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Diagnosis and Evaluation of Hallucinations and Other Psychotic Symptoms in Children and Adolescents

机译:儿童和青少年的幻觉和其他精神病症状的诊断和评估

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摘要

Recognizing positive psychotic symptoms and their diagnostic context in youth is challenging. A large minority say they "hear things others do not hear," though they seldom present with complaints of hallucinations or delusions. Few have schizophrenia spectrum disorder, but many have other psychiatric disorders. Frequently, they have psychotic symptoms for an extended period before diagnosis. Clinicians should understand psychotic symptoms and their differential diagnoses. This article reviews the epidemiology, associated diagnoses, and prognosis of hallucinations and delusions in youth. Strategies for optimizing the clinical diagnostic interview, appropriate laboratory tests, indications for psychological testing, and rating scales are reviewed.
机译:在年轻人中认识到积极的精神病性症状及其诊断背景是具有挑战性的。尽管他们很少出现幻觉或妄想的抱怨,但仍有少数人说他们“听到别人听不到的东西”。很少有精神分裂症谱系障碍,但许多患有其他精神病性障碍。通常,他们在诊断之前会长期患有精神病症状。临床医生应了解精神病症状及其鉴别诊断。本文回顾了青少年的幻觉和妄想的流行病学,相关的诊断和预后。审查了优化临床诊断面试的策略,适当的实验室测试,心理测试的适应症以及评分量表。

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