Abstract：
Early-onset schizophrenia (EOS) is an important psychiatric problem characterized by the onset of psychotic symptoms before the age of 18 years. We present the case of a 14-year-old girl who had social anxiety symptoms in the premorbid period and whose psychotic symptoms increased with pandemic restrictions and online education. Our patient\'s distance from the peer environment and school as well as the fact that she used webcams and online education more frequently in her daily life were risk factors for EOS. In accordance with the case of Truman syndrome, she has delusions that her daily life is secretly filmed and that she is a \"TV star.\" Anti-anxiety treatments were initiated during the pre-pandemic period. After a diagnosis of schizophrenia was made, antipsychotic treatment was initiated. A significant response was observed after paliperidone (extended release) treatment. Close follow-ups revealed decreased delusions and increased functionality. Further studies are required to elucidate whether Truman syndrome and social anxiety are different aspects of a similar spectrum. With increasing digitalization, the direction of psychiatric diseases, including EOS, and measures that can be taken for adolescent mental health in crisis, such as pandemics, should be discussed in future research.
摘要：
早发性精神分裂症（EOS）是一种重要的精神病问题，其特征是在18岁之前出现精神病症状。我们介绍了一个14岁女孩的病例，该女孩在病前有社交焦虑症状，其精神病症状随着大流行限制和在线教育而增加。我们的患者与同伴环境和学校的距离以及她在日常生活中更频繁地使用网络摄像头和在线教育的事实是EOS的危险因素。根据杜鲁门综合征的案例,她有妄想，她的日常生活是秘密拍摄，她是一个电视明星。“抗焦虑治疗是在大流行前阶段开始的。在做出精神分裂症的诊断后，开始抗精神病药物治疗。在帕潘立酮(延长释放)治疗后观察到显著的反应。密切随访显示妄想减少，功能增加。需要进一步的研究来阐明杜鲁门综合征和社交焦虑是否是相似谱的不同方面。随着数字化程度的提高,精神疾病的方向，包括EOS,以及在危机中可以采取的青少年心理健康措施，如流行病，应该在未来的研究中讨论。
