Schizophrenia with childhood and adolescent onset--a nationwide register-based study.
The aim of this study was to determine the frequency, demographic characteristics and course of children and adolescents admitted with a diagnosis of schizophrenia before the age of 18 years. The paper describes 312 patients from Denmark who were given a diagnosis of schizophrenia during the period between 1970 and 1993. Schizophrenia with a childhood onset was extremely rare. Only four children under the age of 13 years and 28 children under the age of 15 years had received such a diagnosis. The study showed that a number of adolescents who were diagnosed with schizophrenia at their first admission were not given the same diagnosis at later admissions in adulthood. The most common diagnoses in this group of apparently misdiagnosed cases were personality disorders, primarily borderline and antisocial personality disorder.
Psychiatric Hospital for Children and Adolescents, Department of Research, Hisskov, Denmark.
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Thomsen
D000293:Adolescent; D000328:Adult; D000987:Antisocial Personality Disorder / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology; D001883:Borderline Personality Disorder / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D003430:Cross-Sectional Studies; D003718:Denmark / Q000453:epidemiology; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D010359:Patient Readmission / Q000706:statistics & numerical data; D011569:Psychiatric Status Rating Scales; D012042:Registries / Q000706:statistics & numerical data*; D012559:Schizophrenia / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology*