Thompson Elizabeth C, Andorko Nicole D, Rouhakhtar Pamela Rakhshan, Millman Zachary B, Sagun Kristin, Han Susan C, Chibani Doha, Reeves Gloria M, Herman Bruce, Schiffman Jason
Department of Psychology, University of Maryland, Baltimore County, Catonsville, MD, 21250.
Counseling Center, University of Maryland, Baltimore County, Catonsville, MD, 21250.
J College Stud Psychother. 2022;36(2):201-222. doi: 10.1080/87568225.2020.1797604. Epub 2020 Sep 4.
Evidence supports the use of brief psychosis-spectrum screening tools for identifying individuals at an increased risk of developing a psychotic disorder. Screening has not been well studied in general mental health settings that serve young adults in the age range associated with highest risk for psychosis. This study explored the feasibility of psychosis-risk screening and assessment among help-seeking students at a university counseling center. The PRIME Screen-Revised was administered to students at clinic intake. Participants who screened positively were offered a follow-up assessment using the Structured Interview for Psychosis-risk Syndromes (SIPS). At intake, 510 students completed the PRIME Screen-Revised, with 132 (25.9%) screening positive. Comprehensive psychosis-spectrum evaluations were completed with 38 participants, and 22 met criteria for a psychosis-spectrum disorder, representing 57.9% of this subsample. Findings suggest that psychosis-risk screening in a college clinic is a promising approach to identifying those at high risk for or in the early stages of psychosis.
有证据支持使用简短的精神病性频谱筛查工具来识别有发展为精神病性障碍风险增加的个体。在为与精神病最高风险年龄范围相关的年轻人提供服务的普通心理健康环境中，筛查尚未得到充分研究。本研究探讨了在大学咨询中心寻求帮助的学生中进行精神病风险筛查和评估的可行性。在诊所 intake 时，对学生进行了 PRIME 筛查修订版测试。筛查呈阳性的参与者接受了使用精神病风险综合征结构化访谈（SIPS）的后续评估。在 intake 时，510 名学生完成了 PRIME 筛查修订版测试，其中 132 人（25.9%）筛查呈阳性。38 名参与者完成了全面的精神病性频谱评估，22 人符合精神病性频谱障碍标准，占该子样本的 57.9%。研究结果表明，在大学诊所进行精神病风险筛查是识别处于精神病高风险或早期阶段人群的一种有前景的方法。
