TY  - JOUR
PY  - 2018//
TI  - A survey of recognition and treatment of at-risk mental state by Japanese psychiatrists
JO  - Psychiatry and the Clinical Neurosciences
A1  - Tsujino, Naohisa
A1  - Tagata, Hiromi
A1  - Baba, Yoko
A1  - Kojima, Akiko
A1  - Yamaguchi, Taiju
A1  - Katagiri, Naoyuki
A1  - Nemoto, Takahiro
A1  - Mizuno, Masafumi
SP  - 391
EP  - 398
VL  - 72
IS  - 6
N2  - AIM: The importance of early intervention in psychiatry is widely recognised among psychiatrists. However, it is unknown whether precise knowledge of at-risk mental state has been disseminated. With this survey, we aimed to reveal how Japanese psychiatrists diagnosed patients with at-risk mental state and prescribed treatment strategies for them. <br><br>METHODS: Using fictional case vignettes, we conducted a questionnaire survey of psychiatrists (n = 1,399) who worked in Tokyo. We mailed study documents to all eligible participants in November 2015 with a requested return date in December. <br><br>RESULTS: Two hundred and sixty (19.3%) psychiatrists responded to the survey. Their correct diagnosis rates for the at-risk mental state vignettes were low (14.6% for the vignette describing at-risk mental state with attenuated positive symptom syndrome and 13.1% for the vignette describing at-risk mental state with brief intermittent psychotic syndrome). Many psychiatrists selected pharmacotherapy and antipsychotics to treat the at-risk mental state vignettes. The psychiatrists who correctly diagnosed the at-risk mental state vignettes had significantly fewer years of clinical psychiatric experience than did those who diagnosed them as non- at-risk mental state (12.5 years vs 22.7 years for the vignette describing at-risk mental state with attenuated positive symptom syndrome, p < 0.01; 14.3 years vs 22.2 years for the vignette describing at-risk mental state with brief intermittent psychotic syndrome, p < 0.01). <br><br>CONCLUSION: This study suggested that precise knowledge of at-risk mental state has not been disseminated among Japanese psychiatrists.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1323-1316
UR  - http://dx.doi.org/10.1111/pcn.12647
ID  - ref1
ER  -