摘要
符合轻微精神病综合征(attenuated psychosis syndrome,APS)标准的个体具有独有的特征,越来越多的文献认为对符合APS标准的个体提供服务在临床上能获益,因而APS的诊断在精神病学中有着重要作用,但过去却被忽视了。推行这一诊断将有助于减少对具有前驱期精神病性状态个体的过度诊断和治疗。因为青少年是被诊断为APS的主要群体,所以也应鼓励那些主要为青少年服务的医生接受关于轻微精神病综合征的全面培训。虽然只有一部分APS个体最终会发展为精神病,但是临床上所有的APS个体都需要得到帮助——无论他们的转归如何。DSM-5正式列出APS,这将有利于开展如何识别这类个体的临床需求以及如何满足这些需求的研究。
Summary： Given the unique characteristics of people who meet criteria for attenuated psychosis syndrome （APS） and the growing literature on the clinical benefits of providing services to individuals who meet these criteria, the APS diagnosis serves an important, and previously missing, role in psychiatry. The promotion of the APS diagnosis should help reduce the over-diagnosis and over-treatment of individuals with prodromal psychotic conditions and it should also encourage expanded training about attenuated psychosis among clinicians who primarily provide services to youth （a primary group who are diagnosed with APS）. Only some of the individuals with APS subsequently develop psychosis, but all have existing clinical needs - regardless of subsequent conversion. The formal recognition of APS in DSM-5 will facilitate the research needed to identify and meet those needs.
出处
《上海精神医学》
CSCD
2015年第1期48-51,共4页
Shanghai Archives of Psychiatry
基金
supported in part by funding from the Mental Hygiene Administration of the Maryland Department of Health and Mental Hygiene to the Center for Excellence on Early Intervention for Serious Mental Illness(OPASS#14-13717G/M00B4400241)
关键词
精神病
综合征
减毒
利益
临床医生
APS
诊断
服务
attenuated psychosis syndrome
schizophrenia
diagnosis
mental disorder
DSM-5
