The Italian adaptation of the Mini-SIPS, a tool for early detection of individuals at clinical high risk and first episode of psychosis: A preliminary study of implementation in an Italian FEP program

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2024-05-20 DOI:10.1111/eip.13548

Maria Ferrara, Marta Basaldella, Francesca Vacca, Scott W. Woods, Barbara C. Walsh, Tyrone D. Cannon, Vinod H. Srihari, Luigi Grassi

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Abstract

Aims

The study aims are to present the Italian adaptation of the Abbreviated Clinical Structured Interview for DSM-5 Attenuated Psychosis Syndrome (Mini-SIPS) and illustrate its implementation in a clinical setting.

Methods

The Mini-SIPS was developed from the original extended version as a tool designed to identify, within the clinical high risk (CHR) framework, the DSM-5 Attenuated Psychosis Syndrome (APS) and to be implemented in clinical settings. The Mini-SIPS was translated in Italian by a Yale-certified SIPS trainer, then back-translated in English by a trained psychologist, then approved by the Mini-SIPS authors. Since September 2021, the adapted Italian version of the Mini-SIPS has been implemented at the First Episode Psychosis (FEP) Program in Ferrara, Italy.

Results

The Italian version of Mini-SIPS was successfully administered to 15 individuals subsequently referred to the First Episode Psychosis service in Ferrara. Within this sample, the tool has proven to be both an effective and efficient tool for the identification of CHR and FEP, and a valid instrument to help with the differential diagnosis. It also performed as a valuable guide for retrieving information about psychiatric history, to date the onset of APS and/or full-blown psychosis, to track the progression from CHR to psychosis or to symptoms resolution and to describe patients' pathways to care.

Conclusion

The Mini-SIPS is an efficient and easy-to-use interview to identify the early stages of psychosis and established psychosis in clinical contexts. The Italian adaptation of this interview could be effectively implemented in other Italian FEP Programs as a screening and monitoring tool. Formal validation of the instrument is needed to assessed validity and reliability in the diagnosis of the CHR and FEP.

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意大利对 Mini-SIPS 的改编，这是一种用于早期检测临床高危人群和首次精神病发作人群的工具：在意大利 FEP 计划中实施的初步研究。

目的：本研究旨在介绍意大利对 DSM-5 轻度精神病综合征简短临床结构化访谈（Mini-SIPS）的改编，并说明其在临床环境中的实施情况：迷你-SIPS 是在原始扩展版本的基础上开发的，作为一种在临床高风险（CHR）框架内识别 DSM-5 轻度精神病综合征（APS）的工具，并在临床环境中实施。Mini-SIPS 由雅礼协会认证的 SIPS 培训师翻译成意大利语，然后由一名训练有素的心理学家反译成英语，最后由 Mini-SIPS 作者批准。自 2021 年 9 月起，改编后的意大利语版迷你-SIPS 开始在意大利费拉拉的首发精神病（FEP）项目中实施：意大利语版《迷你-SIPS》已成功应用于 15 名随后转介到费拉拉首发精神病服务机构的患者。在这一样本中，该工具被证明是一种有效且高效的工具，可用于识别 CHR 和 FEP，也是一种有助于鉴别诊断的有效工具。此外，它还是检索精神病史信息、确定 APS 和/或全面性精神病发病日期、跟踪从 CHR 到精神病或症状缓解的进展情况以及描述患者就医途径的重要指南：结论：迷你SIPS是一种高效且易于使用的访谈方法，可用于在临床环境中识别早期精神病和已确立的精神病。该访谈的意大利语改编版可作为筛查和监测工具在其他意大利 FEP 计划中有效实施。需要对该工具进行正式验证，以评估其在 CHR 和 FEP 诊断中的有效性和可靠性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.