Oropharyngeal microbiome composition as a possible diagnostic marker for true psychosis in a forensic psychiatric setting: A narrative literature review and an opinion
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Department of Psychiatry, School of Medicine, Zahedan University of Medical Sciences, Zahedan, IRAN
Mental Health Center of Giulianova, Teramo, ITALY
Department of Nursing, Zahedan Branch, Islamic Azad University, Zahedan, IRAN
Department of Psychiatry, School of Medicine, Ilam University of Medical Sciences, Ilam, IRAN
Department of Psychology, Yadegar-e-Imam Khomeini (RAH), Shahre Rey Branch, Islamic Azad University, Tehran, IRAN
Online publication date: 2023-03-17
Publication date: 2023-07-01
Electron J Gen Med 2023;20(4):em486
The malingered psychosis has increasingly occurred over the past few years due to the tendency towards care in the community and the closures of long-stay psychiatric institutions. Thus, it is required to identify malingered psychosis to reach accurate forensic assessments and inhibit misuse of restricted healthcare resources and miscarriages of justice. Despite the fact that some practical psychometric tools and strategies have been proposed for diagnosing true psychosis over the past decades, the differentiation between true psychosis and malingered psychosis is still sometimes challenging. Accordingly, it seems crucial to identify innovative and reliable diagnostic alternatives. Hence, the present article summarizes a collection of evidence that can be used by researchers to improve future assessment of oropharyngeal microbiome composition as a feasible diagnostic marker for true psychosis in a forensic psychiatric setting.
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