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.2012;2(4):345-353.
doi: 10.2217/npy.12.36.

Attenuated psychosis and the schizophrenia prodrome: current status of risk identification and psychosis prevention

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Attenuated psychosis and the schizophrenia prodrome: current status of risk identification and psychosis prevention

Neeraj Tandon et al. Neuropsychiatry (London).2012.

Abstract

Recent efforts in the prevention of schizophrenia have focused on defining psychosis-risk syndromes and evaluating treatments that can prevent transition to psychosis in these ultra-high risk groups. In this review, different kinds of prevention approaches are enumerated and necessary conditions for a disease-prevention strategy are summarized. The broad overlap as well as the significant difference between a schizophrenia prodrome and a 'psychosis-risk syndrome' is discussed and the present status of approaches to identify individuals at increased risk for developing psychosis and schizophrenia are critically examined along with evaluations on therapeutic interventions to reduce these risks. Finally, to conclude, recommendations for current best clinical practice and key questions for the future are suggested.

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Conflict of interest statement

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Figures

Figure 1
Figure 1. Schizophrenia prodrome and ultra-high risk states
Multiple pathways to schizophrenia and multiple outcomes of UHR states. UHR: Ultra high-risk.
See this image and copyright information in PMC

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References

    1. Tandon R, Keshavan MS, Nasrallah HA. Schizophrenia, ‘just the facts’: what we know in 2008. Part 1: overview. Schizophr. Res. 2008;100(1–3):4–19. - PubMed
    1. Insel TR. Rethinking schizophrenia. Nature. 2010;468(7321):187–193. - PubMed
    1. Tandon R, Nasrallah HA, Keshavan MS. Schizophrenia, ‘just the facts’ 4. Clinical features and conceptualization. Schizophr. Res. 2009;110(1–3):1–23. - PubMed
    1. Marshall M, Lewis SW, Lockwood A, et al. Association between duration of untreated psychosis and outcome in cohorts of first-episode patients. Arch. Gen. Psychiatry. 2005;62(9):975–983. - PubMed
    1. McGorry PD, Nelson B, Amminger GP, et al. Intervention in individuals at ultra-high risk for psychosis: a review and future directions. J. Clin. Psychiatr. 2009;70:1206–1212. - PubMed

Website

    1. American Psychiatric Association. DSM-5 Progress. 2012www.dsm5.org. ▪▪ The current status of the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition proposals are provided on this site and regular updates are provided. Currently, ‘Attenuated Psychosis Syndrome’ is slated to be included in section three or the appendix of the manual, as a condition needing further study.

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