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Citation |
Sikich L. Child Adolesc. Psychiatr. Clin. N. Am. 2013; 22(4): 655-673. |
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Copyright |
(Copyright © 2013, Elsevier Publishing) |
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DOI |
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PMID |
unavailable |
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Abstract |
Recognizing positive psychotic symptoms and their diagnostic context in youth is challenging. A large minority say they "hear things others do not hear," though they seldom present with complaints of hallucinations or delusions. Few have schizophrenia spectrum disorder, but many have other psychiatric disorders. Frequently, they have psychotic symptoms for an extended period before diagnosis. Clinicians should understand psychotic symptoms and their differential diagnoses. This article reviews the epidemiology, associated diagnoses, and prognosis of hallucinations and delusions in youth. Strategies for optimizing the clinical diagnostic interview, appropriate laboratory tests, indications for psychological testing, and rating scales are reviewed. © 2013 Elsevier Inc. Language: en |
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Keywords |
Humans; Risk Factors; adolescent; Child; human; Adolescent; domestic violence; child; Young Adult; prognosis; Psychiatric Status Rating Scales; Diagnosis, Differential; incidence; bipolar disorder; Schizophrenia; suicidal ideation; prevalence; Psychosis; schizophrenia; suicide attempt; Age of Onset; major depression; Prognosis; comorbidity; drug abuse; psychology; posttraumatic stress disorder; Schizophrenic Psychology; Family Health; Child Psychiatry; risk factor; review; Psychotic Disorders; substance abuse; disease association; differential diagnosis; behavior disorder; rating scale; child psychiatry; early diagnosis; automutilation; patient monitoring; priority journal; hallucination; childhood disease; delusion; psychiatric diagnosis; negative syndrome; psychiatric treatment; onset age; positive syndrome; adolescent disease; Delusions; psychological rating scale; Affective psychoses; family health; neurologic examination; speech disorder; patient assessment; Early Diagnosis; Hallucinations; Affective Disorders, Psychotic; Positive and Negative Syndrome Scale; procedures; Differential diagnosis; young adult; Benign hallucinations; Brief Psychiatric Rating Scale for Children; chromosome deletion 22q11; Diagnostic Techniques, Neurological; Early-onset schizophrenia |