A new Algorithm for Detecting Clinical High Risk of Psychosis in Adolescents.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psicothema Pub Date : 2022-08-01 DOI:10.7334/psicothema2022.10

Mercedes Paíno, Ana M González-Menéndez, Óscar Vallina-Fernández, Mar Rus-Calafell

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引用次数: 1

Abstract

Background: The delimitation of the clinical high risk of psychosis (CHRp) is characterized by the wide variety of symptoms assessed from different approaches from the onset of psychosis. This study aimed to create a systematic procedure for an effective and accurate earlydetection of CHRp in educational settings.

Method: A representative sample of 1,824 adolescents (average age, 15.79; 53.8%, women) was used to develop an online assessment system and a new 3-track, 3-level algorithm that combines symptoms of the main risk approaches: ultra-high risk (UHR), basic symptoms (BS), and anomalies in the subjective self-experience (ASE) with functional deficit.

Results: The acceptability and feasibility of the online screening system were confirmed by the data. Of the total participants, 68 (3.7%) were identified as high-risk and 417 (22.9%) were identified as moderate, which also supports the functionality of the proposed algorithm.

Conclusions: The system indicates a dynamic model of progression of the different symptoms in the early stages of psychosis, and it may constitute a first line of identification for severe mental disorders in young people in the earliest stages, allowing application of initial preventive measures.

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一种检测青少年精神病临床高危性的新算法。

背景:临床精神病高危症(CHRp)的界定以从精神病发病开始采用不同方法评估的各种症状为特征。本研究旨在建立一个系统的程序，以有效和准确地在教育环境中早期检测CHRp。方法:选取1824名青少年(平均年龄15.79岁;53.8%(女性)用于开发在线评估系统和新的3轨3级算法，该算法结合了主要风险方法的症状:超高风险(UHR)，基本症状(BS)和主观自我体验异常(ASE)伴功能缺陷。结果:通过数据验证了在线筛选系统的可接受性和可行性。在所有参与者中，68人(3.7%)被确定为高风险，417人(22.9%)被确定为中度，这也支持了所提出算法的功能。结论:该系统显示了精神病早期阶段不同症状进展的动态模型，它可能构成在早期阶段识别青少年严重精神障碍的第一线，允许应用初步预防措施。

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

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.