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1a (distressed individuals)
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1b (CHARMSb)
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Psychosis trait vulnerability
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Psychosis trait vulnerability
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Bipolar trait vulnerability
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Depressed mood or diminished interest or pleasure for at least 1 week as well as two additional criteria of depression: weight loss, sleep disorder, psychomotor disturbances, loss of energy, feelings of worthlessness or guilt, diminished ability to think or concentrate or indecisiveness, suicidality
And mood swings for at least 6 months in the lifetime (not symptom-free for a longer period than 2 months consecutively) and at least three symptoms: decreased need for sleep, increased energy, inflated self-esteem or grandiosity, increase in goal-directed activity, restlessness, increased talkativeness, unusual ideas, risky behavior, inappropriate humor (does not have to equal loss of function!)
Or first degree relative with bipolar disorder
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Attenuated psychotic symptoms
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CAARMSf global rating score of 3-6 and frequency of 3-6 on the subscales: unusual thought content, nonbizarre ideas, perceptual abnormalities, disorganized speech
Or global rating score of 6 and frequency of 3 on the subscales: unusual thought content, nonbizarre ideas, perceptual abnormalities, disorganized speech
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Attenuated hypomanic symptoms
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Elevated, expansive or unusually irritable mood on at least 2 consecutive days
And 2 (or in case of only irritable mood 3) additional criteria: inflated self-esteem or grandiosity, decreased need for sleep, increased talkativeness, flight of ideas or subjective experience that thoughts are racing, distractibility, increase in goal-directed activity or psychomotor agitation, unusual ideas, increased involvement in activities that are pleasurable in short time but have a high potential for long-term damage
For a duration of 3 days maximum if 3 or more (or in case of only irritable mood 4 or more) additional criteria are met and there are functional disturbances or others notice the mood or functional disturbances
For a duration of 6 days maximum if 3 or more (or in case of only irritable mood 4 or more) additional criteria are met or there are functional disturbances or others notice the mood or functional disturbances
Exclusion: hospitalization, severe impairment in social or professional functioning, no psychotic elements
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Moderate (attenuated) depression
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Mild or moderate depression (current or lifetime), that is, at least 1 cardinal symptom, 5 additional symptoms
And HAM-Dg>17 (cutoff)
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BLIPSh
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Or global rating of 5 or 6 on the subscale perceptual abnormalities
And/or global rating of 6 on the subscale disorganized speech present for less than a week
And frequency of 4-6 on all above mentioned scales
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Anxiety
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Mild or moderate panic disorder /agoraphobia (current or lifetime)
Or not fully meeting criteria for GADi, that is, symptoms for less than 6 months or less than four symptoms met
Or mild or moderate social phobia (current or lifetime)
And HAM-Aj>9 (cutoff)
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2 (first treated episode)
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Psychosis |
CAARMS |
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Severe major depression (current or lifetime) |
SCID-5 |
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Mania or hypomania |
SCID-5 |
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Severe anxiety disorder (current or lifetime); eg, agoraphobia, GAD |
SCID-5 |