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朗博士等人答复。

Dr. Lång et al. Reply.

机构信息

RCSI University of Medicine and Health Sciences, Dublin, Ireland; School of Medicine and Medical Sciences, University College Dublin, Ireland.

RCSI University of Medicine and Health Sciences, Dublin, Ireland; School of Medicine and Medical Sciences, University College Dublin, Ireland; Lucena Clinic Child and Adolescent Mental Health Service, Dublin, Ireland.

出版信息

J Am Acad Child Adolesc Psychiatry. 2022 Jun;61(6):733-734. doi: 10.1016/j.jaac.2021.12.005. Epub 2021 Dec 17.

Abstract

We thank our respected colleagues, Fusar-Poli and Salazar de Pablo, for their interest in our recent systematic review and meta-analysis on psychosis risk in children and adolescents diagnosed with an at-risk mental state (ARMS). Fusar-Poli and Salazar de Pablo agreed with our call for developmentally sensitive approaches when considering psychosis risk in children and adolescents, recognizing that psychotic experiences (the basis of ARMS assessments) are more prevalent in childhood and adolescence than they are in adulthood, with age-varying pathological significance. This, however, appears to be contradicted by the authors' suggestion that we should have included adults (age >18 years) in our pediatric analysis.

摘要

我们感谢尊敬的同事 Fusar-Poli 和 Salazar de Pablo 对我们最近关于儿童和青少年处于高危精神状态(ARMS)诊断后的精神病风险的系统评价和荟萃分析的关注。Fusar-Poli 和 Salazar de Pablo 同意我们的呼吁,即在考虑儿童和青少年的精神病风险时采用发展敏感的方法,认识到精神病体验(ARMS 评估的基础)在儿童和青少年中比在成年中更为普遍,具有随年龄变化的病理意义。然而,这似乎与作者的建议相矛盾,即我们应该在儿科分析中纳入成年人(年龄>18 岁)。

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