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一个新的尺度用于查儿童早期精神病症状

Marie-Noëlle Babinet¹, Caroline Demily², George A Michael³

¹Centre de Rérence Maladies Rares Troubles du Comportement d'Origine Génétique (GénoPsy Lyon), Centre d'excellence Autisme iMIND, Centre Hospitalier Le Vinatier, UMR 5229, CNRS & Université Lyon 1, 95 Boulevard Pinel, Bron 69500, France; Unité de Recherche Étude des Mécanismes Cognitifs, Université Lumière Lyon 2, Université de Lyon, 5 avenue Pierre Mendes-France, Bron 69676 CEDEX, France.

Psychiatry research

|August 20, 2023

概括

一个新的尺度,早期精神病症状查尺度 (EPSy),有效地识别儿童精神病的早期迹象. 2岁时出现的症状预测了以后的发育轨迹,有助于早期临床干预.

科学领域:

儿童和青少年精神病学
发展心理学发展心理学
心理病理学心理病理学

背景情况:

早期识别儿童精神病症状对于及时干预至关重要.
童年精神病中的前兆症状需要经过验证的查工具.
了解早期精神病症状的发育轨迹在临床上具有重要意义.

研究的目的:

为4-13岁儿童开发和验证早期精神病症状查量表 (EPSy).
用两个EPSy版本评估2岁时的当前行为和回顾性行为.
调查2岁到目前年龄的早期精神病症状的存在和演变.

主要方法:

开发了早期精神病症状查尺度 (EPSy),有两个版本 (当前和2岁).
对EPSy进行因子分析,以确定核心症状的尺寸.
对尺度可靠性和有效性的心理测量评估.
从2岁到当前年龄的症状得分的纵向分析.

主要成果:

在EPSy尺度确定了三个关键因素:不信任/偏执,感知偏差/幻觉,和混乱的症状.
这个天平表现出良好的心理测量特性.
两年前的EPSy版本的分数显著预测了当前年龄版本的分数,无论是总分数还是个别因素.
症状可以在2岁和当前年龄描述,区分对照,精神病和非精神病儿童.

结论:

早期精神病症状查尺度 (EPSy) 是评估儿童早期精神病症状的有效和可靠工具.
2岁时精神病的早期迹象预示着后来的症状呈现.
通过在不同发育阶段进行详细的症状评估,EPSy提供了临床实用性.

关键词:

孩子孩子孩子孩子孩子孩子早期的精神病症状精神病症状心理测量分析心理测量分析查规模的查规模.

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