Document Detail

Looking for childhood schizophrenia: case series of false positives.
MedLine Citation:
PMID:  15266198     Owner:  NLM     Status:  MEDLINE    
Extensive experience with the diagnosis of childhood-onset schizophrenia indicates a high rate of false positives. Most mislabeled patients have chronic disabling, affective, or behavioral disorders. The authors report the cases of three children who passed stringent initial childhood-onset schizophrenia "screens" but had no chronic psychotic disorder. For two, the European literature yielded more fitting diagnoses: psychosis not otherwise specified (e.g., reactive or psychogenic psychosis, paranoid schizophrenia), single episode in full remission (e.g., anxiety psychosis), and factitious disorder (DSM-IV 300.16). These cases illustrate that transient psychotic illnesses can be misdiagnosed as childhood-onset schizophrenia. Proper identification can prevent years of inappropriate therapies.
Catherine Stayer; Alexandra Sporn; Nitin Gogtay; Julia Tossell; Marge Lenane; Peter Gochman; Judith L Rapoport
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Child and Adolescent Psychiatry     Volume:  43     ISSN:  0890-8567     ISO Abbreviation:  J Am Acad Child Adolesc Psychiatry     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-21     Completed Date:  2004-09-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8704565     Medline TA:  J Am Acad Child Adolesc Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1026-9     Citation Subset:  IM    
Child Psychiatry Branch, NIMH, Bethesda, MD 20892-1600, USA.
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MeSH Terms
Anxiety Disorders / diagnosis,  epidemiology,  psychology
Child Development Disorders, Pervasive / diagnosis*,  epidemiology,  psychology
Child Reactive Disorders / diagnosis,  epidemiology,  psychology
Chronic Disease
Cross-Sectional Studies
Diagnosis, Differential
False Positive Reactions
Family Relations
Mass Screening
Psychotic Disorders / diagnosis*,  epidemiology,  psychology
Schizophrenia / diagnosis*,  epidemiology
Schizophrenic Psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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