title: What Is an Attenuated Psychotic Symptom? On the Importance of the Context.
abstract: Attenuated psychotic symptoms (APS) are the key criteria to identify the individuals at enhanced risk of developing psychotic disorders. Competing clinicians-rated or self-rated psychometric instruments can also be used to detect APS, which makes it difficult to interpret their actual clinical significance. This article summarizes the empirical differences between the clinicians-rated and self-rated interviews and explores the impact of the context (referral pathways, settings, and assessment procedures) on the clinical significance of the APS.
authors.affiliation: King's College London, Institute of Psychiatry Psychology and Neuroscience, PO63, De Crespigny Park, SE5 8AF London, UK.|OASIS Service, South London And the Maudsley NHS Foundation Trust, London, UK.
authors.forename: Paolo
authors.initials: P
authors.lastname: Fusar-Poli
authors.affiliation: Norwegian Centre for Mental Disorders Research (NORMENT), University of Oslo, Oslo, Norway.
authors.forename: Andrea
authors.initials: A
authors.lastname: Raballo
authors.affiliation: Department of Clinical Medicine, Region Hovedstadens Psykiatri, Brøndby, Denmark.
authors.forename: Josef
authors.initials: J
authors.lastname: Parnas
mesh_terms: D006801:Humans; D062706:Prodromal Symptoms; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011618:Psychotic Disorders / Q000175:diagnosis*; D015203:Reproducibility of Results; D012306:Risk; D057566:Self Report / Q000592:standards*
keywords: ARMS; prevention; psychosis; risk; schizophrenia; symptoms