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    Schizotypal Disorder in Children—A Neglected Diagnosis

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    Author
    Tonge, BJ; Testa, R; Díaz-Arteche, C; Brereton, AV; Stephanou, K; Pantelis, C
    Date
    2020-01-01
    Source Title
    Schizophrenia Bulletin Open
    Publisher
    Oxford University Press (OUP)
    University of Melbourne Author/s
    Pantelis, Christos
    Affiliation
    Psychiatry
    Metadata
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    Document Type
    Journal Article
    Citations
    Tonge, B. J., Testa, R., Díaz-Arteche, C., Brereton, A. V., Stephanou, K. & Pantelis, C. (2020). Schizotypal Disorder in Children—A Neglected Diagnosis. Schizophrenia Bulletin Open, 1 (1), https://doi.org/10.1093/schizbullopen/sgaa048.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252227
    DOI
    10.1093/schizbullopen/sgaa048
    Abstract
    <jats:title>Abstract</jats:title> <jats:p>Disabling psychotic-like perceptions, thoughts, and behavior have long been recognized in children. These symptoms have an adverse impact on child and family and are a developmental predictor of Schizophrenia Spectrum Disorders (SSD). Attempts to classify this phenomenon separately and within the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases (ICD) systems have been unsuccessful until the DSM-5 and ICD-11. The categorization of Schizotypal Disorder within the SSDs in DSM-5 and ICD-11, and recognition that it is manifest in childhood, has established Schizotypal Disorder in Childhood (SDC) as a focus for clinical attention and research. This article aims to increase the awareness of this debilitating disorder by describing 3 case studies (ages 6, 8, and 9), which illustrate and refine the clinical presentation and cognitive profile of SDC. Biopsychosocial risk factors, comorbid disorders, and features that differentiate it from Autism Spectrum Disorder (ASD) are discussed. A comprehensive understanding of SDC will improve the accuracy and validity of the diagnostic process and pave the way for further research into its etiology, developmental pathway, and treatment.</jats:p>

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