Hallucinations in the Child and Adolescent "Ultra-High Risk" population: A Systematic Review.
Michelangelo Di Luzio, Maria Pontillo, Cristina Di Vincenzo, Domenica Bellantoni, Francesco Demaria, Stefano Vicari
Schizophrenia Bulletin Open 2022 DOI: 10.1093/schizbullopen/sgac068 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review Peer reviewed |
|---|---|
| Population | Children and adolescents at ultra-high risk for psychosis |
| Keywords | Trauma Transition Perception Psychosis Prodromes Uhr |
| Key findings | The review of five studies indicates that hallucinations in ultra-high-risk children and adolescents vary in form and content, and two reviewed studies suggested a relationship between hallucinations and childhood trauma. The authors propose that transition to psychosis and childhood trauma may correspond to different hallucination types, which could aid identification of prodromal states. |
Abstract
Background and hypothesis: "Ultra-high risk" for psychosis young adults are assumed to be at higher risk of developing a psychotic spectrum disorder. Predominantly, the ultrahigh-risk population is aged 18-35 years, but it may also include younger children and adolescents. Individuals in this population experience psychosis prodromes in the form of attenuated or brief psychotic symptoms (particularly perceptual abnormalities). Albeit diagnosis is made via structured interviews, such measures fail to sufficiently assess the precise form and content of perceptual abnormalities, especially as they manifest in children and adolescents. Study
Design: The present study involved a systematic review of the literature on perceptual abnormalities (particularly hallucinations) in ultrahigh-risk children and adolescents.
Results: The analysis reviewed five studies and drew conclusions about the perceptual abnormalities (ie, hallucinations) experienced by the study samples, focusing on form, content, and associations with other symptoms. Of note, 2 of the investigated studies suggested a relationship between hallucinations and experiences of childhood trauma.
Conclusions: The transition to psychosis and experiences of childhood trauma could correspond to different types of hallucinations in ultrahigh-risk children and adolescents. This knowledge could improve the identification of prodromal states in the young, ultrahigh-risk population.
Citations in the library
Cites 5
- Hallucinations Beyond Voices: A Conceptual Review of the Phenomenology of Altered Perception in Psychosis. Schizophrenia Bulletin February 1, 2019
- Voice-Hearing and Personification: Characterizing Social Qualities of Auditory Verbal Hallucinations in Early Psychosis Schizophrenia Bulletin June 19, 2020
- From Perception to Thought: A Phenomenological Approach to Hallucinatory Experience Schizophrenia Bulletin October 12, 2016
- Perceptual abnormalities in an ultra-high risk for psychosis population relationship to trauma and co-morbid disorder. Early Intervention in Psychiatry April 2019
- Hallucinations: A Systematic Review of Points of Similarity and Difference Across Diagnostic Classes. Schizophrenia Bulletin November 21, 2016