At risk mental state

At risk mental state is the clinical presentation of those considered at risk of developing psychosis or schizophrenia.[1] Such states were formerly considered treated as prodromes, emerging symptoms of psychosis, but this view is no longer prevalent as a prodromal period can not be confirmed unless the emergence of the condition has occurred.

The original specialist service for those with subclinical symptoms of psychosis was The Pace Clinic[2] in Melbourne, Australia.[3] Other clinics have since developed around the world.[4][5][6][7]

There has been some considerable development of how the concept can be applied clinically.[8][9][10][11]

Assessed during the structured interview developed by PACE.[12]

See also

References

  1. Yung AR, McGorry PD, McFarlane CA, Jackson HJ, Patton GC, Rakkar A (1996). "Monitoring and care of young people at incipient risk of psychosis". Schizophr Bull 22 (2): 283–303. doi:10.1093/schbul/22.2.283. PMID 8782287.
  2. http://www.orygen.org.au/contentPage.asp?pageCode=ATRISK#paceclin
  3. Yung AR, McGorry PD, McFarlane CA, Jackson HJ, Patton GC, Rakkar A (1996). "Monitoring and care of young people at incipient risk of psychosis". Schizophr Bull 22 (2): 283–303. doi:10.1093/schbul/22.2.283. PMID 8782287.
  4. Broome MR, Woolley JB, Johns LC; et al. (August 2005). "Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state". Eur. Psychiatry 20 (5-6): 372–8. doi:10.1016/j.eurpsy.2005.03.001. PMID 16171652.
  5. PRIME
  6. (COPE)
  7. Emory University
  8. Yung AR, Phillips LJ, Yuen HP; et al. (March 2003). "Psychosis prediction: 12-month follow up of a high-risk ("prodromal") group". Schizophr. Res. 60 (1): 21–32. doi:10.1016/S0920-9964(02)00167-6. PMID 12505135.
  9. McGorry PD, Yung AR, Phillips LJ; et al. (October 2002). "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 59 (10): 921–8. doi:10.1001/archpsyc.59.10.921. PMID 12365879.
  10. Morrison AP, French P, Parker S; et al. (May 2007). "Three-year follow-up of a randomized controlled trial of cognitive therapy for the prevention of psychosis in people at ultrahigh risk". Schizophr Bull 33 (3): 682–7. doi:10.1093/schbul/sbl042. PMC 2526150. PMID 16973786.
  11. Schäfer Amminger, Papageorgiou Harrigan, Cotton McGorry, Berger (2008). "Indicated Prevention of Psychotic Disorders with Long-Chainomega-3 Fatty Acids: A Randomized, Placebo-Controlled Trial". Schizophrenia Research 102: 252. doi:10.1016/s0920-9964(08)70758-8.
  12. Yung AR, Yuen HP, McGorry PD; et al. (2005). "Mapping the onset of psychosis: the Comprehensive Assessment of At-Risk Mental States". Aust N Z J Psychiatry 39 (11-12): 964–71. doi:10.1111/j.1440-1614.2005.01714.x. PMID 16343296.


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