Evidence map›Paper›PMID 28914382›Full record

SynthesisEuropean child & adolescent psychiatry2018

Clinical high risk for psychosis in children and adolescents: a systematic review.

Jordina Tor, Montserrat Dolz, Anna Sintes, Daniel Muñoz, Marta Pardo, Elena de la Serna, Olga Puig, Gisela Sugranyes, Inmaculada Baeza

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European child & adolescent psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Motor precision deficits in clinical high risk for psychosis.European archives of psychiatry and clinical neuroscience · 2024
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  14. Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jordina TorChild and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Déu, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Santa Rosa, 39-57, Esplugues de Llobregat, 08950, Barcelona, Spain.
Montserrat DolzChild and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Déu, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Santa Rosa, 39-57, Esplugues de Llobregat, 08950, Barcelona, Spain.
Anna SintesChild and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu of Barcelona, Passeig Sant Joan de Déu, 002, Esplugues de Llobregat, 08950, Barcelona, Spain.
Daniel MuñozChild and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Déu, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Santa Rosa, 39-57, Esplugues de Llobregat, 08950, Barcelona, Spain.
Marta PardoChild and Adolescent Mental Health Research Group, Institut de Recerca Sant Joan de Déu, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Santa Rosa, 39-57, Esplugues de Llobregat, 08950, Barcelona, Spain.
Elena de la SernaDepartment of Child and Adolescent Psychiatry and Psychology, Institut Clínic of Neurosciences, Centro de Investigación Biomédica en Red de Salud Mental, Hospital Clinic Universitari of Barcelona, CIBERSAM (2014SGR489), Villarroel 170, 08036, Barcelona, Spain.
Olga PuigDepartment of Child and Adolescent Psychiatry and Psychology, Institut Clínic of Neurosciences, Centro de Investigación Biomédica en Red de Salud Mental, Hospital Clinic Universitari of Barcelona, CIBERSAM (2014SGR489), Villarroel 170, 08036, Barcelona, Spain.
Gisela SugranyesDepartment of Child and Adolescent Psychiatry and Psychology, Institut Clínic of Neurosciences, Centro de Investigación Biomédica en Red de Salud Mental, Hospital Clinic Universitari of Barcelona, CIBERSAM (2014SGR489), Villarroel 170, 08036, Barcelona, Spain.
Inmaculada BaezaDepartment of Child and Adolescent Psychiatry and Psychology, Institut Clínic of Neurosciences, Centro de Investigación Biomédica en Red de Salud Mental, Hospital Clinic Universitari of Barcelona, CIBERSAM (2014SGR489), Villarroel 170, 08036, Barcelona, Spain. ibaeza@clinic.ub.es.

Funding

Instituto de Salud Carlos III PI11/1340Instituto de Salud Carlos III PI11/2684Instituto de Salud Carlos III PI15/0444Instituto de Salud Carlos III PI15/0509
6 · The paper itself

Abstract

The concept of being at risk for psychosis has been introduced both for adults and children and adolescents, but fewer studies have been conducted in the latter population. The aim of this study is to systematically review the articles associated with clinical description, interventions, outcome and other areas in children and adolescents at risk for psychosis. We searched in MEDLINE/PubMed and PsycINFO databases for articles published up to 30/06/16. Reviewed articles were prospective studies; written in English; original articles with Clinical High Risk (CHR) for psychosis samples; and mean age of samples younger than 18 years. From 103 studies initially selected, 48 met inclusion criteria and were systematically reviewed. Studies show that CHR children and adolescents present several clinical characteristics at baseline, with most attenuated positive-symptom inclusion criteria observed, reporting mostly perceptual abnormalities and suspiciousness, and presenting comorbid conditions such as depressive and anxiety disorders. CHR children and adolescents show lower general intelligence and no structural brain changes compared with controls. Original articles reviewed show rates of conversion to psychosis between 17 and 20% at 1 year follow-up and between 7 and 21% at 2 years. While 36% of patients recovered from their CHR status at 6-year follow-up, 40% still met CHR criteria. Studies in children and adolescents with CHR were conducted with different methodologies, assessments tools and small samples. It is important to conduct studies on psychopharmacological and psychological treatment, as well as replication of the few studies found.

Indexed as

AdolescentAdolescent PsychiatryAnxiety DisordersChildChild PsychiatryDepressionEarly DiagnosisFemaleHumansMalePsychotic DisordersRisk ManagementChild and adolescentClinical high riskHigh-risk psychosisPsychosis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.