20 SCIENTIA PSYCHIATRICA Psychosocial Aspect on Childhood Onset Psyhosis Carla R. Marchira 1 Department of Psychiatry, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia A R T I C L E I N F O Keywords: Psychosocial aspect Early-onset psychosis Childhood psychosis In-depth interview Javanese culture. ⁎ Corresponding author: E-mail address: cmarchira@ugm.ac.id All authors have reviewed and approved the final version of the manuscript. https://doi.org/10.37275/scipsy.v1i4.23 A B S T R A C T Introduction. Early-onset psychosis (EOP) or early-onset schizophrenia (EOS), also called childhood-onset schizophrenia (COS), is a rare and severe form of schizophrenia and signed by psychotic symptoms by age 12 years. Diagnosis criteria of COS are similar to the criteria of schizophrenia in adolescence and adulthood. The difference is that instead of showing deteriorating functioning, children may fail to achieve their level of social and academic functioning. This study aimed to report the psychosocial aspect of COS case suffered by 12 years old girl treated for two years. Method. In-depth interviews were conducted with patients of COS and parents about the course of illness, parent's acceptance, patient's perception, friends and teachers' acceptance, and patient's academic achievement. Result. Parents could accept the patient's illness with expectation and hope that patient could finish her education as high as possible through her medication. COS patient thinks that she has "special ability" instead of a mental disorder. 1. Introduction Early-onset psychosis (PAD), also called early- onset schizophrenia (EOS) or childhood-onset schizophrenia (COS) is a rare case, is a severe form of schizophrenia, and is characterized by psychotic symptoms that occur at the age of 12 years 1 . It is said if the incidence of COS cases is only less than 1 in 10,000 children, where at the age of 13-18 years, the frequency of schizophrenia will increase. The criteria for a diagnosis of COS are the same as the criteria for adult schizophrenia. The difference is that in the case of adult schizophrenia seen a decline in COS's general function, there is a failure of a clear level of academic and social function. This is because, at the age of 12 years or less, most children are still in school age, so what can be immediately seen is a decline in social and academic function. Psychosocial stressors and interactions with biological risk factors as a cause of schizophrenia, in general, are also said to be a cause of COS 2 . At the same time, heredity is said to have a fairly high contribution of around 80% 1 . People with psychotic disorders often appear in late adolescence or young adulthood 3-5 . Patients also get very little information about mental disorders, experience agitation, and distress due to unknown symptoms, not knowing the available mental health services and how to access them. Patients also get very little information about mental disorders, experience agitation and distress due to unknown symptoms, do not know the available mental health services, and access these services. Patients also deny the existence of psychotic disorders, eISSN (Online): 2715-9736 Scientia Psychiatrica Journal Homepage: www.scientiapsychiatrica.com