Abstract
Attenuated psychosis syndromes (APS) is defined as a high-risk state with an increased probability of developing a frank psychosis. It is crucial to investigate psychosis risk states in Chinese youth, including APS, in order to better understand characteristic features like psychotic-spectrum symptoms and the complexity of an individual’s real-life experience. In 2012, the “Shanghai At Risk for Psychosis (SHARP)” program was launched at the Shanghai Mental Health Center (SMHC), the largest outpatient mental health clinic in China. Here, we present both epidemiological data from this program and offer an APS case to illustrate the complexity and some common features of APS in China.
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References
Addington, J., Cadenhead, K. S., Cannon, T. D., Cornblatt, B., McGlashan, T. H., Perkins, D. O., … Heinssen, R. (2007). North American Prodrome Longitudinal Study: A collaborative multisite approach to prodromal schizophrenia research. Schizophrenia Bulletin, 33(3), 665–672.
Addington, J., Cornblatt, B. A., Cadenhead, K. S., Cannon, T. D., McGlashan, T. H., Perkins, D. O., … Heinssen, R. (2011). At clinical high risk for psychosis: Outcome for nonconverters. American Journal of Psychiatry, 168(8), 800–805.
Addington, J., Epstein, I., Liu, L., French, P., Boydell, K. M., & Zipursky, R. B. (2011). A randomized controlled trial of cognitive behavioral therapy for individuals at clinical high risk of psychosis. Schizophrenia Research, 125(1), 54–61.
Allen, P., Chaddock, C. A., Howes, O. D., Egerton, A., Seal, M. L., Fusar-Poli, P., … McGuire, P. K. (2012). Abnormal relationship between medial temporal lobe and subcortical dopamine function in people with an ultra high risk for psychosis. Schizophrenia Bulletin, 38(5), 1040–1049.
Amminger, G. P., Schafer, M. R., Papageorgiou, K., Klier, C. M., Cotton, S. M., Harrigan, S. M., … Berger, G. E. (2010). Long-chain omega-3 fatty acids for indicated prevention of psychotic disorders: A randomized, placebo-controlled trial. Archives of General Psychiatry, 67(2), 146–154.
Bechdolf, A., Wagner, M., Ruhrmann, S., Harrigan, S., Putzfeld, V., Pukrop, R., … Klosterkotter, J. (2012). Preventing progression to first-episode psychosis in early initial prodromal states. British Journal of Psychiatry, 200(1), 22–29.
Cannon, T. D., Cadenhead, K., Cornblatt, B., Woods, S. W., Addington, J., Walker, E., … Heinssen, R. (2008). Prediction of psychosis in youth at high clinical risk: A multisite longitudinal study in North America. Archives of General Psychiatry, 65(1), 28–37.
Cannon, T. D., Yu, C., Addington, J., Bearden, C. E., Cadenhead, K. S., Cornblatt, B. A., … Kattan, M. W. (2016). An individualized risk calculator for research in prodromal psychosis. American Journal of Psychiatry, 173(10), 980–988.
Faraone, S. V., Chen, W. J., Goldstein, J. M., & Tsuang, M. T. (1994). Gender differences in age at onset of schizophrenia. The British Journal of Psychiatry, 164(5), 625–629.
Fusar-Poli, P., Byrne, M., Valmaggia, L., Day, F., Tabraham, P., Johns, L., & McGuire, P. (2010). Social dysfunction predicts two years clinical outcome in people at ultra high risk for psychosis. Journal of Psychiatry Research, 44(5), 294–301.
Fusar-Poli, P., Byrne, M., Badger, S., Valmaggia, L. R., & McGuire, P. K. (2012). Outreach and support in South London (OASIS), 2001–2011: Ten years of early diagnosis and treatment for young individuals at high clinical risk for psychosis. European Psychiatry, 28(5), 315–326.
Hafner, H., Maurer, K., Loffler, W., & Riecher-Rossler, A. (1993). The influence of age and sex on the onset and early course of schizophrenia. British Journal of Psychiatry, 162, 80–86.
Kline, E., Thompson, E., Schimunek, C., Reeves, G., Bussell, K., Pitts, S. C., & Schiffman, J. (2013). Parent-adolescent agreement on psychosis risk symptoms. Schizophrenia Research, 147(1), 147–152.
Klosterkotter, J., Hellmich, M., Steinmeyer, E. M., & Schultze-Lutter, F. (2001). Diagnosing schizophrenia in the initial prodromal phase. Archives of General Psychiatry, 58(2), 158–164.
Koutsouleris, N., Davatzikos, C., Bottlender, R., Patschurek-Kliche, K., Scheuerecker, J., Decker, P., … Meisenzahl, E. M. (2012). Early recognition and disease prediction in the at-risk mental states for psychosis using neurocognitive pattern classification. Schizophreia Bulletin, 38(6), 1200–1215.
Loewy, R. L., Bearden, C. E., Johnson, J. K., Raine, A., & Cannon, T. D. (2005). The prodromal questionnaire (PQ): Preliminary validation of a self-report screening measure for prodromal and psychotic syndromes. Schizophrenia Research, 79(1), 117–125.
Miller, T. J., McGlashan, T. H., Woods, S. W., Stein, K., Driesen, N., Corcoran, C. M., … Davidson, L. (1999). Symptom assessment in schizophrenic prodromal states. Psychiatric Quarterly, 70(4), 273–287.
Miller, T. J., McGlashan, T. H., Rosen, J. L., Somjee, L., Markovich, P. J., Stein, K., & Woods, S. W. (2002). Prospective diagnosis of the initial prodrome for schizophrenia based on the Structured Interview for Prodromal Syndromes: Preliminary evidence of interrater reliability and predictive validity. American Journal of Psychiatry, 159(5), 863–865.
Miller, T. J., McGlashan, T. H., Rosen, J. L., Cadenhead, K., Cannon, T., Ventura, J., … Woods, S. W. (2003). Prodromal assessment with the structured interview for prodromal syndromes and the scale of prodromal symptoms: Predictive validity, interrater reliability, and training to reliability. Schizophrenia Bulletin, 29(4), 703–715.
Morrison, A. P., Stewart, S. L., French, P., Bentall, R. P., Birchwood, M., Byrne, R., … Dunn, G. (2011). Early detection and intervention evaluation for people at high-risk of psychosis-2 (EDIE-2): Trial rationale, design and baseline characteristics. Early Intervention in Psychiatry, 5(1), 24–32.
Nelson, B., Yuen, K., & Yung, A. R. (2011). Ultra high risk (UHR) for psychosis criteria: Are there different levels of risk for transition to psychosis? Schizophrenia Research, 125(1), 62–68.
Rauchensteiner, S., Kawohl, W., Ozgurdal, S., Littmann, E., Gudlowski, Y., Witthaus, H., … Juckel, G. (2011). Test-performance after cognitive training in persons at risk mental state of schizophrenia and patients with schizophrenia. Psychiatry Research, 185(3), 334–339.
Schultze-Lutter, F., Ruhrmann, S., Berning, J., Maier, W., & Klosterkotter, J. (2010). Basic symptoms and ultrahigh risk criteria: Symptom development in the initial prodromal state. Schizophrenia Bulletin, 36(1), 182–191.
Shim, G., Kang, D. H., Choi, J. S., Jung, M. H., Kwon, S. J., Jang, G. E., & Kwon, J. S. (2008). Prospective outcome of early intervention for individuals at ultra-high-risk for psychosis. Early Intervention in Psychiatry, 2(4), 277–284.
Simon, A. E., & Umbricht, D. (2010). High remission rates from an initial ultra-high risk state for psychosis. Schizophrenia Research, 116(2–3), 168–172.
Simon, A. E., Velthorst, E., Nieman, D. H., Linszen, D., Umbricht, D., & de Haan, L. (2012). Ultra high-risk state for psychosis and non-transition: A systematic review. Schizophrenia Research, 132(1), 8–17.
Walker, E. F., Cornblatt, B. A., Addington, J., Cadenhead, K. S., Cannon, T. D., McGlashan, T. H., … Heinssen, R. (2009). The relation of antipsychotic and antidepressant medication with baseline symptoms and symptom progression: A naturalistic study of the North American Prodrome Longitudinal Sample. Schizophrenia Research, 115(1), 50–57.
Wang, L., Shi, J., Chen, F., Yao, Y., Zhan, C., Yin, X., … Zhao, X. (2015). Family perception and 6-month symptomatic and functioning outcomes in young adolescents at clinical high risk for psychosis in a general population in China. PLoS One, 10(9), e0138361.
Xu, L., Zhang, T., & Wang, J. (2015). Psychosis risk syndrome is not prodromal psychosis. Shanghai Archives of Psychiatry, 27(1), 42–44.
Yung, A. R., Phillips, L. J., McGorry, P. D., McFarlane, C. A., Francey, S., Harrigan, S., … Jackson, H. J. (1998). Prediction of psychosis. A step towards indicated prevention of schizophrenia. British Journal of Psychiatry Supplement, 172(33), 14–20.
Yung, A. R., Yuen, H. P., McGorry, P. D., Phillips, L. J., Kelly, D., Dell’Olio, M., … Buckby, J. (2005). Mapping the onset of psychosis: The Comprehensive Assessment of At-Risk Mental States. Australian and New Zealand Journal of Psychiatry, 39(11–12), 964–971.
Yung, A. R., Buckby, J. A., Cosgrave, E. M., Killackey, E. J., Baker, K., Cotton, S. M., & McGorry, P. D. (2007). Association between psychotic experiences and depression in a clinical sample over 6 months. Schizophrenia Research, 91(1–3), 246–253.
Yung, A. R., McGorry, P. D., Francey, S. M., Nelson, B., Baker, K., Phillips, L. J., … Amminger, G. P. (2007). PACE: A specialised service for young people at risk of psychotic disorders. Medical Journal of Australia, 187(7 Suppl), S43–S46.
Yung, A. R., Yuen, H. P., Berger, G., Francey, S., Hung, T. C., Nelson, B., … McGorry, P. (2007). Declining transition rate in ultra high risk (prodromal) services: Dilution or reduction of risk? Schizophrenia Bulletin, 33(3), 673–681.
Zhang, T., Li, H., Woodberry, K. A., Seidman, L. J., Zheng, L., Li, H., … Wang, J. (2014). Prodromal psychosis detection in a counseling center population in China: An epidemiological and clinical study. Schizophrenia Research, 152(2–3), 391–399.
Zhang, T., Li, H., Stone, W. S., Woodberry, K. A., Seidman, L. J., Tang, Y., … Wang, J. (2015). Neuropsychological impairment in prodromal, first-episode, and chronic psychosis: Assessing RBANS performance. PLoS One, 10(5), e0125784.
Zhang, T., Li, H., Woodberry, K. A., Seidman, L. J., Chow, A., Xiao, Z., & Wang, J. (2015). Interaction of social role functioning and coping in people with recent-onset attenuated psychotic symptoms: A case study of three Chinese women at clinical high risk for psychosis. Neuropsychiatry Disease and Treatment, 11, 1647–1654.
Zhang, T., Yi, Z., Li, H., Cui, H., Tang, Y., Lu, X., … Wang, J. (2016). Faux pas recognition performance in a help-seeking population at clinical high risk of psychosis. European Archives of Psychiatry and Clinical Neuroscience, 266(1), 71–78.
Zheng, L., Wang, J., Zhang, T., Li, H., Li, C., & Jiang, K. (2012). The Chinese version of the SIPS/SOPS: A pilot study of reliability and validity. Chinese Mental Health Journal, 26(8), 571–576.
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Zhang, T., Shapiro, D.I., Wang, J. (2019). Attenuated Psychosis Syndromes Among Youth and Young Adults in China: Early Identification and Intervention. In: Li, H., Shapiro, D.I., Seidman, L.J. (eds) Handbook of Attenuated Psychosis Syndrome Across Cultures. Springer, Cham. https://doi.org/10.1007/978-3-030-17336-4_16
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DOI: https://doi.org/10.1007/978-3-030-17336-4_16
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