中国现代神经疾病杂志 ›› 2021, Vol. 21 ›› Issue (12): 1021-1026. doi: 10.3969/j.issn.1672-6731.2021.12.001

• 专论 • 上一篇    下一篇

2 亟待关注精神病临床高危综合征转归预测因素

陆峥, 吴佳馨   

  1. 200065 上海, 同济大学附属同济医院精神医学科
  • 收稿日期:2021-11-01 出版日期:2021-12-25 发布日期:2021-12-27
  • 通讯作者: 陆峥,Email:luzheng@tongji.edu.cn
  • 基金资助:
    国家重点研发计划项目(项目编号:2016YFC1306805);国家自然科学基金资助项目(项目编号:81974214);上海市重中之重临床重点学科建设计划项目(项目编号:2017ZZ02020);上海市临床重点专科建设项目

Pay more attention to the prognostic predictors of clinical high risk for psychosis

LU Zheng, WU Jia-xin   

  1. Department of Psychiatry, Tongji Hospital of Tongji University, Shanghai 200065, China
  • Received:2021-11-01 Online:2021-12-25 Published:2021-12-27
  • Supported by:
    This study was supported by National Key Research and Development Plan Project of China (No. 2016YFC1306805), the National Natural Science Foundation of China (No. 81974214), Priority of Shanghai Key Discipline of Medicine (No. 2017ZZ02020), and Shanghai Municipal Key Clinical Specialty.

摘要: 精神病临床高危综合征患者是一类具有精神病前驱症状、遗传风险、人格特质的人群,其2年内发生精神病的风险高达30%,针对此类人群的个体化发病风险预测在精神病的早期预防中具有重要意义。本文从社会心理因素、认知功能、神经影像学、神经电生理监测和预测模型等方面阐述精神病临床高危综合征转归的预测因素。

关键词: 精神分裂症谱系与其他精神病, 预后, 危险因素, 综述

Abstract: Patients at clinical high risk (CHR) for psychosis are defined as individuals who manifest prodromal symptoms or genetic risk, as well as personality traits of psychosis. The risk of developing psychosis within 2 years is as high as 30% among CHR individuals. Therefore, predicting the individual risk of the transition to psychosis in this type of population has great significance in the early prevention of psychosis. In this article, we review the prognostic predictors of CHR from the perspectives of psychosocial factors, cognitive function, neuroimaging, neuroelectrophysiology and predictive models.

Key words: Schizophrenia spectrum and other psychotic disorders, Prognosis, Risk factors, Review