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Perspective on clinical high-risk for psychosis in Africa.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Awhangansi, Sewanu 
Okewole, Adeniran 
Archard, Philip John 
O'Reilly, Michelle 

Abstract

Clinical High Risk for Psychosis has evolved in recent years as a conceptual and clinical entity, representing a shift in focus from the syndromal psychosis state to a recognition of the pre-psychotic state as a period of potential preventive intervention. Much existing evidence has been generated from well-resourced countries, with a more limited body of literature available from Africa and other Majority World countries. Against a backdrop of prevailing systemic challenges, it is necessary to appraise the state of knowledge on Clinical High Risk for Psychosis in Africa. In this perspective article, we cover epidemiology, risk factors, predictors of psychosis conversion, as well as an overview of sociocultural factors, notably stigma, and the barriers to mental health services in African settings. We discuss existing and promising assessment approaches and reflect on preventive and early intervention strategies. We conclude with recommendations including the need for more clinical, longitudinal, and collaborative research anchored in an integrative transdisciplinary approach. We highlight the need for more culturally valid assessment tools and strategies to improve access to and utilization of services while also reducing stigma.

Description

Keywords

Africa, attenuated psychosis syndrome, clinical high risk for psychosis, early onset psychosis, psychotic-like experiences

Journal Title

Front Psychiatry

Conference Name

Journal ISSN

1664-0640
1664-0640

Volume Title

Publisher

Frontiers Media S.A.
Sponsorship
None