First-episode psychosis: a comparative review of diagnostic evolution and predictive variables in adolescents versus adults.

Autor: Menezes, Natasja M, Milovan, Eduard, Menezes, N M, Milovan, E
Předmět:
Zdroj: Canadian Journal of Psychiatry; Oct2000, Vol. 45 Issue 8, p710-716, 7p
Abstrakt: Objective: To review the diagnostic evolution and predictive variables of diagnosis and outcome in first-episode psychosis in adolescents (age 13-19 years) and adults.Method: Literature was reviewed through MEDLINE, Psycinfo, and PubMed, and supplemented by selected bibliographies.Results: First-episode psychosis in the adolescent population has greater diagnostic instability than in adults. We identified trends in the predictive variables of diagnosis and outcome: 1) Premorbid adjustment (that is, personality) in adolescents and Global Assessment of Functioning (GAF) both before and after first-episode psychosis in adolescents and adults are the best predictors of diagnosis; 2) GAF (before and after) is the best predictor of outcome in both adolescents and adults.Conclusion: Adolescent-onset psychosis appears to be in continuity with adult-onset psychosis. The greater diagnostic instability in adolescents and the absence of significant data on predictive variables suggest a need for specialized and continuous care and research in the adolescent population. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index