Positive psychotic symptoms in childhood and adolescence. (June 2022)

• Record Type: Journal Article
• Authors: Schultze-Lutter, Frauke; Kindler, Jochen; Ambarini, Tri Kurniati; Michel, Chantal
• Is Part Of: Current opinion in psychology. Volume 45(2022)
• Publication Date: 2022-06
• Subjects: Psychosis -- Positive symptoms -- Children and adolescence -- Development -- Diagnosis; AOP adult-onset psychosis -- APS attenuated psychotic symptoms -- CHR clinical high-risk of psychosis -- COP childhood-onset psychosis -- EOP early-onset psychosis -- OR odds ratio -- PLE psychotic-like experiences -- PPS full-blown positive psychotic symptoms; Psychology -- Periodicals; 150.5
• DOI: 10.1016/j.copsyc.2021.11.007
• Languages: English
• ISSNs: 2352-250X

Abstract

Abstract: Based on the assumption of a universal neurodevelopmental model of psychosis, especially of the schizophrenia spectrum, the diagnosis (and treatment) of psychosis in minors commonly follows those in adults. Yet, as our review demonstrates, recent years have seen an emergence of studies of minors indicating that developmental aspects may play a crucial role in the prevalence and appraisal of diagnostically relevant positive psychotic symptoms in their full-blown and subthreshold forms, including neurobiogenetic and other risk factors, such as migration. Thus, caution is advised to not overpathologize potentially transient and clinically irrelevant occurrence of (subthreshold) positive psychotic symptoms in the diagnosis and treatment of psychotic disorders and their clinical high-risk states in minors. More studies on developmental aspects are urgently needed.