PMID- 11086553
OWN - NLM
STAT- MEDLINE
DCOM- 20001221
LR  - 20170214
IS  - 0706-7437 (Print)
IS  - 0706-7437 (Linking)
VI  - 45
IP  - 8
DP  - 2000 Oct
TI  - First-episode psychosis: a comparative review of diagnostic evolution and 
      predictive variables in adolescents versus adults.
PG  - 710-6
AB  - OBJECTIVE: To review the diagnostic evolution and predictive variables of 
      diagnosis and outcome in first-episode psychosis in adolescents (age 13-19 years) 
      and adults. METHOD: Literature was reviewed through MEDLINE, Psycinfo, and 
      PubMed, and supplemented by selected bibliographies. RESULTS: First-episode 
      psychosis in the adolescent population has greater diagnostic instability than in 
      adults. We identified trends in the predictive variables of diagnosis and 
      outcome: 1) Premorbid adjustment (that is, personality) in adolescents and Global 
      Assessment of Functioning (GAF) both before and after first-episode psychosis in 
      adolescents and adults are the best predictors of diagnosis; 2) GAF (before and 
      after) is the best predictor of outcome in both adolescents and adults. 
      CONCLUSION: Adolescent-onset psychosis appears to be in continuity with 
      adult-onset psychosis. The greater diagnostic instability in adolescents and the 
      absence of significant data on predictive variables suggest a need for 
      specialized and continuous care and research in the adolescent population.
FAU - Menezes, N M
AU  - Menezes NM
AD  - Department of Psychiatry, McGill University, Montreal, Quebec. 
      nmenez@po-mcgill.ca
FAU - Milovan, E
AU  - Milovan E
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Can J Psychiatry
JT  - Canadian journal of psychiatry. Revue canadienne de psychiatrie
JID - 7904187
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child, Preschool
MH  - Disease Progression
MH  - Humans
MH  - Predictive Value of Tests
MH  - Psychology, Adolescent
MH  - Psychotic Disorders/*diagnosis/*psychology/therapy
MH  - Recurrence
MH  - Severity of Illness Index
RF  - 49
EDAT- 2000/11/22 11:00
MHDA- 2001/02/28 10:01
CRDT- 2000/11/22 11:00
PHST- 2000/11/22 11:00 [pubmed]
PHST- 2001/02/28 10:01 [medline]
PHST- 2000/11/22 11:00 [entrez]
AID - 10.1177/070674370004500803 [doi]
PST - ppublish
SO  - Can J Psychiatry. 2000 Oct;45(8):710-6. doi: 10.1177/070674370004500803.