Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Home
Hostname: page-component-ffbbcc459-2mp6j Total loading time: 0.276 Render date: 2022-03-13T05:58:14.013Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }
  • English
CNS Spectrums CNS Spectrums

Article contents

The Diagnosis and Assessment of Individuals Prodromal for Schizophrenic Psychosis

Published online by Cambridge University Press:  07 November 2014

Jean Addington
Get access Rights & Permissions[Opens in a new window]

Abstract

Accurate identification of individuals in the earliest symptomatic stages of psychosis offers new hope for developing more effective treatment strategies. Recently, research clinics have been set up to identify and possibly treat individuals who are seen as being at ultra-high risk of developing a psychotic disorder. This article reviews and describes measures that are currently being used and further developed in order to determine both the diagnostic criteria for the prodromal state and the severity of these putatively prodromal symptoms.

Type
Review Article
Information
CNS Spectrums , Volume 9 , Issue 8 , August 2004 , pp. 588 - 594
Copyright
Copyright © Cambridge University Press 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. McGorry, PD, Jackson, HJ, eds. The Recognition and Management of Early Psychosis. Cambridge, England: Cambridge University Press; 1999.Google Scholar
2. McGlashan, TH, Zipursky, R, Perkins, DO et al. The PRIME North America randomized double-blind clinical trial of olanzapine versus placebo in patients at risk of being prodromally symptomatic for psychosis. I. Study rationale and design. Schizophr Res. 2003;61:7–18.CrossRefGoogle ScholarPubMed
3. Cornblatt, B, Obuchowski, M. Update of high-risk research: 1987-1997. International Review of Psychiatry. 1997;9:437–447.Google Scholar
4. Yung, AR, McGorry, PD, McFarlane, CA, Patton, GC, Rakkar, A. Monitoring and care of young people at incipient risk of psychosis. Schizophr Bull. 1996;22:283–303.CrossRefGoogle ScholarPubMed
5. Yung, AR, McGorry, PD. The initial prodrome in psychosis: descriptive and qualitative aspects. Aust N Z J Psychiatry. 1996;30:587–599.CrossRefGoogle ScholarPubMed
6. Yung, AR, McGorry, PD. The prodromal phase of first-episode psychosis: past and current conceptualizations. Schizophr Bull. 1996;22:353–370.CrossRefGoogle ScholarPubMed
7. McGorry, PD, Yung, A, Phillips, LEthics and early intervention in psychosis: keeping up the pace and staying in step. Schizophr Res. 2001;51:17–29.CrossRefGoogle ScholarPubMed
8. Yung, AR, Phillips, L, McGorry, PD et al. Prediction of psychosis. Br J Psychiatry. 1998;172(suppl 33):14–20.Google ScholarPubMed
9. Miller, TJ, McGlashan, TH, Rosen, JL et al. Prospective diagnosis of the initial prodrome for schizophrenia based on the Structured Interview for Prodromal Syndromes: preliminary evidence of interrater reliability and predictive validity. Am J Psychiatry. 2002;159:863–865.CrossRefGoogle ScholarPubMed
10. Yung, AR, Phillips, LJ, Yuen, H et al. Psychosis prediction: 12-month follow up of a high-risk (“prodromal”) group. Schizophr Res. 2003;60:21–32.CrossRefGoogle ScholarPubMed
11. Schaffner, KF, McGorry, PD. Preventing severe mental illnesses--new prospects and ethical challenges. Schizophr Res. 2001;51:3–15.CrossRefGoogle ScholarPubMed
12. Chapman, LJ, Chapman, JP. The search for symptoms predictive of schizophrenia. Schizophr Bull. 1987;13:497–503.CrossRefGoogle ScholarPubMed
13. Chapman, LJ, Chapman, JP, Kwapil, TR, Eckblad, M, Zinser, MC. Putatively psychosis-prone subjects 10 years later. J Abnorm Psychol. 1994;103:171–183.CrossRefGoogle ScholarPubMed
14. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed-rev. Washington, DC: American Psychiatric Association; 1987.Google Scholar
15. Jackson, HJ, McGorry, PD, Dudgeon, P. Prodromal symptoms of schizophrenia in first-episode psychosis: prevalence and specificity. Compr Psychiatry. 1995;36:241–250.CrossRefGoogle ScholarPubMed
16. Yung, AR, Phillips, LJ, McGorry, PD, Ward, JL, Thompson, K. The Comprehensive Assessment of At-Risk Mental States (CAARMS). Melbourne, Australia: University of Melbourne; 2000.Google Scholar
17. Diagnostic and Statistical Manual of Mentd Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.Google Scholar
18. Miller, TJ, McGlashan, TH, Woods, SW et al. Symptom assessment in schizophrenic prodromal states. Psychiatr Q. 1999;70:273–287.CrossRefGoogle ScholarPubMed
19. McGlashan, TH. Psychosis treatment prior to psychosis onset: ethical issues. Schizophr Res. 2001;51:47–54.CrossRefGoogle ScholarPubMed
20. Hawkins, KA, McGlashan, TH, Quinlan, D et al. Factorial structure of the Scale of Prodromal Symptoms. Schizophr Res. 2004;61:339–347.CrossRefGoogle Scholar
21. Gross, G. The ‘basic’ symptoms of schizophrenia. Br J Psychiatry. 1989;155(suppl):21–25.Google Scholar
22. Klosterkötter, J. The meaning of basic symptoms for the development of schizophrenic psychosis. Neur Psychiatr Brain Res. 1992;1:30–41.Google Scholar
23. Klosterkötter, J, Gross, G, Huber, G, Wieneke, A, Steinmeyer, EM, Schultze-Lutter, F. Evaluation of the ‘Bonn Scale for the Assessment of Basic Symptoms– BSABS’ as an instrument for the assessment of schizophrenia proneness: a review of recent findings. Neur Psychiatr Brain Res. 1997;5:137–150.Google Scholar
24. Klosterkötter, J, Hellmich, M, Steinmeyer, EM, Schultze-Lutter, F. Diagnosing schizophrenia in the initial prodromal phase. Arch Gen Psychiatry. 2001;58:158–164.CrossRefGoogle ScholarPubMed
25. Wieneke, A, Schultz-Lutter, F, Picker, H, Steinmeyer, EM, Klosterkötter, J. The Schizophrenia Prediction Instrument (SPI-A): first preliminary results of the evaluation study. Schizophr Res. 2002;53:37.Google Scholar
24. Addington, J. The prodromal stage of psychotic illness: observation, detection, or intervention? J Psychiatry Neurosci. 2003;28:93–97.Google ScholarPubMed
25. McGorry, PD, Yung, A, Phillips, L et al. Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms. Arch Gen Psychiatry. 2002;59:921–928.CrossRefGoogle Scholar
26. Woods, SW, Breier, A, Zipursky, RB et al. Randomized trial of olanzapine vs placebo in the symptomatic treatment of patients meeting criteria for the schizophrenic prodrome. Biol Psychiatry. 2003;54:453–464.CrossRefGoogle Scholar
14
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

The Diagnosis and Assessment of Individuals Prodromal for Schizophrenic Psychosis
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

The Diagnosis and Assessment of Individuals Prodromal for Schizophrenic Psychosis
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

The Diagnosis and Assessment of Individuals Prodromal for Schizophrenic Psychosis
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *