DSM-5: ATTENUATED PSYCHOSIS SYNDROME?

Psychotic syndrome includes several devastating mental disorders characterized by a rupture of higher mental functions. The signs and symptoms of psychosis begin in adolescence or early adulthood and usually begin gradually and progress over time. Attenuated psychosis syndrome is a new DSM-5 diagnos...

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Main Authors: Eduardo Fonseca-Pedrero, Mercedes Paino, David Fraguas
Format: Article
Language:English
Published: Spanish Psychological Association (Colegio Oficial de Psicólogos) 2013-09-01
Series:Papeles del Psicólogo
Subjects:
Online Access:http://www.papelesdelpsicologo.es/english/2278.pdf
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author Eduardo Fonseca-Pedrero
Mercedes Paino
David Fraguas
author_facet Eduardo Fonseca-Pedrero
Mercedes Paino
David Fraguas
author_sort Eduardo Fonseca-Pedrero
collection DOAJ
description Psychotic syndrome includes several devastating mental disorders characterized by a rupture of higher mental functions. The signs and symptoms of psychosis begin in adolescence or early adulthood and usually begin gradually and progress over time. Attenuated psychosis syndrome is a new DSM-5 diagnostic proposal which deals with identifying people at high-risk mental state (ARMS/UHR) which may be a predictor of conversion to psychosis. The potential benefit would be that if psychotic disorder is treated more effectively in its early stages, it could produce a lasting beneficial effect that probably could not be achieved with later intervention. This syndrome has generated intense discussion in specialized scientific and professional forums, crisscrossing arguments in favor and against its inclusion. HRMS is preferentially evaluated in the adolescent or young adult population. HRMS evolution is associated with a higher rate of transition toward nonaffective psychosis, although it can evolve toward other mental disorders, remain stable or remit over time. Empirical evidence shows that early intervention seems to have a certain beneficial effect, although for now the results are still insufficient and contradictory. The lack of specificity of symptoms in predicting psychosis, presence of certain limitations (e.g., stigmatization), results found in early interventions and lack of empirical evidence, have led to include the attenuated psychosis syndrome in the DSM-5 Appendix III. The main benefits and limitations of including this supposed category, possible lessons learned from this type of study and future lines of action are discussed in the light of these findings.
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spelling doaj.art-b1eaeabf9c944e998e5432dba36766132022-12-21T22:45:01ZengSpanish Psychological Association (Colegio Oficial de Psicólogos)Papeles del Psicólogo0214-78231886-14152013-09-01343190207DSM-5: ATTENUATED PSYCHOSIS SYNDROME?Eduardo Fonseca-Pedrero0Mercedes Paino1David Fraguas2University of La Rioja, Mental Health Network Biomedical Research Center (CIBERSAM)University of Oviedo, Mental Health Network Biomedical Research Center (CIBERSAM)Gregorio Marañón HospitalPsychotic syndrome includes several devastating mental disorders characterized by a rupture of higher mental functions. The signs and symptoms of psychosis begin in adolescence or early adulthood and usually begin gradually and progress over time. Attenuated psychosis syndrome is a new DSM-5 diagnostic proposal which deals with identifying people at high-risk mental state (ARMS/UHR) which may be a predictor of conversion to psychosis. The potential benefit would be that if psychotic disorder is treated more effectively in its early stages, it could produce a lasting beneficial effect that probably could not be achieved with later intervention. This syndrome has generated intense discussion in specialized scientific and professional forums, crisscrossing arguments in favor and against its inclusion. HRMS is preferentially evaluated in the adolescent or young adult population. HRMS evolution is associated with a higher rate of transition toward nonaffective psychosis, although it can evolve toward other mental disorders, remain stable or remit over time. Empirical evidence shows that early intervention seems to have a certain beneficial effect, although for now the results are still insufficient and contradictory. The lack of specificity of symptoms in predicting psychosis, presence of certain limitations (e.g., stigmatization), results found in early interventions and lack of empirical evidence, have led to include the attenuated psychosis syndrome in the DSM-5 Appendix III. The main benefits and limitations of including this supposed category, possible lessons learned from this type of study and future lines of action are discussed in the light of these findings.http://www.papelesdelpsicologo.es/english/2278.pdfRiskSchizophreniaVulnerabilityPsychosEvaluation.
spellingShingle Eduardo Fonseca-Pedrero
Mercedes Paino
David Fraguas
DSM-5: ATTENUATED PSYCHOSIS SYNDROME?
Papeles del Psicólogo
Risk
Schizophrenia
Vulnerability
Psychos
Evaluation.
title DSM-5: ATTENUATED PSYCHOSIS SYNDROME?
title_full DSM-5: ATTENUATED PSYCHOSIS SYNDROME?
title_fullStr DSM-5: ATTENUATED PSYCHOSIS SYNDROME?
title_full_unstemmed DSM-5: ATTENUATED PSYCHOSIS SYNDROME?
title_short DSM-5: ATTENUATED PSYCHOSIS SYNDROME?
title_sort dsm 5 attenuated psychosis syndrome
topic Risk
Schizophrenia
Vulnerability
Psychos
Evaluation.
url http://www.papelesdelpsicologo.es/english/2278.pdf
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