The occurrence and nature of early signs of schizophrenia and psychotic mood disorders among former child and adolescent psychiatric patients followed into adulthood
2008

Early Signs of Schizophrenia and Psychotic Mood Disorders in Former Child Patients

Sample size: 1400 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ulf Engqvist, Per-Anders Rydelius

Primary Institution: Karolinska Institutet

Hypothesis

What are the early signs and the nature of psychotic disorders among former child and adolescent psychiatric patients as they transition into adulthood?

Conclusion

Psychotic disorders are relatively uncommon among patients admitted to child and adolescent psychiatric care in Sweden, but early onset disorders may show symptoms as early as ages 13-17.

Supporting Evidence

  • 4.4% of the study group received a diagnosis of schizophrenia or psychotic mood disorders.
  • The mean age at first onset of symptoms was 21.4 years.
  • One-third of those diagnosed as psychotic received their diagnosis during child and adolescent psychiatric care.
  • Patients diagnosed with psychosis were older upon initial admission compared to those without such a diagnosis.

Takeaway

This study looked at kids who had mental health issues and found that not many of them ended up with serious problems like schizophrenia when they grew up, but some showed signs of it when they were teenagers.

Methodology

The study followed 1,400 former child and adolescent psychiatric patients from 1975 to 2003, analyzing their mental health status through hospital records and registries.

Potential Biases

Potential bias due to reliance on hospital records and lack of concurrent validation of the assessment tools used.

Limitations

The study population may not be representative of the entire Swedish population, and the data was primarily obtained from psychiatric hospital records, which may not be scientifically rigorous.

Participant Demographics

Patients were born between 1957 and 1976, with a gender distribution of 36 females and 26 males diagnosed with psychosis.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1753-2000-2-30

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