Clinical high risk for psychosis: gender differences in symptoms and social functioning

2015 ◽  
Vol 11 (4) ◽  
pp. 306-313 ◽  
Author(s):  
Liz Rietschel ◽  
Martin Lambert ◽  
Anne Karow ◽  
Mathias Zink ◽  
Hendrik Müller ◽  
...  
Author(s):  
Amy Braun ◽  
Olga Santesteban‐Echarri ◽  
Kristin S. Cadenhead ◽  
Barbara A. Cornblatt ◽  
Eric Granholm ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-13 ◽  
Author(s):  
Ana Barajas ◽  
Susana Ochoa ◽  
Jordi E. Obiols ◽  
Lluís Lalucat-Jo

Introduction. To date, few studies have focused on the characterization of clinical phenomenology regarding gender in population at high-risk of psychosis. This paper is an attempt to summarize the findings found in the scientific literature regarding gender differences in high-risk populations, taking into account parameters studied in populations with schizophrenia and other psychotic disorders, such as incidence, clinical expression, duration of untreated illness (DUI), social functioning, and cognitive impairment prior to full-blown psychosis development.Method. Studies were systematically searched in PubMed. Studies using gender variable as a control variable were excluded. 12 studies met inclusion criteria.Results. Most of the studies found a differential pattern between women and men as regards clinical, social, and cognitive variables in the prodromal phase, with worse performance in men except in cognitive functioning (more severe negative symptoms, worse social functioning, and longer DUI in men). Similar conversion rates over time were found between men and women.Conclusions. Many of the studies analyzed suggest that differences between men and women in the expression of psychosis extend across a continuum, from the subclinical forms of illness to the debut of psychosis. However, the small number of studies and their significant methodological and clinical limitations do not allow for firm conclusions.


2015 ◽  
Vol 169 (1-3) ◽  
pp. 204-208 ◽  
Author(s):  
Danielle A. Schlosser ◽  
Timothy R. Campellone ◽  
Bruno Biagianti ◽  
Kevin L. Delucchi ◽  
David E. Gard ◽  
...  

2016 ◽  
Vol 46 (14) ◽  
pp. 2907-2918 ◽  
Author(s):  
D. Kimhy ◽  
K. E. Gill ◽  
G. Brucato ◽  
J. Vakhrusheva ◽  
L. Arndt ◽  
...  

BackgroundSocial functioning (SF) difficulties are ubiquitous among individuals at clinical high risk for psychosis (CHR), but it is not yet clear why. One possibility is suggested by the observation that effective SF requires adaptive emotion awareness and regulation. Previous reports have documented deficits in emotion awareness and regulation in individuals with schizophrenia, and have shown that such deficits predicted SF. However, it is unknown whether these deficits are present prior to the onset of psychosis or whether they are linked to SF in CHR individuals.MethodWe conducted a cross-sectional comparison of emotion awareness and regulation in 54 individuals at CHR, 87 with schizophrenia and 50 healthy controls (HC). Then, within the CHR group, we examined links between emotion awareness, emotion regulation and SF as indexed by the Global Functioning Scale: Social (Cornblatt et al. 2007).ResultsGroup comparisons indicated significant differences between HC and the two clinical groups in their ability to identify and describe feelings, as well as the use of suppression and reappraisal emotion-regulation strategies. Specifically, the CHR and schizophrenia groups displayed comparable deficits in all domains of emotion awareness and emotion regulation. A hierarchical multiple regression analysis indicated that difficulties describing feelings accounted for 23.2% of the SF variance.ConclusionsThe results indicate that CHR individuals display substantial emotion awareness and emotion-regulation deficits, at severity comparable with those observed in individuals with schizophrenia. Such deficits, in particular difficulties describing feelings, predate the onset of psychosis and contribute significantly to poor SF in this population.


2008 ◽  
Vol 99 (1-3) ◽  
pp. 119-124 ◽  
Author(s):  
Jean Addington ◽  
David Penn ◽  
Scott W. Woods ◽  
Donald Addington ◽  
Diana O. Perkins

2020 ◽  
Vol 1 (1) ◽  
pp. 4-19 ◽  
Author(s):  
Olga Santesteban-Echarri ◽  
Jacky Tang ◽  
Jaydon Fernandes ◽  
Jean Addington

Background: Youth at clinical high-risk (CHR) for developing psychosis are characterized by long-standing social deficits and isolation compared to healthy youth. Because poor social functioning is predictive of transition to psychosis, it is important to monitor its fluctuations. Objective: To describe the development of a mobile application to monitor social functioning for CHR youth. Methods: App development was divided in two phases. In Phase 1, three focus groups with up to 10 CHR participants were conducted to discuss (i) content, (ii) graphic design, and (iii) user experience of the app. A working prototype was developed, debugged, and systematically tested by developers. In Phase 2, 13 participants evaluated the app through a usability testing for one week. Feedback was gathered through the 23-item Mobile Application Rating Scale user-version (uMARS). Focus groups and MARS’ qualitative data were audio-recorded, transcribed verbatim, and analyzed through an inductive approach. Results: The app was named SOMO and incorporated five features: 1) home screen; 2) goal setting; 3) 13 daily questions; 4) a calendar; and 5) feedback.  The application monitored number of daily in-person and online interactions, meaningfulness and time spent with each person, conflict and conflict resolution, activities performed, subjective perception of socialization, and loneliness. SOMO received a good overall score in the uMARS, with an excellent score in functionality; followed by good scores in information, aesthetics, and safety; and adequate scores for subjective quality, and engagement. Conclusion: Co-design with youth through focus groups provided effective feedback for developing SOMO, which demonstrated initial usability and acceptability.


2017 ◽  
Vol 40 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Jimmy Choi ◽  
Cheryl M. Corcoran ◽  
Joanna M. Fiszdon ◽  
Michael Stevens ◽  
Daniel C. Javitt ◽  
...  

2021 ◽  
Vol 233 ◽  
pp. 3-12
Author(s):  
Paul D. Metzak ◽  
Megan S. Farris ◽  
Thea Placsko ◽  
Amy Braun ◽  
Dominique Bonneville ◽  
...  

2021 ◽  
Vol 228 ◽  
pp. 188-189
Author(s):  
Jean Addington ◽  
Olga Santesteban-Echarri ◽  
Amy Braun ◽  
Tania Lecomte

Sign in / Sign up

Export Citation Format

Share Document