A new scale for the screening of childhood early psychotic symptoms.

• The Early Psychotic Symptoms screening scale (EPSy) is a new scale to assess the prodromes of psychotic symptoms in children aged 4 to 13 years. • Symptoms of mistrust are to be an important and very early indicator of psychosis. • Symptoms of disorganization gain a similar status as mistrust as children grow older. • Symptoms of mistrust and disorganization should indicators for follow-up of children who could be qualified as ultra-high risk for psychosis. This study aimed to develop a new scale, the Early Psychotic Symptoms screening scale (EPSy), to assess the prodromes of psychotic symptoms in children aged 4 to 13 years. Two versions were proposed: one to assess the child's current behavior and one to assess the child's behavior when he/she was 2 years old. The second aim of this study was to investigate the presence of these symptoms at the age of 2 years and their evolution up to the child's current age. The analysis of EPSy identified three main factors, namely mistrust/paranoia, perceptual aberrations/hallucinations and disorganized symptoms. It has good psychometric properties. Data also shows that, independently of the participant's age, the total score on the 2-years-old version predicts the total score on the current-age version, and this is also the case for each individual factor. Finally, it is of clinical interest since it makes it possible to describe symptomatology both at age 2 and at the child's present age depending on the group to which the children are assigned (control children, psychotic children, non-psychotic children). [ABSTRACT FROM AUTHOR]