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- Title
DSM-5: ¿SÍNDROME DE PSICOSIS ATENUADA?
- Authors
Fonseca-Pedrero, Eduardo; Paino, Mercedes; Fraguas, David
- Abstract
Psychotic syndrome draws together several devastating mental disorders characterized by a rupture in the higher mental functions. Signs and symptoms of psychosis often start during the teen years or in early adulthood. These signs and symptoms have an initially gradual onset which then become more progressive over time. Attenuated psychotic syndrome is a new DSM-5 diagnostic proposal that tries to identify people with a high risk mental state as a predictor of transition to psychosis. The potential benefit would be that of a better treatment efficacy of the psychotic disorder in its initial phases which could produce a beneficial and durable effect that probably wouldn't be reached with later interventions. This syndrome has been intensely discussed in scientific and professional forums, with arguments in favor of and against its inclusion. The assessment of high risk mental state has been preferably undertaken in adolescents and young adults. The progress of high risk mental states is related to a higher transition rate to non-affective psychosis, although they can also evolve towards the development of other mental diseases, in a maintained level of the psychosis, or indeed a resultant remission in symptoms as time passes. Empirical evidence indicates that an early intervention seems to have a certain beneficial effect, although results remain insufficient and conflicting. The lack of specificity of symptoms for predicting psychosis, the presence of some constraints (e.g., stigmatization), results obtained with early interventions and the lack of empirical evidence, had lead to include the attenuated psychosis syndrome in the DSM-5's appendix 3. In light of the data, principal benefits and limiting factors of including this proposed category have been taken into account. Possible lessons to be learned from these kind of studies, as well as future courses of action have been discusses as a result of the findings.
- Subjects
PSYCHOSES; SCHIZOPHRENIA; MENTAL illness; PSYCHOLOGICAL vulnerability; PATHOLOGICAL psychology
- Publication
Papeles del Psicólogo, 2013, Vol 34, Issue 3, p190
- ISSN
0214-7823
- Publication type
Article