已发表论文

出现分裂症初发的减毒的精神病症状的人的社会角色的功能与应对:对三名在临床上具有患精神病的高风险的中国妇女的病例研究

 

Authors Zhang TH, Li HJ, Woodberry KA, Seidman LJ, Chow A, Xiao ZP, Wang JJ

Published Date July 2015 Volume 2015:11 Pages 1647—1654

DOI http://dx.doi.org/10.2147/NDT.S85654

Received 29 March 2015, Accepted 6 May 2015, Published 6 July 2015

Approved for publication by Professor Wai Kwong Tang

Abstract: Clinical high risk of psychosis is defined as the period in which the first signs of psychotic symptoms begin to appear. During this period, there is an increased probability of developing frank psychosis. It is crucial to investigate the interaction between psychotic symptoms and the individual’s personality and life experiences in order to effectively prevent, or delay the development of psychosis. This paper presents case reports of three Chinese female subjects with attenuated positive symptoms, attending their initial outpatient assessment in a mental health service, and their longitudinal clinical outcomes. Information regarding each subject’s symptoms and life stressors was collected at 2-month intervals over a 6-month period. The assessments indicated that these women were suffering from the recent onset of symptoms in different ways. However, all three hid their symptoms from others in their school or workplace, and experienced a decline in performance related to their social roles and in their daily functioning. They were often excluded from the social groups to which they had previously belonged. A decline in social activities may be a risk factor in the development of psychosis and a mediator of functional sequelae in psychosis. Effective treatment strategies may include those that teach individuals to gain insights related to their symptoms and a service that provides a context in which individuals can discuss their psychotic symptoms.
Keywords: prodromal psychosis, ultra high risk, follow-up, functional sequelae, transition