TY - JOUR
T1 - Psychosis in a pediatric mood and anxiety disorders clinic
T2 - Phenomenology and correlates
AU - Ulloa, Rosa Elena
AU - Birmaher, Boris
AU - Axelson, David
AU - Williamson, Douglas E.
AU - Brent, David A.
AU - Ryan, Neal D.
AU - Bridge, Jeffrey
AU - Baugher, Marianne
PY - 2000/1/1
Y1 - 2000/1/1
N2 - Objectives: To examine the demographics and phenomenology of psychosis in a sample of children and adolescents referred to a mood and anxiety disorders clinic. Method: Patients (N = 2,031) were assessed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children- Present Episode version and classified as definite, probable, or nonpsychotic. Clinical and demographic characteristics of the groups were compared, and symptoms of psychosis were analyzed using factor analysis. Results: Definite psychotic symptoms were seen in approximately 90 (4.5%) patients: 80% of these reported hallucinations (mainly auditory), 22% delusions, and 3.3% thought disorder. Of the patients with definite psychotic symptoms, 24% had bipolar disorder, 41% had major depression, 21% had subsyndromal depression, and 14% had schizophrenia spectrum disorders (schizophrenia and schizoaffective disorders). Factor analysis of the definite psychotic symptoms yielded 4 factors: hallucinations, thought disorder, delusions, and manic thought disorder. Psychotic patients had a higher frequency of comorbid disorders and suicidal ideation than nonpsychotic patients. Conclusions: Outpatient youngsters with mood disorders frequently present with psychotic symptoms, in particular auditory hallucinations. These patients commonly have comorbid psychiatric disorders and suicidal ideation.
AB - Objectives: To examine the demographics and phenomenology of psychosis in a sample of children and adolescents referred to a mood and anxiety disorders clinic. Method: Patients (N = 2,031) were assessed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children- Present Episode version and classified as definite, probable, or nonpsychotic. Clinical and demographic characteristics of the groups were compared, and symptoms of psychosis were analyzed using factor analysis. Results: Definite psychotic symptoms were seen in approximately 90 (4.5%) patients: 80% of these reported hallucinations (mainly auditory), 22% delusions, and 3.3% thought disorder. Of the patients with definite psychotic symptoms, 24% had bipolar disorder, 41% had major depression, 21% had subsyndromal depression, and 14% had schizophrenia spectrum disorders (schizophrenia and schizoaffective disorders). Factor analysis of the definite psychotic symptoms yielded 4 factors: hallucinations, thought disorder, delusions, and manic thought disorder. Psychotic patients had a higher frequency of comorbid disorders and suicidal ideation than nonpsychotic patients. Conclusions: Outpatient youngsters with mood disorders frequently present with psychotic symptoms, in particular auditory hallucinations. These patients commonly have comorbid psychiatric disorders and suicidal ideation.
KW - Adolescents
KW - Children
KW - Delusions
KW - Hallucinations
KW - Mood disorders
KW - Psychosis
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U2 - 10.1097/00004583-200003000-00016
DO - 10.1097/00004583-200003000-00016
M3 - Article
C2 - 10714054
AN - SCOPUS:0034005817
VL - 39
SP - 337
EP - 345
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
SN - 0890-8567
IS - 3
ER -