At risk mental state explained

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

Notes and References

  1. Yung AR, McGorry PD, McFarlane CA, Jackson HJ, Patton GC, Rakkar A . Monitoring and care of young people at incipient risk of psychosis . Schizophr Bull . 22 . 2 . 283–303 . 1996 . 8782287 . 10.1093/schbul/22.2.283. free .
  2. Web site: ORYGEN Youth Health . 2011-08-04 . https://web.archive.org/web/20091024170333/http://www.orygen.org.au/contentPage.asp?pageCode=ATRISK#paceclin . 2009-10-24 . dead .
  3. 10.1093/schbul/22.2.283 . Yung AR, McGorry PD, McFarlane CA, Jackson HJ, Patton GC, Rakkar A . Monitoring and care of young people at incipient risk of psychosis . Schizophr Bull . 22 . 2 . 283–303 . 1996 . 8782287 . free .
  4. Broome MR, Woolley JB, Johns LC . 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 . August 2005 . 16171652 . 10.1016/j.eurpsy.2005.03.001 . 27207646 . etal.
  5. http://info.med.yale.edu/psych/clinics/prime/pintro.html PRIME
  6. http://www.copeclinic.org/The_COPE_Clinic_at_Columbia_Psychiatry.html (COPE)
  7. Web site: Emory University . 2011-08-04 . https://web.archive.org/web/20110722053413/http://www.psychology.emory.edu/clinical/walker/index.html . 2011-07-22 . dead .
  8. Yung AR, Phillips LJ, Yuen HP . Psychosis prediction: 12-month follow up of a high-risk ("prodromal") group . Schizophr. Res. . 60 . 1 . 21–32 . March 2003 . 12505135 . 10.1016/S0920-9964(02)00167-6. 31342026 . etal.
  9. etal. McGorry PD, Yung AR, Phillips LJ. 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. 10.1001/archpsyc.59.10.921. 12365879. free. 10536/DRO/DU:30151296. free.
  10. Morrison AP, French P, Parker S . 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 . May 2007 . 16973786 . 2526150 . 10.1093/schbul/sbl042. etal.
  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 . 1–3. 252 . 10.1016/s0920-9964(08)70758-8. 53301111 .
  12. Yung AR, Yuen HP, McGorry PD . Mapping the onset of psychosis: the Comprehensive Assessment of At-Risk Mental States . Aust N Z J Psychiatry . 39 . 11–12 . 964–71 . 2005 . 16343296 . 10.1080/j.1440-1614.2005.01714.x . 145477493 . etal.

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