Chapter
Early Detection of Psychosis – State of the Art and Future Perspectives
Psychosis High-Risk State
Predictive Accuracy of Early High-Risk Symptoms
Predictive Accuracy of Late High-Risk Symptoms
Improvement of Predictive Accuracy by Combining Criteria
Improving Predictive Accuracy by Biomarkers
Early Intervention in Emerging Psychosis: State of the Art and Future Perspectives
Defining the Sub-Threshold Stage of Psychotic Illness and Its Consequences
The Psychosis Prodrome or a Pluripotential Risk Syndrome?
Interventions in the Sub-Threshold Stage
Novel Service Approaches to Maximise Recovery
Early Detection of Psychosis: Clinical Assessments
First Signs of Emerging Psychosis
The Concept of Basic Symptoms
General Characteristics of Basic Symptoms
Basic Symptoms in the Early Detection of First-Episode Psychosis
Psychosis-Predictive Utility of Basic Symptom Criteria
Combining Basic Symptoms and Ultra-High-Risk Criteria
Basic Symptoms in Children and Adolescents
Psychosis High-Risk States in Adolescents
Symptom Groups and Diagnostic Spectra
The Psychosis High-Risk State
Clinical Relevance and Impact of Delayed Treatment
Detectable Preclinical Phase
Positive Predictive Value
Epidemiology of Ultra-High-Risk Symptoms
Comparison with Other Preventative Approaches in Somatic Medicine
Risk Syndrome or Mental Disorder
Conclusions and Future Directions
Early Detection of Psychosis – Helpful or Stigmatizing Experience for Those Concerned?
General Concepts of Stigma and Labeling
Stigma in Those Affected by Psychosis/Schizophrenia
Stigma in Individuals with an At-Risk Mental State for Psychosis
Helpful Aspects of Support Offered in Early Detection Services
Possible Interventions Regarding Stigma in Those Affected by an ARMS
Early Detection of Psychosis: Neuroimaging
Structural and Functional MRI in the Prediction of Psychosis
The Rationale of Finding Predictive Markers Using Neuroimaging
Structural MRI of the High-Risk State
Functional MRI in People at High Risk
Limitations and Future Directions
Pattern Recognition Methods in the Prediction of Psychosis
Multivariate Pattern Analysis Methods
Pattern Recognition Applications in the Early Recognition of Psychosis
Connectivity Abnormalities in Emerging Psychosis
Structural Connectivity Abnormalities
Functional Connectivity Abnormalities
Potential Developments for Future Research
Early Detection of Psychosis: Neurocognitive and Neurophysiological Assessments
Neurocognition and Motor Functioning in the Prediction of Psychosis
Cognitive and Motor Dysfunction in the Prediction of Psychosis
Electroencephalographic Predictors of Psychosis
Predicting Psychosis by Electroencephalography
Early Intervention in Emerging Psychosis
Psychological Methods of Early Intervention in Emerging Psychosis
Rational for Interventions in Emerging Psychosis
Characteristics of People Meeting Clinical High-Risk Criteria
Psychological Methods of Early Intervention in Emerging Psychosis
Aims of Psychological Early Intervention in Emerging Psychosis
Psychoeducation in Emerging Psychosis
Psychotherapy in Emerging Psychosis
Can Early Detection and Intervention of Psychosis Be Implemented in Routine Care?
Nonpharmalogical Substances for Early Intervention
Polyunsaturated Fatty Acids
N-Methyl-D-Aspartate Receptor Agonists
Pharmacological Intervention in First-Episode Psychosis
Mechanism of Action of Antipsychotic Medication
Treatment Guidelines and Dosing
Side Effects and Management
How Long Should Antipsychotic Medication Be Continued?
Controversies with Antipsychotic Medication
Conclusions and Future Perspectives
Early Detection and Intervention in Psychosis