Trauma and psychosis symptoms in a sample of help-seeking youth

Kline, Emily; Millman, Zachary B.; Denenny, Danielle; Wilson, Camille; Thompson, Elizabeth; Demro, Caroline; Connors, Kay; Bussell, Kristin; Reeves, Gloria; Schiffman, Jason

doi:10.1016/j.schres.2016.04.006

Cited by 38 publications

(39 citation statements)

References 37 publications

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“…Clinical comorbidity in the CHR-P state. Systematic review: Six studies had a primary focus on the investigation of comorbidities in CHR-P (Gerstenberg et al, 2015;Kline et al, 2016;Morelli et al, 2019; Pelizza, Poletti, et al, 2019;Pitzianti et al, 2019;Stain et al, 2018). Comorbidity was frequent (from 46.4% to 7%) in adolescents at CHR-P (Table S7).…”

Section: Meta-analysismentioning

confidence: 99%

Annual Research Review: Prevention of psychosis in adolescents – systematic review and meta‐analysis of advances in detection, prognosis and intervention

Catalán

Pablo

Serrano

et al. 2020

Child Psychology Psychiatry

119

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Background: The clinical high-risk state for psychosis (CHR-P) paradigm has facilitated the implementation of psychosis prevention into clinical practice; however, advancements in adolescent CHR-P populations are less established. Methods: We performed a PRISMA/MOOSE-compliant systematic review of the Web of Science database, from inception until 7 October 2019, to identify original studies conducted in CHR-P children and adolescents (mean age <18 years). Findings were systematically appraised around core themes: detection, prognosis and intervention. We performed meta-analyses (employing Q statistics and I 2 test) regarding the proportion of CHR-P subgroups, the prevalence of baseline comorbid mental disorders, the risk of psychosis onset and the type of interventions received at baseline. Quality assessment and publication bias were also analysed. Results: Eighty-seven articles were included (n = 4,667 CHR-P individuals). Quality of studies ranged from 3.5 to 8 (median 5.5) on a modified Newcastle-Ottawa scale. Detection: Individuals were aged 15.6 AE 1.2 years (51.5% males), mostly (83%) presenting with attenuated positive psychotic symptoms. CHR-P psychometric accuracy improved when caregivers served as additional informants. Comorbid mood (46.4%) and anxiety (31.4%) disorders were highly prevalent. Functioning and cognition were impaired. Neurobiological studies were inconclusive. Prognosis: Risk for psychosis was 10.4% (95%CI: 5.8%-18.1%) at 6 months, 20% (95% CI: 15%-26%) at 12 months, 23% (95%CI: 18%-29%) at 24 months and 23.3% (95%CI: 17.3%-30.7%) at ≥36 months. Interventions: There was not enough evidence to recommend one specific treatment (including cognitive behavioural therapy) over the others (including control conditions) to prevent the transition to psychosis in this population. Randomised controlled trials suggested that family interventions, cognitive remediation and fish oil supplementation may improve cognition, symptoms and functioning. At baseline, 30% of CHR-P adolescents were prescribed antipsychotics and 60% received psychotherapy. Conclusions: It is possible to detect and formulate a group-level prognosis in adolescents at risk for psychosis. Future interventional research is required.

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Section: Meta-analysismentioning

confidence: 99%

Annual Research Review: Prevention of psychosis in adolescents – systematic review and meta‐analysis of advances in detection, prognosis and intervention

Catalán

Pablo

Serrano

et al. 2020

Child Psychology Psychiatry

119

View full text Add to dashboard Cite

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“…Sixteen of these studies were included in a recent review and meta-analysis (5), which summarized the existing studies in a series of tables. We refer the reader to this paper by Kraan and colleagues (5) and have summarized more recent publications (8, 34, 45, 49, 51, 52, 55, 59) in a parallel table below (see Table 1). …”

Section: Trauma Experiences In the Chr Populationmentioning

confidence: 99%

“…In a small study of 30 CHR participants, 83% reported a physical abuse history (56). A study on a CHR sample reported more violent (71.7%) and non-violent events (53.3%) than the low-risk group (48.4% violent; 33.9% non-violent events) (45). Physical trauma is also associated with poorer cognitive functioning, which is a significant concern for CHR individuals, as poor premorbid cognitive functioning may add to their psychopathology risk (59, 61).…”

Section: Trauma Experiences In the Chr Populationmentioning

confidence: 99%

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The Role of Trauma and Stressful Life Events among Individuals at Clinical High Risk for Psychosis: A Review

et al. 2017

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The experience of childhood trauma (CT) and stressful life events (SLEs) is associated with subsequent development of a variety of mental health conditions, including psychotic illness. Recent research identifying adolescents and young adults at clinical high risk (CHR) for psychosis allows for prospective evaluation of the impact of trauma and adverse life events on psychosis onset and other outcomes, addressing etiological questions that cannot be answered in studies of fully psychotic or non-clinical populations. This article provides a comprehensive review of the current emerging literature on trauma and adverse life events in the CHR population. Up to 80% of CHR youth endorse a lifetime history of childhood traumatic events and victimization (e.g., bullying). Several studies have shown that the experience of CT predicts psychosis onset among CHR individuals, while the literature on the influence of recent SLEs (e.g., death of a loved one) remains inconclusive. Multiple models have been proposed to explain the link between trauma and psychosis, including the stress-vulnerability and stress-sensitivity hypotheses, with emphases on both cognitive processes and neurobiological mechanisms (e.g., the hypothalamic–pituitary–adrenal axis). Despite the preponderance of CHR individuals who endorse either CT or SLEs, no clinical trials have been conducted evaluating interventions for trauma in CHR youth to date. Furthermore, the current process of formal identification and assessment of trauma, SLEs, and their impact on CHR youth is inconsistent in research and clinical practice. Recommendations for improving trauma assessment, treatment, and future research directions in the CHR field are provided.

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“…Bantuan tersebut dapat berupa dukungan dari keluarga, teman sebaya hingga tenaga kesehatan. Bantuan awal yang dapat di lakukan dengan tepat dapat mengurangi tanda dan gejala psikosis awal (Kline et al, 2016). Tahapan dalam mencari bantuan yang dilakukan oleh remaja pertama kali akan mengenali masalahnya, kemudian remaja akan mengambil keputusan dalam mencari bantuan dan menentukan bantuan yang akan dituju oleh remaja tersebut (Heerde & Hemphill, 2018).…”

Section: Pendahuluanunclassified

Efikasi Diri Siswa dengan Tanda Gejala Psikosis Awal dalam Mencari Bantuan Melalui Usaha Kesehatan Sekolah Jiwa

Alfianto

Safitri

2019

JI-KES

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AbstrakUsaha Kesehatan Sekolah Jiwa (UKSJ) merupakan suatu layanan kesehatan jiwa berbasis sekolah. Program UKSJ terdiri dari pengkajian terjadi tanda gejala gangguan jiwa, pendidikan kesehatan dan yang terakhir empowerment. Tujuan dari UKSJ iyalah meningkatkan pengetahuan dan perilaku siswa tentang gangguan jiwa. TujuanMenganalisis pengaruh UKSJ terhadap efikasi diri dalam mencari bantuan tanda gejala psikosis awal. Metode Penelitiananalisis eksperimen dengan pendekatan quasi experiment dan tekhnik total sampling pada siswa SMK di Bantur dengan menggunakan kuesioner General self efficacy (GSE). Hasilanalisis uji t berpasangan menunjukkan adanya perbedaan yang bermakna pada kelompok intervensi nilai (p=0.000) dan tidak ada perbedaan yang bermakna pada kelompok control (pedidikan kesehatan dengan leaflet) dengan nilai (p=0.805).Kesimpulan Terdapat pengaruh Usaha Kesehatan Sekolah Jiwa (UKSJ) terhadap efikasi diri remaja dalam mencari bantuan tanda gejala psikosis awal dan tidak terdapat penegaruh pada kelompok kontrol.Kata Kunci :Usaha Kesehatan Sekolah Jiwa, pengetahuan, mencari bantuan, tanda gejala psikosis awal. AbstractSchool Mental Health (SMH) is a school-based mental health service. The School Mental Health program consists of assessing mental symptoms, health education and empowerment at the school. The purpose of SMH is to improve students' knowledge and behavior about mental disorders. The purpose of the study is to analyze the effect of SMH on Self efficacy in help seeking for adolescents with the symptoms of early psychosis. Research Methods is: Analytical experiments with a quasi-experimental approach and sample techniques by using total sampling at 108 the students of Vocational High Schools (SMK) in Bantur Malang. The instruments using General Self Efficacy (GSE). The results of paired T test analysis showed an influence on the intervention group (School Mental Health) value (p = 0.000) and no influence on the control group (leaflet health education) with a value (p = 0, 805). Conclusion: There is an effect of School Mental Health on Self efficacy in help seeking in adolescents with early psychosis symptoms of and there is no effect on the control group. Keywords : School Mental Health, self efficacy, help seeking, early psychosis symptoms

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Trauma and psychosis symptoms in a sample of help-seeking youth

Cited by 38 publications

References 37 publications

Annual Research Review: Prevention of psychosis in adolescents – systematic review and meta‐analysis of advances in detection, prognosis and intervention

Annual Research Review: Prevention of psychosis in adolescents – systematic review and meta‐analysis of advances in detection, prognosis and intervention

The Role of Trauma and Stressful Life Events among Individuals at Clinical High Risk for Psychosis: A Review

Efikasi Diri Siswa dengan Tanda Gejala Psikosis Awal dalam Mencari Bantuan Melalui Usaha Kesehatan Sekolah Jiwa

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