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Schizophrenia Bulletin 2003 29(4):729-735;
© 2003 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
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© Oxford University Press

Creating School-Age Versions of Semistructured Interviews for the Prodrome to Schizophrenia: Lessons From Case Reviews

Randal G. Ross, M.D., Associate Professor, John Schaeffer, D.O., resident in Child and Adolescent Psychiatry, Nina Compagnon, M.S.W., professional research assistant, Shari Heinlein, M.D., post-doc toral fellow, Carol Beresford, B.A., professional research assistant and Gordon Farley, M.D., Professor
Department of Psychiatry, University of Colorado Health Sciences Center Denver, Colorado

Send reprint requests to: Dr. R.G. Ross, Bldg CPH, Rm 3F10, Box C268-31, 4200 East 9th Ave., Denver, CO 80262; E-mail: randy.ross{at}uchsc.edu

There is an increasing emphasis on identifying individuals with schizophrenia earlier and earlier in their disease process, with the assumption that earlier identification translates into earlier treatment, which translates into improved outcome. Unfortunately, one age cohort, children under 13 years of age, have been excluded from this critical alteration in clinical inter-vention strategy, and its associated improved clinical outcome. One of the barriers to inclusion of younger children is the lack of knowledge about diagnostic issues related to attenuated psychotic symptoms in this age sample. This report focuses on our experience with evaluating attenuated psychotic symptoms in young children, in particular subthreshold hallucinations and delusions, using semistructured interviews. The inclusion of both Caregiver and Child report sections and the addition of concrete, detailed examples of clear-conscience, non-stress-related subthreshold psychotic symptoms are likely to be necessary.

Keywords: childhood-onset schizophrenia / prodrome / diagnostic interviews


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[Abstract] [PDF]


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