Document Detail


Psychosis risk screening with the Prodromal Questionnaire--brief version (PQ-B).
MedLine Citation:
PMID:  21511440     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study, we examined the preliminary concurrent validity of a brief version of the Prodromal Questionnaire (PQ-B), a self-report screening measure for psychosis risk syndromes. Adolescents and young adults (N=141) who presented consecutively for clinical assessment to one of two early psychosis research clinics at the University of California, San Francisco and UC Los Angeles completed the PQ-B and the Structured Interview for Prodromal Syndromes (SIPS) at intake. Endorsement of three or more positive symptoms on the PQ-B differentiated between those with prodromal syndrome and psychotic syndrome diagnoses on the SIPS versus those with no SIPS diagnoses with 89% sensitivity, 58% specificity, and a positive Likelihood Ratio of 2.12. A Distress Score measuring the distress or impairment associated with endorsed positive symptoms increased the specificity to 68%, while retaining similar sensitivity of 88%. Agreement was very similar when participants with psychotic syndromes were excluded from the analyses. These results suggest that the PQ-B may be used as an effective, efficient self-report screen for prodromal psychosis syndromes when followed by diagnostic interview, in a two-stage evaluation process in help-seeking populations.
Authors:
Rachel L Loewy; Rahel Pearson; Sophia Vinogradov; Carrie E Bearden; Tyrone D Cannon
Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Validation Studies     Date:  2011-04-20
Journal Detail:
Title:  Schizophrenia research     Volume:  129     ISSN:  1573-2509     ISO Abbreviation:  Schizophr. Res.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-23     Completed Date:  2011-12-06     Revised Date:  2012-03-12    
Medline Journal Info:
Nlm Unique ID:  8804207     Medline TA:  Schizophr Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  42-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier B.V. All rights reserved.
Affiliation:
Department of Psychiatry, University of California at San Francisco, San Francisco, CA 94143-0984, United States. RLoewy@Lppi.ucsf.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Humans
Male
Mass Screening / methods*
Predictive Value of Tests
Psychiatric Status Rating Scales / standards*
Psychotic Disorders / diagnosis*
Questionnaires / standards*
Reproducibility of Results
Schizophrenia / diagnosis*
Young Adult
Grant Support
ID/Acronym/Agency:
K23 MH086618-01/MH/NIMH NIH HHS; K23 MH086618-02/MH/NIMH NIH HHS; K23 MH086618-03/MH/NIMH NIH HHS; K23 MH086618-04/MH/NIMH NIH HHS; K23MH086618/MH/NIMH NIH HHS; L30 MH081718-01/MH/NIMH NIH HHS; L30 MH081718-02/MH/NIMH NIH HHS; L30 MH081718-03/MH/NIMH NIH HHS; MH65079/MH/NIMH NIH HHS; P50 MH066286/MH/NIMH NIH HHS

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


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