Heterogeneity of clinical symptomatology in pediatric patients at clinical high risk for psychosis

© 2024. The Author(s)..

OBJECTIVE: Widespread use of diagnostic tools like the Structured Interview for Prodromal Symptoms (SIPS) has highlighted that youth at Clinical High Risk for Psychosis (CHR-P) present with heterogeneous symptomatology. This pilot study aims to highlight the range of clinical characteristics of CHR-P youth, investigate the role of the non-positive (negative, disorganization, and general) symptoms in risk assessment, and determine if specific profiles are associated with severe symptomatology.

METHODS: 38 participants aged 7-18 were administered the SIPS and designated as CHR-P. Descriptive statistics and mean difference t-tests were used to describe the range in prevalence and severity of SIPS symptoms and to identify symptoms associated with greater overall symptomatology.

RESULTS: Participants who had a greater number of positive symptoms also had significantly more negative, disorganization, and general symptoms. A number of SIPS symptoms were associated with greater number of positive symptoms.

CONCLUSION: CHR-P youth represent a heterogeneous group, presenting with a wide range in clinical presentation as reflected in both the number of SIPS symptoms and their severity. Though the severity and duration of positive SIPS symptoms determines the CHR-P classification, high ratings on several of the other SIPS negative, disorganization, and general items may be useful indicators of elevated symptomatology.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

BMC research notes - 17(2024), 1 vom: 26. März, Seite 88

Sprache:

Englisch

Beteiligte Personen:

Rintell, L Sophia [VerfasserIn]
Carroll, Devon [VerfasserIn]
Wales, Meghan [VerfasserIn]
Gonzalez-Heydrich, Joseph [VerfasserIn]
D'Angelo, Eugene [VerfasserIn]

Links:

Volltext

Themen:

Clinical high risk
Early onset psychosis
Journal Article
Psychosis
SIPS

Anmerkungen:

Date Completed 28.03.2024

Date Revised 29.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13104-024-06742-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370219589