Frontiers in Psychiatry 杂志投稿-刊鹿论文编译

Improving the Detection of Individuals at Clinical Risk for Psychosis in the Community, Primary and Secondary Care: An Integrated Evidence-Based Approach

Abstract:

Background: The first rate-limiting step for improving outcomes of psychosis through preventive interventions in people at clinical high risk for psychosis (CHR-P) is the ability to accurately detect individuals who are at risk for the development of this disorder. Currently, this detection power is sub-optimal. Methods: This is a conceptual and nonsystematic review of the literature, focusing on the work conducted by leading research teams in the field. The results will be structured in the following sections: understanding the CHR-P assessment, validity of the CHR-P as a universal risk state for psychosis, and improving the detection of at-risk individuals in secondary mental health care, in primary care, and in the community. Results: CHR-P instruments can provide adequate prognostic accuracy for the prediction of psychosis provided that they are employed in samples who have undergone risk enrichment during recruitment. This substantially limits their detection power in real-world settings. Furthermore, there is initial evidence that not all cases of psychosis onset are preceded by a CHR-P stage. A transdiagnostic individualized risk calculator could be used to automatically screen secondary mental health care medical notes to detect those at risk of psychosis and refer them to standard CHR-P assessment. Similar risk estimation tools for use in primary care are under development and promise to boost the detection of patients at risk in this setting. To improve the detection of young people who may be at risk of psychosis in the community, it is necessary to adopt digital and/or sequential screening approaches. These solutions are based on recent scientific evidence and have potential for implementation internationally. Conclusions: The best strategy to improve the detection of patients at risk for psychosis is to implement a clinical research program that integrates different but complementary detection approaches across community, primary, and secondary care. These solutions are based on recent scientific advancements in the development of risk estimation tools and e-health approaches and have the potential to be applied across different clinical settings.

Author Listing： Paolo Fusar-Poli;Sarah A. Sullivan;Jai L. Shah;Peter J. Uhlhaas

Volume： 10

Pages： None

DOI： 10.3389/fpsyt.2019.00774

Language： English

Journal： Frontiers in Psychiatry

Frontiers in Psychiatry

FRONT PSYCHIATRY

影响因子：3.2

是否综述期刊：否

是否OA：是

是否预警：不在预警名单内

发行时间：-

ISSN：1664-0640

发刊频率：-

收录数据库：SCIE/Scopus收录/DOAJ开放期刊

出版国家/地区：UNITED STATES

出版社：Frontiers Media S.A.

期刊介绍

Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.The journal's mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.

《精神病学前沿》杂志发表了广泛的转化、基础和临床研究领域的严格同行评审研究。巴塞尔大学的领域主编Stefan Borgwardt得到了由国际研究人员组成的杰出编辑委员会的支持。这是一本多学科开放获取期刊，在向世界各地的研究人员、学者、临床医生和公众传播和交流科学知识和有影响力的发现方面处于最前沿。该期刊的使命是利用转化方法改善精神疾病的治疗选择，从而改善患者的治疗结果。

年发文量	1835
国人发稿量	554
国人发文占比	30.19%
自引率	6.2%
平均录取率	-
平均审稿周期	14 Weeks
版面费	US$2950
偏重研究方向	Medicine-Psychiatry and Mental Health
期刊官网	https://www.frontiersin.org/journals/psychiatry
投稿链接	https://www.frontiersin.org/submission/SubmissionHome.aspx?domainId=2&fieldId=68&specialtyId=0&entityType=1&entityId=71

质量指标占比

研究类文章占比	OA被引用占比	撤稿占比	出版后修正文章占比
87.41%	99.57%	0.00%	1.44%

预警情况

时间	预警情况
2025年03月发布的2025版	不在预警名单中
2024年02月发布的2024版	不在预警名单中
2023年01月发布的2023版	不在预警名单中
2021年12月发布的2021版	不在预警名单中
2020年12月发布的2020版	不在预警名单中

JCR分区 WOS分区等级：Q2区

版本	按学科	分区
WOS期刊SCI分区（2021-2022年最新版）
	PSYCHIATRY	Q2

中科院分区

版本	大类学科	小类学科	Top期刊	综述期刊
	医学 3区	PSYCHIATRY 精神病学 3区	否	否
2021年12月基础版	医学 3区	PSYCHIATRY 精神病学 3区	否	否
2021年12月升级版	医学 3区	PSYCHIATRY 精神病学 3区	否	否
2020年12月旧的升级版	医学 3区	PSYCHIATRY 精神病学 3区	否	否
2022年12月最新升级版	医学 3区	PSYCHIATRY 精神病学 3区	否	否