정신증고위험군의 임상적 특성 및 진단

• 영문명: Ultra-High Risk for Psychosis : Clinical Characteristics and Diagnosis
• 발행기관: 대한신경정신의학회
• 저자명: 안석균(Suk Kyoon An)
• 간행물 정보: 『신경정신의학』제57권 제3호, 210~224쪽, 전체 15쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2018.08.31

영문 초록

Early detection is a crucial milestone in the prevention and treatment of schizophrenia spectrum psychosis, which might alter the course of schizophrenia. Currently, there are two complementary approaches to characterizing the clinical-high risk state of psychosis : the ultra-high risk (UHR) and basic symptoms criteria. Individuals at UHR have two phase-specific problems : heightened risk for the potential pathology of schizophrenia spectrum psychosis and the symptoms, distress and psychosocial functional impairment, which make them seek help. The clinical characteristics of UHR are similar to those of overt psychotic disorders in terms of psychopathological symptoms dimensions, psychosocial disability, neurocognitive and socio-cognitive impairments, history of trauma and abuse experience, lack of protective factors and dysfunctional metacognitive beliefs, and the comorbidity of psychiatric illness. Regarding the risk, the pretest risk probability of a psychotic disorder in each high-risk clinic is considered an important factor for predicting the power of an early detection strategy. For the distress and psychosocial disability, the strategies of the therapeutic intervention will be a focus of clinical attention. On the follow-up, one of third of the UHR individuals have sufficient positive symptom to fulfil the at-risk criteria. Most of the UHR individuals have suffered from comorbid psychiatric illness at the times of both baseline and follow-up, and there is no improvement of psychosocial functioning. Currently, it is essential to optimize the early detection and intervention strategy according to the referring and recruitment characteristics of each high-risk clinic in Korean practice situations.

목차

서론

고위험군 및 관련 용어의 개념

임상적고위험군의 단계-특이성

조기진단 전략

정신증고위험군의 임상 양상

임상적고위험군의 진단

정신증고위험군의 경과

결 론

키워드

Schizophrenia Ultra-high risk for psychosis Basic symptom Prodrome