Heterogeneity in assessing the risk of developing a psychotic disorder given a previous subclinical psychotic-like experience in children and adolescents: A systematic review and meta-analysis

被引:0
|
作者
Burton, Isaiah J. [1 ]
Tibbo, Philip G. [1 ,2 ,3 ]
Ponto, Nicole [4 ]
Crocker, Candice E. [1 ,5 ]
机构
[1] Dalhousie Univ, QEII Hlth Sci Ctr, Dept Psychiat, 5909 VeteransMemorial Lane, 8th Floor, Abbie J Lan, Halifax, NS B3H 2E2, Canada
[2] Early Psychosis Intervent Nova Scotia EPINS, Nova Scotia Hlth Author, 5909 Veterans Memorial Lane, Halifax, NS B3H 2E2, Canada
[3] Dalhousie Univ, Life Sci Ctr, Dept Psychol & Neurosci, 6287 Alumni Crescent,3 Floor, Halifax, NS B3H 4R2, Canada
[4] Dalhousie Univ, Dept Med Neurosci, Sir Charles Tupper Med Bldg 5850 Coll St, Halifax, NS B3H 4R2, Canada
[5] Dalhousie Univ, Dept Diagnost Radiol, Victoria Bldg,1276 South Pk St, Halifax, NS B3H 2Y9, Canada
关键词
Non-clinical; Psychosis; Psychosis proneness; Psychotic experience; Risk identification; Schizophrenia; Schizoaffective disorder; Subclinical psychotic symptom; Youth mental health; GENERAL-POPULATION; COMMUNITY SAMPLE; SYMPTOMS; HALLUCINATIONS; SCHIZOPHRENIA; CHILDHOOD; OUTCOMES; AGE;
D O I
10.1016/j.psychres.2024.116207
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Psychotic-like experiences (PLEs) are common in the general population. Child and adolescent PLEs are the most prevalent and linked with future psychotic disorders. Significant heterogeneity in PLE assessment has obscured its clinical utility to identify psychosis-prone trajectories and improve clinical outcomes. This meta-analysis aimed to assess i) PLE prevalence in children and adolescents and ii) their relationship with subsequent psychotic disorder while exploring sources of heterogeneity. PubMed, Embase, PsycINFO, and CINAHL databases were searched in August 2023 for population-based longitudinal studies that assessed child or adolescent PLEs and early adulthood psychotic outcomes. Six studies were included (n = 16,560), showing a pooled PLE prevalence of 17.3%. Child and adolescent PLEs were associated with an increased risk of psychotic disorder in early adulthood (unadjusted OR = 3.80, 95 % CI: 2.31-6.26), with a population attributable fraction of 32.6 %. Significant heterogeneity in the strength of this relationship (I2 = 70 %, p = .01) was related to assessment type (self-report vs. interview). This review contends that interview-based PLE assessments could more accurately identify children or adolescents on a path towards psychosis and are better suited for psychotic risk identification. Further research is needed to elucidate interactions between PLEs and other psychotic risk factors.
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页数:9
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