该工具的有效性是通过将筛查结果与“高危精神状态全面评估”进行比较来确定的。
结果
简单检查表的敏感性高达 98%，但特异性（58%）较低。仅使用总分≥20 作为截断值，特异性有了显著提高（87%）。
结论
意大利版的 PCC 能够很好地识别处于精神病早期阶段的青少年，可用于初级保健环境。
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