Guide Psychotic Continuum

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Contents:
  1. Can We Detect Psychotic-like Experiences in the General Population?
  2. European Journal of Psychiatry
  3. Psychosis : CONTINUUM: Lifelong Learning in Neurology

The evidence indicates reasonably high prevalence rates of psychotic experiences in the general population, substantially higher than the prevalence of psychotic disorders, and that they are associated with increased risk of future onset of diagnosable disorder, particularly when the experiences are persistent.

Can We Detect Psychotic-like Experiences in the General Population?

Psychotic experiences in the general population share an extensive range of risk factors with schizophrenia and therefore provide a useful phenotype in which to study the aetiology of clinical psychosis. Some types of psychotic experiences, such as paranoid ideas, bizarre thinking and perceptual abnormalities, may indicate a greater level of risk for psychotic disorder than other psychotic experiences, such as magical thinking.


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There is a need for research that further explores the interplay between psychotic experiences and other risk factors including psychological, environmental, neurocognitive and genetic factors in the evolution of psychotic disorder, the types of psychotic experiences that are most associated with risk for clinical disorder, the specificity of risk associated with psychotic experiences, and the possible adaptive advantages of these experiences.

Keywords: Psychosis, schizophrenia, risk, continuum, phenotype, schizotypy, adolescents, hallucinations, depression, PLEs. Abstract: The continuum model of psychosis posits that psychotic symptoms are distributed throughout the population, with diagnosable clinical disorder existing at a certain point along this continuum. Nelson, P.

European Journal of Psychiatry

Fusar-Poli and A. Journal Name: Current Pharmaceutical Design. Volume 18 , Issue 4 , Journal Home. Keywords: Psychosis, schizophrenia, risk, continuum, phenotype, schizotypy, adolescents, hallucinations, depression, PLEs Abstract: The continuum model of psychosis posits that psychotic symptoms are distributed throughout the population, with diagnosable clinical disorder existing at a certain point along this continuum.

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Psychosis : CONTINUUM: Lifelong Learning in Neurology

JavaScript is disabled for your browser. Some features of this site may not work without it. Mapping the uncanny - Assessing dimensions of psychotic-like experiences for clinical utility Therman, Sebastian Though psychoses are severe mental disorders, similar phenomena appear outside of the diagnosable disorders as psychotic or psychotic-like experiences PLEs.


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The PLEs are on a continuum of liability and symptom expression in the population, from the healthy to the pathological, and the diagnosed disorders constitute the extreme of the distribution, rather than a clearly delineated class. Studying the psychosis continuum offers a way of understanding the underlying causes shared across the entire range.

The frequent presence of PLEs before the first psychotic episode also helps in identifying a trajectory towards disease. However, the specific PLEs associated with increased psychosis risk or incipient disease require further elucidation. Though experiences similar to the positive symptoms of psychosis primarily hallucinations and delusions have been nominated as the most predictive of psychosis, these are broad categories that may contain subdivisions of varying levels of shared aetiology with psychotic disease, and varying predictive value.

In this thesis, the latent dimensions of self-reported PLEs were explored in one sample of 6, adolescents and one sample of 31, adults from the general population Studies I and II , as well as in one sample of 71 and one sample of adolescents in psychiatric care Studies III and IV.