Factors Affecting Clinical High Risk for Psychosis

Abstract

Background: For early detection of schizophrenia, we investigated the factors influencing young adults at clinical high risk (CHR) of psychosis and explained the structural model based on the Adolescent Resilience Model and the Stress Vulnerability Model. Methods: Based on web-based questionnaires, we measured perceived stress, family adaptability and cohesion, social support, coping, resilience, social function, and CHR in 907 cases. Results: Among 907 subjects, 102 (11.3%) were classified as CHR, and there was no difference according to demographic variables. Influencing factors of CHR were perceived stress, resilience, and social function. In the modified model, perceived stress, family adaptability and cohesion, and social support demonstrated a significant effect on coping. Perceived stress, family adaptability, cohesion, and coping demonstrated a significant influence on resilience. Perceived stress, coping, resilience, and social function demonstrated a significant influence on CHR. Conclusions: We suggest future research on the early stages of adolescence, and research that includes face-to-face surveys. Moreover, we recommend the development and selection of tools that can explain each influencing factor more lucidly.