bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2024-832bekhterev-967Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWСостояние высокого риска развития психоза: психометрические инструменты для скринингаHigh-risk state for psychosis: psychometric screening toolshttps://orcid.org/0009-0009-6284-0789ЦарьковИ. Е.TsarkovI. E.

Царьков Иван Евгеньевич - студент 6 курса лечебного факультета

603005, г. Нижний Новгород, пл. Минина и Пожарского, д.10/1

Ivan E. Tsarkov

Nizhny Novgorod

bga456@icloud.comhttps://orcid.org/0000-0002-0296-2751НовоселоваА. Э.NovoselovaA. E.

Новоселова Анастасия Эдуардовна - студентка 6 курса лечебного факультета

603005, г. Нижний Новгород, пл. Минина и Пожарского, д.10/1

Anastasia E. Novoselova

Nizhny Novgorod

nasnov13@mail.ruhttps://orcid.org/0000-0001-6155-1007ЖиляеваТ. В.ZhilyaevaT. V.

Жиляева Татьяна Владимировна — доктор медицинских наук, доцент, ведущий научный сотрудник отделения социальной нейропсихиатрии Института трансляционной психиатрии; врач-психиатр Центра ментального здоровья Университетской клиники 

192019, г. Санкт-Петербург, ул. Бехтерева, д. 3;

603005, г. Нижний Новгород, пл. Минина и Пожарского, д.10/1

Tatyana V. Zhilyaeva

Nizhny Novgorod; St. Petersburg

bizet@inbox.ruhttps://orcid.org/0000-0001-7036-5927МазоГ. Э.MazoG. E.

Мазо Галина Элевна - доктор медицинских наук, д.м.н., заместитель директора по инновационному научному развитию, руководитель отделения трансляционной психиатрии

192019, г. Санкт-Петербург, ул. Бехтерева, д. 3

Galina E. Mazo

St. Petersburg

galina-mazo@yandex.ruПриволжский исследовательский медицинский университетРоссияPrivolzhsky Research Medical UniversityRussian FederationПриволжский исследовательский медицинский университет; Национальный медицинский исследовательский центр психиатрии и неврологии им. В.М. БехтереваРоссияPrivolzhsky Research Medical University; V.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyRussian FederationНациональный медицинский исследовательский центр психиатрии и неврологии им. В.М. БехтереваРоссияV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyRussian Federation2024250420245822028Copyright © Царьков И.Е., Новоселова А.Э., Жиляева Т.В., Мазо Г.Э., 20242024Царьков И.Е., Новоселова А.Э., Жиляева Т.В., Мазо Г.Э.Tsarkov I.E., Novoselova A.E., Zhilyaeva T.V., Mazo G.E.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/967

Цель данной статьи — осветить имеющиеся в мировой литературе современные представления о состоянии высокого риска развития психоза, как о перспективном диагностическом этапе для выявления групп риска по развитию шизофрении в ближайшем будущем, а также выделить и охарактеризовать инструменты скрининга состояния высокого риска развития психоза. Выявление и своевременная коррекция факторов риска является актуальным методом снижения уровня заболеваемости шизофренией и улучшения прогноза заболевания. В результате анализа данных литературы с обобщением имеющихся результатов оригинальных исследований, систематических обзоров и мета-анализов представлены сведения об имеющихся в настоящее время основных подходах к унифицированной стандартизированной диагностике состояния высокого риска развития психоза, а также проведена их сравнительная характеристика.

Согласно проведенному обзору публикаций, ни один из имеющихся в настоящее время инструментов не охватывает полностью все современные диагностические подходы, в связи с чем для достижения оптимального результата по выявлению состояния высокого риска психоза наиболее надежным представляется совместное использование различных инструментов. Кроме того, сохраняет актуальность дальнейшая разработка имеющихся инструментов скрининга и их валидизация в российской популяции.

The purpose of this article is to highlight current ideas available in the world literature about high-risk state for psychosis as a promising diagnostic stage for identification risk groups for the development of schizophrenia in the near future, as well as to allocate and characterize the tools for screening the highrisk state for psychosis.

Identification and timely correction of risk factors is a relevant method for reducing the incidence of schizophrenia and improving the prognosis of the disease.

As a result of the literature data analysis with a summary of the available results of original researches, systematic reviews and meta-analyses the data about currently available approaches to unified standardized diagnostics of high-risk state for psychosis are presented, and their comparative characteristic is carried out.

According to the review of publications, none of the currently available tools fully covers all contemporary diagnostic approaches, and therefore, in order to achieve an optimal result in identifying a state of high risk of psychosis, the combined use of various tools seems to be the most reliable. In addition, the further development of available screening tools and their validation in the Russian population remains relevant.

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The authors declare that there are no conflicts of interest present.