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Childhood-onset schizophrenia: editors' introduction
1Dept. of Psychiatry, University of California at Los Angeles 90024.
Schizophrenia Bulletin
|January 1, 1994
Summary
Childhood schizophrenia diagnostic criteria have evolved, distinguishing it from autism and developmental disabilities. Current research utilizes established criteria like DSM-III for diagnosing schizophrenia in children.
Area of Science:
- Child and Adolescent Psychiatry
- Psychotic Disorders
Background:
- Historical descriptions of childhood psychosis parallel adult presentations.
- Early concepts of childhood schizophrenia encompassed a wide range of conditions, including autism.
Purpose of the Study:
- To review the evolution of diagnostic criteria for childhood schizophrenia.
- To outline the current diagnostic approaches used in recent studies.
Main Methods:
- Historical literature review of diagnostic constructs.
- Analysis of diagnostic criteria evolution across major classification systems (DSM, ICD).
Main Results:
- The diagnosis of "childhood schizophrenia" initially included conditions now recognized as autism and developmental disabilities.
- A significant diagnostic shift occurred in the 1970s, differentiating autism from childhood-onset schizophrenia.
- Current diagnostic practices, as reflected in the studies, align with DSM-III, DSM-III-R, or ICD-9 criteria.
Conclusions:
- Diagnostic criteria for childhood schizophrenia have undergone substantial revision.
- Modern approaches emphasize differentiating childhood schizophrenia from other developmental disorders.
- Consistency in applying established criteria (DSM-III, DSM-III-R, ICD-9) is crucial for current research.