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The 'At-risk mental state' for psychosis in adolescents : clinical presentation, transition and remission.

By P. Welsh and P. A. Tiffin

Abstract

Despite increased efforts over the last decade to prospectively identify individuals at ultra-high risk of developing a psychotic illness, limited attention has been specifically directed towards adolescent populations (<18 years). In order to evaluate how those under 18 fulfilling the operationalised criteria for an At-Risk Mental State (ARMS) present and fare over time, we conducted an observational study. Participants (N = 30) generally reported a high degree of functional disability and frequent and distressing perceptual disturbance, mainly in the form of auditory hallucinations. Seventy percent (21/30) were found to fulfil the criteria for a co-morbid ICD-10 listed mental health disorder, with mood (affective; 13/30) disorders being most prevalent. Overall transition rates to psychosis were low at 24 months follow-up (2/28; 7.1 %) whilst many participants demonstrated a significant reduction in psychotic-like symptoms. The generalisation of these findings may be limited due to the small sample size and require replication in a larger sample

Topics: Psychosis, Risk, Youth, Prodrome.
Publisher: Springer
Year: 2014
DOI identifier: 10.1007/s10578-013-0380-z
OAI identifier: oai:dro.dur.ac.uk.OAI2:10763
Journal:

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