Adults with psychosis or psychotic experiences may report adverse life events prior to the onset of symptoms but direction of causality cannot be inferred

摘要

Question: Are stressful events during adulthood associated with the onset of psychosis?Outcomes: First-episode psychosis or subclinical psychotic experiences. Outcome criteria were not further specified a priori. The observational studies included in the review used various measures of psychosis including: International Classification of Diseases ninth edition (ICD-9) or ICD-10 and Diagnostic and Statistical Manual (DSM) II or DSM-IV diagnoses of psychosis or schizophrenia; Research Diagnostic Criteria for Schizophrenia (RDCS); Present State Examination (PSE); Categorical Assessment of Psychiatric Disorder (CATEGO); Psychosis Screening Questionnaire (PSQ); Composite International Diagnostic Interview (CIDI); and in one study paranoid thinking was assessed using a self-report questionnaire.