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Dr. Lång et al. Reply.

Ulla Lång1, Ian Kelleher2

  • 1RCSI University of Medicine and Health Sciences, Dublin, Ireland; School of Medicine and Medical Sciences, University College Dublin, Ireland.

Journal of the American Academy of Child and Adolescent Psychiatry
|December 20, 2021
PubMed
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This study reviewed psychosis risk in youth with at-risk mental states (ARMS). Findings support developmentally sensitive approaches for assessing psychosis risk in children and adolescents.

Area of Science:

  • Child and Adolescent Psychiatry
  • Psychosis Risk Research
  • Mental Health Science

Background:

  • Psychotic experiences are more common in youth than adults.
  • Assessing psychosis risk requires age-specific considerations.
  • At-risk mental state (ARMS) is a key indicator for psychosis development.

Discussion:

  • Commenters agree on the need for developmentally sensitive approaches to assessing psychosis risk in youth.
  • Psychotic experiences are recognized as more common in children and adolescents than adults, with varying pathological significance.
  • A discrepancy arises from the suggestion to include adults in a pediatric-focused analysis.

Key Insights:

  • The systematic review and meta-analysis specifically focused on at-risk mental state (ARMS) in children and adolescents.

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  • Developmental sensitivity is crucial for understanding psychosis risk, as psychotic experiences differ across age groups.
  • The exclusion of adults from the pediatric analysis was a deliberate methodological choice.

    • Outlook:

    • Future research should continue to explore age-specific risk factors and protective mechanisms for psychosis.
    • Further investigation into the developmental pathways of psychotic experiences is warranted.
    • Continued dialogue on refining diagnostic criteria and assessment tools for at-risk mental states across the lifespan is essential.