2019IPS临床实践指南_儿童和青少年精神分裂的管理.pdfVIP

[Downloaded free from on Tuesday, February 19, 2019, IP: 8] CLINICAL PRACTICE GUIDELINES Clinical Practice Guidelines for the Management of Schizophrenia in Children and Adolescents Sandeep Grover, Ajit Avasthi Department of Psychiatry, PGIMER, Chandigarh, India INTRODUCTION with EOS, and these may have to be tailored to the needs of the individual patient. Schizophrenia is understood as a chronic disabling condition, which has a significant negative impact on the ASSESSMENT life of a patient and their family. When the onset of illness for schizophrenia is before 18 years of age, it is known as A thorough assessment of a patient and their family early-onset schizophrenia (EOS). Further, based on the age members/caregivers need to be done. The most important of onset, schizophrenia is categorized as very early onset aspect of assessment is obtaining a detailed history from schizophrenia (VEOS) when the age of onset is 13 years all possible sources and carrying out a thorough physical and EOS when the age of onset is between 13 and examination and mental state examination [Table 1]. 18 years. When the onset of illness is before 13 years of Diagnosis of schizophrenia in children and adolescent is age, it is known as childhood-onset schizophrenia (COS). also established using the same criteria of International