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Classification Is Essential for the Attenuated Psychosis Syndrome

2020; Elsevier BV; Volume: 88; Issue: 4 Linguagem: Inglês

10.1016/j.biopsych.2019.08.013

1873-2402

William T. Carpenter,

Psychosomatic Disorders and Their Treatments

Persons who meet the criteria for clinical high risk (CHR) will also meet criteria for other disorders including some forms of anxiety or depression disorders, borderline and schizotypal personality disorders, and other conditions with diagnostic codes. Debate regarding a new classification for CHR is not new ( 1 Carpenter W.T. van Os J. Should attenuated psychosis syndrome be a DSM-5 diagnosis?. Am J Psychiatry. 2011; 168: 460-463 Crossref PubMed Scopus (86) Google Scholar , 2 Carpenter W.T. Attenuated psychosis syndrome: Need for debate on a new disorder. Psychopathology. 2014; 47: 287-291 Crossref Scopus (15) Google Scholar , 3 Nelson B. Attenuated psychosis syndrome: Don’t jump the gun. Psychopathology. 2014; 47: 292-296 Crossref PubMed Scopus (19) Google Scholar , 4 Fusar-Poli P. Carpenter W.T. Woods S.W. McGlashan T.H. Attenuated psychosis syndrome: Ready for DSM-5.1?. Annu Rev Clin Psychol. 2014; 10: 155-192 Crossref PubMed Scopus (110) Google Scholar , 5 Van Os J. Guloksuz S. A critique of the “ultra-high risk” and “transition” paradigm. World Psychiatry. 2017; 16: 200-206 Crossref PubMed Scopus (141) Google Scholar ). This commentary states the case for DSM/ICD inclusion of a diagnostic class that is viewed as a syndrome and used as a temporary placeholder diagnosis. Clinical care is appropriate at an early stage, and clinical trials focused on CHR participants are essential for evidence-based treatment. Over time, a traditional diagnostic category may be determined.