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Disturbances of the Basic Self and Prodromal Symptoms Among Young Adolescents From the Community: A Pilot Population-Based Study.

Danny Koren, Liza Lacoua, Lily Rothschild-Yakar, Josef Parnas

Schizophrenia Bulletin September 2016 DOI: 10.1093/schbul/sbw010 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional observational study Peer reviewed
Sample size 100
Population Non-help-seeking adolescents aged 13-15 from the community
Measures Examination of Anomalous Self-Experience (EASE), Structured Interview for Prodromal Syndromes (SIPS), Social and Role Global Functioning Scales, Mood and Anxiety States Questionnaire (MASQ)
Topics Philosophy of mind
Keywords Clinical high-risk Psychosis Schizophrenia
Key findings Basic self-disturbances correlated strongly with sub-clinical psychotic symptoms (r = .70), more strongly than with mood symptoms or social functioning, and were the single best concurrent predictor of prodromal symptoms and syndromes. The authors argue this supports generalizing the self-disturbance/prodromal-symptom association to all adolescents clinically at high risk for psychosis, including non-help-seekers, and that the association is specific and unique.

Abstract

Recent findings have provided preliminary support for the notion that basic self-disturbances (SD) are related to prodromal symptoms among nonpsychotic help-seeking adolescents. As a sizable proportion of adolescents who are at risk do not seek help, this study attempts to assess the extent to which these findings can be generalized to the entire population of adolescents who are at risk for psychosis. The concurrent relationship between SD and prodromal symptoms was explored in a sample of 100 non-help-seeking adolescents (age 13-15) from the community. SD were assessed with the Examination of Anomalous Self-Experience (EASE); prodromal symptoms and syndromes were assessed with the Structured Interview for Prodromal Syndromes (SIPS); psychosocial functioning was assessed with the "Social and Role Global Functioning Scales"; and level of distress with the Mood and Anxiety States Questionnaire (MASQ). SD significantly correlated with sub-clinical psychotic symptoms (r = .70, P < .0001). This correlation was significantly stronger than those of SD with mood symptoms and social functioning. Finally, SD was the single best concurrent predictor of prodromal symptoms and syndromes. These results provide preliminary support for the generalizability of the association between SD and prodromal symptoms for the entire population of adolescents who are clinically at high risk for psychosis. In addition, they further support the notion that this association is both specific and unique.

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