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Screening the community for individuals at ultra-high risk (UHR) for psychosis
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  • Alexandre Loch,
  • Feten Fekih-Romdhane,
  • Leonardo Peroni de Jesus,
  • Julio Andrade,
  • Melina Mendonça,
  • Maurício Henriques Serpa,
  • Martinus van de Bilt,
  • Wagner Gattaz
Alexandre Loch
Universidade de Sao Paulo Instituto de Psiquiatria

Corresponding Author:alexandre.loch@usp.br

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Feten Fekih-Romdhane
Hopital Razi
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Leonardo Peroni de Jesus
Universidade de Sao Paulo Instituto de Psiquiatria
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Julio Andrade
Universidade de Sao Paulo Instituto de Psiquiatria
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Melina Mendonça
Universidade de Sao Paulo Instituto de Psiquiatria
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Maurício Henriques Serpa
Universidade de Sao Paulo Instituto de Psiquiatria
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Martinus van de Bilt
Universidade de Sao Paulo Instituto de Psiquiatria
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Wagner Gattaz
Universidade de Sao Paulo Instituto de Psiquiatria
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Abstract

Introduction: The problem of detecting people at ultra-high risk for psychosis (UHR) remains an issue. Thus, screening tools have received increased attention. We assessed the performance of the Prodromal Questionaire-16 (PQ-16) and the Perceptual and Cognitive Aberrations scale (PCA) to screen for UHR in the general population of Sao Paulo. Methods: Individuals aged 18-35 years (n=6500) were interviewed with the PQ-16 and the PCA. Those with a combined score>10 on the PQ-16+BS were called for assessment with the Structured Interview for Psychosis-Risk Syndromes (SIPS). 75 individuals were deemed as UHR and 99 as healthy comparison; 44 randomly selected individuals (PQ-16+PCA scores<10) joined as further controls. All participants had no DSM-5 diagnosis. Scores of the PCA, PQ-16 (total score and distress index), and their combinations were analyzed. Results: All the proposed scorings significantly distinguished between UHR and control subjects. PQ-16 scoring showed the best performance (AUC=0.711), followed by the PQ-16+PCA combination (AUC=0.700). PQ-16 distress index had the worst performance. Conclusions: Data provides further evidence for the use of the PQ-16 as an effective screening instrument to search for UHR states in the general population. This can help UHR identification, reduce delays in care, while minimizing the risk of false positives.
06 Aug 2024Submitted to Early Intervention in Psychiatry
08 Aug 2024Submission Checks Completed
08 Aug 2024Assigned to Editor
08 Aug 2024Review(s) Completed, Editorial Evaluation Pending
17 Aug 2024Reviewer(s) Assigned
23 Sep 2024Editorial Decision: Revise Major
18 Nov 20241st Revision Received
21 Nov 2024Submission Checks Completed
21 Nov 2024Assigned to Editor
21 Nov 2024Review(s) Completed, Editorial Evaluation Pending
21 Nov 2024Reviewer(s) Assigned