儿童和青少年期阳性精神病症状。
Positive psychotic symptoms in childhood and adolescence.
机构信息
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University Düsseldorf, Bergische Landstraße 2, 40470 Düsseldorf, Germany; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bolligenstr, 111, 3000 Bern 60, Switzerland; Department of Psychology, Faculty of Psychology, Airlangga University, Airlangga 4-6, Surabaya 60286, Indonesia.
University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bolligenstr, 111, 3000 Bern 60, Switzerland.
出版信息
Curr Opin Psychol. 2022 Jun;45:101287. doi: 10.1016/j.copsyc.2021.11.007. Epub 2021 Dec 7.
Based on the assumption of a universal neurodevelopmental model of psychosis, especially of the schizophrenia spectrum, the diagnosis (and treatment) of psychosis in minors commonly follows those in adults. Yet, as our review demonstrates, recent years have seen an emergence of studies of minors indicating that developmental aspects may play a crucial role in the prevalence and appraisal of diagnostically relevant positive psychotic symptoms in their full-blown and subthreshold forms, including neurobiogenetic and other risk factors, such as migration. Thus, caution is advised to not overpathologize potentially transient and clinically irrelevant occurrence of (subthreshold) positive psychotic symptoms in the diagnosis and treatment of psychotic disorders and their clinical high-risk states in minors. More studies on developmental aspects are urgently needed.
基于精神病（尤其是精神分裂症谱系）的普遍神经发育模型的假设，未成年人精神病的诊断（和治疗）通常与成年人相同。然而，正如我们的综述所表明的，近年来出现了一些针对未成年人的研究，表明发展方面可能在其完全和亚临床形式中，包括神经生物遗传和其他风险因素（如移民），对诊断相关阳性精神病症状的患病率和评估中起关键作用。因此，在诊断和治疗未成年人的精神病障碍及其临床高危状态时，对于（亚临床）阳性精神病症状的潜在短暂和临床无关的发生，建议不要过度病理化。迫切需要更多关于发展方面的研究。
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