Abstract
The significance of studying the prevalence, age- and sex-related differences and diagnostic aspects of schizophrenia spectrum disorders (F2 Schizophrenia, schizotypal and delusional disorders) in pediatric and adolescent patients of mental health facilities is linked to the upcoming release of the International Classification of Diseases, Revision 11 (ICD-11). Its whole chapters have been updated, including disorders in the schizophrenia group. Diagnostic challenges posed by this debilitating group of mental disorders are associated with the diversity of clinical presentations, the incompleteness of psychopathological phenomena syndromes, and vague atypical symptoms. Changes in the prevalence of these disorders identified by the analysis of medical records at a mental health facility for children (a decline in the number of patients with F20, schizophrenia, and a surge in the number of patients with F21, schizotypal disorder) and significant disagreement about and disagreement about the diagnostic criteria for schizophrenia spectrum disorders in children and adolescents, evaluation of their dynamics, outcomes, and the social functioning of the patient necessitate further prospective follow-up studies aimed at overcoming the identified difficulties in the diagnosis, treatment and rehabilitation of such patients.
Highlights
Актуальность изучения показателей распространенности, половозрастных особенностей и диагностики расстройств шизофренического спектра у детей и подростков — пациентов детских психиатрических клиник объясняется предстоящим вступлением в действие Международной классификации болезней (МКБ-11), в которой существенные изменения внесены в целый ряд разделов, включая расстройства из группы шизофрении
The significance of studying schizophrenia spectrum disorders, which comprise a group of debilitating conditions, stems from the high frequency of their manifestation, diversity of clinical presentation, the incompleteness of psychopathological phenomena syndromes, and the occurrence of atypical forms with vague symptoms [3,4,5]
The diagnostic aspects of schizophrenia spectrum disorders are demanding special attention in light of the upcoming ICD-11, as the clinical diagnostic paradigm will be shifting from the categorical to the dimensional principle [6, 7]
Summary
SCHIZOPHRENIA SPECTRUM DISORDERS IN CHILDREN AND ADOLESCENTS: PREVALENCE AND DIAGNOSTICS. Актуальность изучения показателей распространенности, половозрастных особенностей и диагностики расстройств шизофренического спектра (раздел F2 Шизофрения, шизотипические и бредовые расстройства) у детей и подростков — пациентов детских психиатрических клиник объясняется предстоящим вступлением в действие Международной классификации болезней (МКБ-11), в которой существенные изменения внесены в целый ряд разделов, включая расстройства из группы шизофрении. М. Казин — набор и обработка данных, написание статьи; С. М. Иванова — обработка данных, написание статьи. A Russian study conducted in 2000–2018 has revealed a rise in psychotic disorders among children and a high prevalence of mental illness among teenagers and children, compared to adults, amid a decline in the child and adolescent population [2]
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