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Predictors of later schizophrenia and affective psychosis among attendees at a child psychiatry department

机译:儿童精神病学部门参与者中晚期精神分裂症和情感性精神病的预测因子

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Background Schizophrenia has been linked with psychological problems in childhood but there is little information on precursors of affective psychosis. Aims To compare childhood psychological antecedents of adult schizophrenia and affective psychosis. Method Childhood item sheets, which give standardised information on signs and symptoms of mental illness in the year preceding assessment are completed for all attendees at the children's department of the Maudsley and Bethlem Royal Hospital. We examined item sheet data on individuals with an adult diagnosis of schizophrenia ( n =59) or affective psychosis ( n =27) and a comparison group with no adult mental illness ( n =86) (all had attended the department). Results Abnormal suspiciousness or sensitivity and relationship difficulties with peers are associated with later schizophrenia. In contrast, affective psychosis is associated with childhood hysterical symptoms and disturbances in eating. Conclusions Childhood psychological precursors for schizophrenia and affective psychosis differ and do not simply reflect non-specific psychiatric disturbance in adolescence.
机译:背景精神分裂症与儿童时期的心理问题有关,但关于情感性精神病前兆的信息很少。目的比较成人精神分裂症和情感性精神病的儿童心理前因。方法在Maudsley and Bethlem Royal Hospital儿童医院的所有参加者,均填写了儿童项目表,该表提供了评估前一年中精神疾病的体征和症状的标准化信息。我们检查了成年人诊断为精神分裂症(n = 59)或情感性精神病(n = 27)的个体和没有成年人精神疾病(n = 86)的比较组(均参加过该科)的项目表数据。结果异常的可疑性或敏感性以及与同伴的关系困难与以后的精神分裂症有关。相反,情感性精神病与儿童歇斯底里症状和进食障碍有关。结论精神分裂症和情感性精神病的儿童心理前兆有所不同,并且不能简单地反映青春期的非特异性精神障碍。

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