Outcome in early-onset schizophrenia revisited: findings from the Early Psychosis Prevention and Intervention Centre long-term follow-up study.
Identifieur interne : 002D69 ( Main/Exploration ); précédent : 002D68; suivant : 002D70Outcome in early-onset schizophrenia revisited: findings from the Early Psychosis Prevention and Intervention Centre long-term follow-up study.
Auteurs : G Paul Amminger [Australie] ; Lisa P. Henry ; Susy M. Harrigan ; Meredith G. Harris ; Mario Alvarez-Jimenez ; Helen Herrman ; Henry J. Jackson ; Patrick D. McgorrySource :
- Schizophrenia research [ 1573-2509 ] ; 2011.
Descripteurs français
- KwdFr :
- Adaptation sociale (MeSH), Adolescent (MeSH), Adulte (MeSH), Diagnostic précoce (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Hôpitaux psychiatriques (statistiques et données numériques), Jeune adulte (MeSH), Mâle (MeSH), Psychologie des schizophrènes (MeSH), Reproductibilité des résultats (MeSH), Résultat thérapeutique (MeSH), Schizophrénie (diagnostic), Schizophrénie (physiopathologie), Schizophrénie (thérapie), Soins ambulatoires (méthodes), Soins ambulatoires (statistiques et données numériques), Âge de début (MeSH), Échelles d'évaluation en psychiatrie (MeSH), Études longitudinales (MeSH).
- MESH :
- diagnostic : Schizophrénie.
- méthodes : Soins ambulatoires.
- physiopathologie : Schizophrénie.
- statistiques et données numériques : Hôpitaux psychiatriques, Soins ambulatoires.
- thérapie : Schizophrénie.
- Adaptation sociale, Adolescent, Adulte, Diagnostic précoce, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Mâle, Psychologie des schizophrènes, Reproductibilité des résultats, Résultat thérapeutique, Âge de début, Échelles d'évaluation en psychiatrie, Études longitudinales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Age of Onset (MeSH), Ambulatory Care (methods), Ambulatory Care (statistics & numerical data), Early Diagnosis (MeSH), Female (MeSH), Hospitals, Psychiatric (statistics & numerical data), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Psychiatric Status Rating Scales (MeSH), Reproducibility of Results (MeSH), Schizophrenia (diagnosis), Schizophrenia (physiopathology), Schizophrenia (therapy), Schizophrenic Psychology (MeSH), Social Adjustment (MeSH), Surveys and Questionnaires (MeSH), Treatment Outcome (MeSH), Young Adult (MeSH).
- MESH :
- diagnosis : Schizophrenia.
- methods : Ambulatory Care.
- physiopathology : Schizophrenia.
- statistics & numerical data : Ambulatory Care, Hospitals, Psychiatric.
- therapy : Schizophrenia.
- Adolescent, Adult, Age of Onset, Early Diagnosis, Female, Humans, Longitudinal Studies, Male, Psychiatric Status Rating Scales, Reproducibility of Results, Schizophrenic Psychology, Social Adjustment, Surveys and Questionnaires, Treatment Outcome, Young Adult.
Abstract
OBJECTIVE
To compare the long-term outcome in individuals with early-onset (before age 18) and adult-onset schizophrenia spectrum disorder who were initially diagnosed and treated in the same clinical center.
METHOD
A prospective follow-up study of 723 consecutive first-episode psychosis patients (age range 14 to 30 years) on average 7.4 years after initial presentation to an early psychosis service, the Early Psychosis Prevention and Intervention Centre in Melbourne, Australia. The outcome measures included the Brief Psychiatric Rating Scale, the Schedule for the Assessment of Negative Symptoms, the Beck Depression Inventory, the Global Assessment of Functioning Scale, the Social and Occupational Functioning Assessment Scale, and the Quality of Life Scale.
RESULTS
Follow-up interviews were conducted on 66.9% (484/723) individuals, of whom 75.6% (366/484) received a schizophrenia spectrum disorder diagnosis at baseline. Early-onset schizophrenia spectrum disorder was observed in 11.2% (41/366). At follow-up, individuals with early-onset reported significantly fewer positive symptoms and were characterised by significantly superior functioning on measures assessing global functioning, social-occupational functioning, and community functioning than individuals with adult-onset. The early-onset group also achieved significantly better vocational outcomes and had a more favourable course of illness with fewer psychotic episodes over the last two years prior to follow-up. Finally, when investigated as a continuous variable, younger age at onset significantly correlated with better symptomatic and functional outcomes.
CONCLUSIONS
These results question the assumption that early-onset schizophrenia typically has a poor outcome. Early detection and specialised treatment for the first psychotic episode appear to be more effective at improving long-term functional outcomes in people with early-onset schizophrenia as in those with adult-onset schizophrenia. This possibility and the reasons for it need further investigation.
DOI: 10.1016/j.schres.2011.06.009
PubMed: 21741219
Affiliations:
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Henry</name></author><author><name sortKey="Harrigan, Susy M" sort="Harrigan, Susy M" uniqKey="Harrigan S" first="Susy M" last="Harrigan">Susy M. Harrigan</name></author><author><name sortKey="Harris, Meredith G" sort="Harris, Meredith G" uniqKey="Harris M" first="Meredith G" last="Harris">Meredith G. Harris</name></author><author><name sortKey="Alvarez Jimenez, Mario" sort="Alvarez Jimenez, Mario" uniqKey="Alvarez Jimenez M" first="Mario" last="Alvarez-Jimenez">Mario Alvarez-Jimenez</name></author><author><name sortKey="Herrman, Helen" sort="Herrman, Helen" uniqKey="Herrman H" first="Helen" last="Herrman">Helen Herrman</name></author><author><name sortKey="Jackson, Henry J" sort="Jackson, Henry J" uniqKey="Jackson H" first="Henry J" last="Jackson">Henry J. Jackson</name></author><author><name sortKey="Mcgorry, Patrick D" sort="Mcgorry, Patrick D" uniqKey="Mcgorry P" first="Patrick D" last="Mcgorry">Patrick D. Mcgorry</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21741219</idno><idno type="pmid">21741219</idno><idno type="doi">10.1016/j.schres.2011.06.009</idno><idno type="wicri:Area/Main/Corpus">002D50</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">002D50</idno><idno type="wicri:Area/Main/Curation">002D50</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">002D50</idno><idno type="wicri:Area/Main/Exploration">002D50</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Outcome in early-onset schizophrenia revisited: findings from the Early Psychosis Prevention and Intervention Centre long-term follow-up study.</title><author><name sortKey="Amminger, G Paul" sort="Amminger, G Paul" uniqKey="Amminger G" first="G Paul" last="Amminger">G Paul Amminger</name><affiliation wicri:level="1"><nlm:affiliation>Orygen Youth Health Centre for Youth Mental Health, 35 Poplar Road, Parkville, VIC 3052, Australia. amminger@unimelb.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen Youth Health Centre for Youth Mental Health, 35 Poplar Road, Parkville, VIC 3052</wicri:regionArea><wicri:noRegion>VIC 3052</wicri:noRegion></affiliation></author><author><name sortKey="Henry, Lisa P" sort="Henry, Lisa P" uniqKey="Henry L" first="Lisa P" last="Henry">Lisa P. Henry</name></author><author><name sortKey="Harrigan, Susy M" sort="Harrigan, Susy M" uniqKey="Harrigan S" first="Susy M" last="Harrigan">Susy M. Harrigan</name></author><author><name sortKey="Harris, Meredith G" sort="Harris, Meredith G" uniqKey="Harris M" first="Meredith G" last="Harris">Meredith G. Harris</name></author><author><name sortKey="Alvarez Jimenez, Mario" sort="Alvarez Jimenez, Mario" uniqKey="Alvarez Jimenez M" first="Mario" last="Alvarez-Jimenez">Mario Alvarez-Jimenez</name></author><author><name sortKey="Herrman, Helen" sort="Herrman, Helen" uniqKey="Herrman H" first="Helen" last="Herrman">Helen Herrman</name></author><author><name sortKey="Jackson, Henry J" sort="Jackson, Henry J" uniqKey="Jackson H" first="Henry J" last="Jackson">Henry J. Jackson</name></author><author><name sortKey="Mcgorry, Patrick D" sort="Mcgorry, Patrick D" uniqKey="Mcgorry P" first="Patrick D" last="Mcgorry">Patrick D. Mcgorry</name></author></analytic><series><title level="j">Schizophrenia research</title><idno type="eISSN">1573-2509</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Age of Onset (MeSH)</term><term>Ambulatory Care (methods)</term><term>Ambulatory Care (statistics & numerical data)</term><term>Early Diagnosis (MeSH)</term><term>Female (MeSH)</term><term>Hospitals, Psychiatric (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Psychiatric Status Rating Scales (MeSH)</term><term>Reproducibility of Results (MeSH)</term><term>Schizophrenia (diagnosis)</term><term>Schizophrenia (physiopathology)</term><term>Schizophrenia (therapy)</term><term>Schizophrenic Psychology (MeSH)</term><term>Social Adjustment (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation sociale (MeSH)</term><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Diagnostic précoce (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hôpitaux psychiatriques (statistiques et données numériques)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Psychologie des schizophrènes (MeSH)</term><term>Reproductibilité des résultats (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Schizophrénie (diagnostic)</term><term>Schizophrénie (physiopathologie)</term><term>Schizophrénie (thérapie)</term><term>Soins ambulatoires (méthodes)</term><term>Soins ambulatoires (statistiques et données numériques)</term><term>Âge de début (MeSH)</term><term>Échelles d'évaluation en psychiatrie (MeSH)</term><term>Études longitudinales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Schizophrénie</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Ambulatory Care</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Soins ambulatoires</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Schizophrénie</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Ambulatory Care</term><term>Hospitals, Psychiatric</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hôpitaux psychiatriques</term><term>Soins ambulatoires</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Schizophrénie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age of Onset</term><term>Early Diagnosis</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Psychiatric Status Rating Scales</term><term>Reproducibility of Results</term><term>Schizophrenic Psychology</term><term>Social Adjustment</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation sociale</term><term>Adolescent</term><term>Adulte</term><term>Diagnostic précoce</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Psychologie des schizophrènes</term><term>Reproductibilité des résultats</term><term>Résultat thérapeutique</term><term>Âge de début</term><term>Échelles d'évaluation en psychiatrie</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To compare the long-term outcome in individuals with early-onset (before age 18) and adult-onset schizophrenia spectrum disorder who were initially diagnosed and treated in the same clinical center.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>A prospective follow-up study of 723 consecutive first-episode psychosis patients (age range 14 to 30 years) on average 7.4 years after initial presentation to an early psychosis service, the Early Psychosis Prevention and Intervention Centre in Melbourne, Australia. The outcome measures included the Brief Psychiatric Rating Scale, the Schedule for the Assessment of Negative Symptoms, the Beck Depression Inventory, the Global Assessment of Functioning Scale, the Social and Occupational Functioning Assessment Scale, and the Quality of Life Scale.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Follow-up interviews were conducted on 66.9% (484/723) individuals, of whom 75.6% (366/484) received a schizophrenia spectrum disorder diagnosis at baseline. Early-onset schizophrenia spectrum disorder was observed in 11.2% (41/366). At follow-up, individuals with early-onset reported significantly fewer positive symptoms and were characterised by significantly superior functioning on measures assessing global functioning, social-occupational functioning, and community functioning than individuals with adult-onset. The early-onset group also achieved significantly better vocational outcomes and had a more favourable course of illness with fewer psychotic episodes over the last two years prior to follow-up. Finally, when investigated as a continuous variable, younger age at onset significantly correlated with better symptomatic and functional outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>These results question the assumption that early-onset schizophrenia typically has a poor outcome. Early detection and specialised treatment for the first psychotic episode appear to be more effective at improving long-term functional outcomes in people with early-onset schizophrenia as in those with adult-onset schizophrenia. This possibility and the reasons for it need further investigation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21741219</PMID><DateCompleted><Year>2011</Year><Month>12</Month><Day>23</Day></DateCompleted><DateRevised><Year>2016</Year><Month>05</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-2509</ISSN><JournalIssue CitedMedium="Internet"><Volume>131</Volume><Issue>1-3</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Schizophrenia research</Title><ISOAbbreviation>Schizophr Res</ISOAbbreviation></Journal><ArticleTitle>Outcome in early-onset schizophrenia revisited: findings from the Early Psychosis Prevention and Intervention Centre long-term follow-up study.</ArticleTitle><Pagination><MedlinePgn>112-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.schres.2011.06.009</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the long-term outcome in individuals with early-onset (before age 18) and adult-onset schizophrenia spectrum disorder who were initially diagnosed and treated in the same clinical center.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">A prospective follow-up study of 723 consecutive first-episode psychosis patients (age range 14 to 30 years) on average 7.4 years after initial presentation to an early psychosis service, the Early Psychosis Prevention and Intervention Centre in Melbourne, Australia. The outcome measures included the Brief Psychiatric Rating Scale, the Schedule for the Assessment of Negative Symptoms, the Beck Depression Inventory, the Global Assessment of Functioning Scale, the Social and Occupational Functioning Assessment Scale, and the Quality of Life Scale.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Follow-up interviews were conducted on 66.9% (484/723) individuals, of whom 75.6% (366/484) received a schizophrenia spectrum disorder diagnosis at baseline. Early-onset schizophrenia spectrum disorder was observed in 11.2% (41/366). At follow-up, individuals with early-onset reported significantly fewer positive symptoms and were characterised by significantly superior functioning on measures assessing global functioning, social-occupational functioning, and community functioning than individuals with adult-onset. The early-onset group also achieved significantly better vocational outcomes and had a more favourable course of illness with fewer psychotic episodes over the last two years prior to follow-up. Finally, when investigated as a continuous variable, younger age at onset significantly correlated with better symptomatic and functional outcomes.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These results question the assumption that early-onset schizophrenia typically has a poor outcome. Early detection and specialised treatment for the first psychotic episode appear to be more effective at improving long-term functional outcomes in people with early-onset schizophrenia as in those with adult-onset schizophrenia. This possibility and the reasons for it need further investigation.</AbstractText><CopyrightInformation>Copyright © 2011 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Amminger</LastName><ForeName>G Paul</ForeName><Initials>GP</Initials><AffiliationInfo><Affiliation>Orygen Youth Health Centre for Youth Mental Health, 35 Poplar Road, Parkville, VIC 3052, Australia. amminger@unimelb.edu.au</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Henry</LastName><ForeName>Lisa P</ForeName><Initials>LP</Initials></Author><Author ValidYN="Y"><LastName>Harrigan</LastName><ForeName>Susy M</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Harris</LastName><ForeName>Meredith G</ForeName><Initials>MG</Initials></Author><Author ValidYN="Y"><LastName>Alvarez-Jimenez</LastName><ForeName>Mario</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Herrman</LastName><ForeName>Helen</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Jackson</LastName><ForeName>Henry J</ForeName><Initials>HJ</Initials></Author><Author ValidYN="Y"><LastName>McGorry</LastName><ForeName>Patrick D</ForeName><Initials>PD</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>07</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Schizophr Res</MedlineTA><NlmUniqueID>8804207</NlmUniqueID><ISSNLinking>0920-9964</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017668" MajorTopicYN="N">Age of Onset</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042241" MajorTopicYN="N">Early Diagnosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006778" MajorTopicYN="N">Hospitals, Psychiatric</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012559" MajorTopicYN="N">Schizophrenia</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012565" MajorTopicYN="Y">Schizophrenic Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012917" MajorTopicYN="N">Social Adjustment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>05</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>06</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>06</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21741219</ArticleId><ArticleId IdType="pii">S0920-9964(11)00314-8</ArticleId><ArticleId IdType="doi">10.1016/j.schres.2011.06.009</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Alvarez Jimenez, Mario" sort="Alvarez Jimenez, Mario" uniqKey="Alvarez Jimenez M" first="Mario" last="Alvarez-Jimenez">Mario Alvarez-Jimenez</name><name sortKey="Harrigan, Susy M" sort="Harrigan, Susy M" uniqKey="Harrigan S" first="Susy M" last="Harrigan">Susy M. Harrigan</name><name sortKey="Harris, Meredith G" sort="Harris, Meredith G" uniqKey="Harris M" first="Meredith G" last="Harris">Meredith G. Harris</name><name sortKey="Henry, Lisa P" sort="Henry, Lisa P" uniqKey="Henry L" first="Lisa P" last="Henry">Lisa P. Henry</name><name sortKey="Herrman, Helen" sort="Herrman, Helen" uniqKey="Herrman H" first="Helen" last="Herrman">Helen Herrman</name><name sortKey="Jackson, Henry J" sort="Jackson, Henry J" uniqKey="Jackson H" first="Henry J" last="Jackson">Henry J. Jackson</name><name sortKey="Mcgorry, Patrick D" sort="Mcgorry, Patrick D" uniqKey="Mcgorry P" first="Patrick D" last="Mcgorry">Patrick D. Mcgorry</name></noCountry><country name="Australie"><noRegion><name sortKey="Amminger, G Paul" sort="Amminger, G Paul" uniqKey="Amminger G" first="G Paul" last="Amminger">G Paul Amminger</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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