Romanian Journal of Pediatrics (Mar 2015)
VERY EARLY AND EARLY ONSET SCHIZOPHRENIA SPECTRUM DISORDERS – DIAGNOSTIC CHALLENGE
Abstract
Very early onset and early onset schizophrenia – which manifest themselves before the age of 13 (the fi rst) and 18 (the latter) – represent a little explored nosological entity, which entails a genuine diagnostic challenge, considering the specifi cities of young age. At the same time, childhood and adolescence onset schizophrenia intertwines with a series of neurocognitive development disorders, comprising an important genetic susceptibility. The entire context of its emergence, the diffi culty of detecting psychoproductive symptoms during early childhood, the severity of symptoms and the chronicization impose a rigorous diagnostic behaviour and a multidisciplinary approach for optimal long-term therapy and for the socio-professional integration of patients. This paper aims at synthesizing the literature review, which may represent a starting point for ample future research; the purpose is to create specifi c guides on childhood and adolescence schizophrenia.
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