{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:50:42Z","timestamp":1785768642443,"version":"3.56.0"},"reference-count":41,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,7,20]],"date-time":"2011-07-20T00:00:00Z","timestamp":1311120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:p>\n                    <jats:bold>Background:\u2002<\/jats:bold>\n                    Only one study has used a prospective method to analyze the diagnostic stability of first psychotic episodes in children and adolescents. The Child and Adolescent First\u2010Episode Psychosis Study (CAFEPS) is a 2\u2010year, prospective longitudinal study of early\u2010onset first episodes of psychosis (EO\u2010FEP).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Aim:\u2002<\/jats:bold>\n                    To describe diagnostic stability and the variables related to diagnostic changes.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:\u2002<\/jats:bold>\n                    Participants were 83 patients (aged 9\u201317\u2003years) with an EO\u2010FEP consecutively attended. They were assessed with a structured interview (Kiddie\u2010Schedule for Affective Disorders and Schizophrenia, Present and Lifetime version) and clinical scales at baseline and after 2\u2003years.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:\u2002<\/jats:bold>\n                    The global consistency for all diagnoses was 63.9%. The small group of bipolar disorder had high stability (92.31%) as did the group with schizophrenia spectrum disorders (90.00%). Depressive disorder had lower stability (37.50%) and the lowest values were for psychotic disorder not otherwise specified (11.76%) and brief psychotic disorder (0%).The most frequent diagnostic shift was to schizophrenia spectrum and bipolar disorders. One group of patients did not meet the criteria for any diagnosis at follow\u2010up. Independent predictors of change to schizophrenia spectrum disorders were lower scores on the Children\u2019s Global Assessment Scale (CGAS) and the Hamilton Depression Rating Scale. Predictors of not having a diagnosis at follow\u2010up were the CGAS and the Strauss\u2013Carpenter Outcome Scale.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:\u2002<\/jats:bold>\n                    Global diagnostic stability was 63.9%. Bipolar and schizophrenia spectrum disorders were the most stable diagnoses, while depressive disorder and other psychosis the least stable. Psychosocial functioning at baseline was a good predictor of diagnosis at follow\u2010up. These data show the need for longitudinal follow\u2010up in EO\u2010FEP before a stable diagnosis is reached.\n                  <\/jats:p>","DOI":"10.1111\/j.1469-7610.2011.02443.x","type":"journal-article","created":{"date-parts":[[2011,7,20]],"date-time":"2011-07-20T06:28:52Z","timestamp":1311143332000},"page":"1089-1098","source":"Crossref","is-referenced-by-count":62,"title":["Two\u2010year diagnostic stability in early\u2010onset first\u2010episode psychosis"],"prefix":"10.1111","volume":"52","author":[{"given":"Josefina","family":"Castro\u2010Fornieles","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Immaculada","family":"Baeza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"de la Serna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Gonzalez\u2010Pinto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Parellada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montserrat","family":"Graell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dolores","family":"Moreno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soraya","family":"Otero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celso","family":"Arango","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,7,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2006.04.018"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1888-9891(09)73233-1"},{"key":"e_1_2_8_4_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2006.00984.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000164591.55942.ea"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2008.00659.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7753(03)73814-7"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/8.3.470"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2006.12.004"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7753(02)73419-2"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/104454603322163899"},{"key":"e_1_2_8_13_1","first-page":"18","article-title":"Evaluaci\u00f3n del deterioro en ni\u00f1os y adolescentes a trav\u00e9s de la Children\u2019s Global Assessment Scale (CGAS)","volume":"1","author":"Ezpeleta L.","year":"1999","journal-title":"Revista de Psiquiatr\u00eda Infanto-Juvenil"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-007-0076-3"},{"key":"e_1_2_8_15_1","first-page":"287","article-title":"Stability\/change of DSM diagnoses among children and adolescents assessed at a university hospital: A cross\u2010sectional cohort study","volume":"18","author":"Ghazan\u2010Shahi S.","year":"2009","journal-title":"Journal of the Canadian Academy of Child and Adolescent Psychiatry"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(98)00032-9"},{"key":"e_1_2_8_17_1","volume-title":"Assessment manual for psychopharmacology, revised","author":"Guy W.","year":"1976"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1967.tb00530.x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/10645-000"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.10.1652"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00783424"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-003-0300-z"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199707000-00021"},{"key":"e_1_2_8_24_1","first-page":"56","volume-title":"Schizophrenia. 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