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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Early detection is a crucial milestone in the prevention and treatment of schizophrenia spectrum psychosis, which might alter the course of schizophrenia. Currently, there are two complementary approaches to characterizing the clinical-high risk state of psychosis : the ultra-high risk (UHR) and basic symptoms criteria. Individuals at UHR have two phase-specific problems : heightened risk for the potential pathology of schizophrenia spectrum psychosis and the symptoms, distress and psychosocial functional impairment, which make them seek help. The clinical characteristics of UHR are similar to those of overt psychotic disorders in terms of psychopathological symptoms dimensions, psychosocial disability, neurocognitive and socio-cognitive impairments, history of trauma and abuse experience, lack of protective factors and dysfunctional metacognitive beliefs, and the comorbidity of psychiatric illness. Regarding the risk, the pretest risk probability of a psychotic disorder in each high-risk clinic is considered an important factor for predicting the power of an early detection strategy. For the distress and psychosocial disability, the strategies of the therapeutic intervention will be a focus of clinical attention. On the follow-up, one of third of the UHR individuals have sufficient positive symptom to fulfil the at-risk criteria. Most of the UHR individuals have suffered from comorbid psychiatric illness at the times of both baseline and follow-up, and there is no improvement of psychosocial functioning. Currently, it is essential to optimize the early detection and intervention strategy according to the referring and recruitment characteristics of each high-risk clinic in Korean practice situations.
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등록된 정보가 없습니다.
참고문헌 (6)
참고문헌 신청
유소영 / 2007 / 정신분열병의 임상적 고위험군의 특징 : '서울청년클리닉'의 자연 추적 관찰 에비연구 / 신경정신의학 46(1):19~28
Debbané M / 2015 / Developing psychosis and its risk states through the lens of schizotypy / Schizophr Bull 41(Suppl 2):S396~S407
백명재 / 2011 / 현상학적 정신병리학 / 신경정신의학 50(2):97~115
이소정 / 2017 / Impaired Social and Role Function in Ultra-High Risk for Psychosis and First-Episode Schizophrenia: Its Relations with Negative Symptoms / PSYCHIATRY INVESTIGATION 14(5):539~545
이슬비 / 2014 / Theory of Mind as a Mediator of Reasoning and Facial Emotion Recognition: Findings from 200 Healthy People / PSYCHIATRY INVESTIGATION 11(2):105~111
Debbané M / 2015 / Developing psychosis and its risk states through the lens of schizotypy / Schizophr Bull 41(Suppl 2):S396~S407
백명재 / 2011 / 현상학적 정신병리학 / 신경정신의학 50(2):97~115
이소정 / 2017 / Impaired Social and Role Function in Ultra-High Risk for Psychosis and First-Episode Schizophrenia: Its Relations with Negative Symptoms / PSYCHIATRY INVESTIGATION 14(5):539~545
이슬비 / 2014 / Theory of Mind as a Mediator of Reasoning and Facial Emotion Recognition: Findings from 200 Healthy People / PSYCHIATRY INVESTIGATION 11(2):105~111
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