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Psychotic spectrum disorders in childhood

Popović-Deušić Smiljka (Institut za mentalno zdravlje, Beograd)
Pejović-Milovančević Milica (Institut za mentalno zdravlje, Beograd)
Draganić-Gajić Saveta (Institut za mentalno zdravlje, Beograd)
Aleksić-Hil Olivera (Institut za mentalno zdravlje, Beograd)
Lečić-Toševski Dušica (Institut za mentalno zdravlje, Beograd)

For a long time, there was a strong belief of existing continuity between childhood-onset psychoses and adult psychoses. Important moment in understanding psychotic presentations during infancy and childhood is Kanner's description of early infantile autism. Later studies of Rutter and Kolvin, as well as new classification systems, have delineated pervasive developmental disorders from all other psychotic disorders in childhood. But clinical experience is showing that in spite of existence of the group of pervasive developmental disorders with subgroups within it and necessary diagnostic criteria there are children with pervasive symptoms, who are not fulfilling all necessary diagnostic criteria for pervasive developmental disorder. Therefore, in this paper we are discussing and pointing at psychotic spectrum presentations in children, which have not the right place in any existing classification system (ICD-10, DSM-IV).

Keywords: early onset psychoses, pervasive developmental disorders, psychotic spectrum in childhood, classification systems