Early Intervention in Psychiatry最新文献

{"title":"Unravelling Distress in Psychotic-Like Experiences: A Systematic Review of Non-Clinical Populations.","authors":"Joachim Rockenschaub, Antonia Renner, Fabian Friedrich, Maximus Berger, Clemens Mielacher, Melanie Trimmel, Barbara Hinterbuchinger, Nilufar Mossaheb","doi":"10.1111/eip.70175","DOIUrl":"10.1111/eip.70175","url":null,"abstract":"<p><strong>Introduction: </strong>Psychotic-like experiences (PLEs) are subthreshold psychotic phenomena that occur along the psychosis continuum and are frequently accompanied by distress. However, the factors underlying distress in individuals reporting PLEs-particularly within non-clinical populations-remain insufficiently understood. This systematic review aims to synthesise the evidence on factors directly or indirectly associated with distress in PLEs among non-clinical samples.</p><p><strong>Methods: </strong>A systematic search of Medline, Web of Science, Embase, and Cochrane (January 2000-March 2025) using the terms psychotic-like experiences AND (distress OR resilience OR burden OR coping OR adaptive behaviour) identified 762 studies, of which 111 met inclusion criteria and were included in a narrative synthesis.</p><p><strong>Results: </strong>Distress related to PLEs can be differentiated into direct PLE-related distress and indirect psychological distress. Factors associated with distress clustered into three domains: (i) Symptomatology-greater frequency, intensity, persistence and specific subtypes predict higher distress, as do comorbid depression, anxiety and suicidality. (ii) Psychological factors-maladaptive metacognitive biases, poor emotion regulation and avoidant or emotion-focused coping contribute to distress, whereas self-compassion and problem-focused coping may be protective. (iii) Environmental and contextual factors-traumatic life events, discrimination, daily stressors and substance use amplify distress, often by interacting with internal vulnerabilities and emotion regulation capacities.</p><p><strong>Conclusion: </strong>Distress in PLEs arises from the interaction between symptom features, internal psychological vulnerabilities and external environmental factors. Consistent with emotion regulation models, distress reflects disruptions in adaptive appraisal and coping processes that heighten emotional reactivity. Conceptualizing distress as a transdiagnostic vulnerability underscores its relevance for early identification and preventive interventions. Future research should harmonise definitions of distress, examine longitudinal pathways and evaluate resilience-building approaches to mitigate risk and improve mental health outcomes.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 5","pages":"e70175"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Effects of Aerobic Exercise on Brain Connectivity in Individuals With Subthreshold Depression","authors":"Zeqi Hao,&nbsp;Hang Zhang,&nbsp;Li Li,&nbsp;Lina Huang,&nbsp;Mengting Li,&nbsp;Lanfen Chen,&nbsp;Yang Yu,&nbsp;Xizhen Wang,&nbsp;Jun Ren,&nbsp;Xize Jia","doi":"10.1111/eip.70173","DOIUrl":"10.1111/eip.70173","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Subthreshold depression (StD) is a significant risk factor for major depressive disorder (MDD). Aerobic exercise can alleviate depressive symptoms in StD over a certain period and prevent progression from StD to MDD. However, the underlying mechanisms of aerobic exercise on StD remain unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The current study included 44 individuals with StD and 34 healthy controls (HCs) to perform 8-week aerobic exercise. Then we used Granger causality analysis (GCA) and frequency-dependent functional connectivity (FC) with the bilateral hippocampus to examine the between-group and within-group differences. Support vector machine (SVM) was used to test whether differences in brain regions before aerobic exercise could effectively distinguish between StD and HCs. Finally, we evaluated the relationship between GCA or FC and clinical characteristics in individuals with StD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Before aerobic exercise, StD showed altered GCA and frequency-dependent FC in brain regions related to cognitive control and visual processing. SVM results demonstrated that the current classifier has an accuracy of 80.77% for distinguishing StD and HCs. The results suggested that aerobic exercise could reduce depression and anxiety levels and restore the abnormal GCA and frequency-dependent FC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study demonstrated further evidence for the short-term effects of aerobic exercise on depression and anxiety in StD and indicated that aerobic exercise can restore aberrant brain connectivity patterns in StD, specifically within a short-term timeframe.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's Care in First-Episode Psychosis: Clinicians' Perspectives on Service Provision","authors":"Grainne McGinty,&nbsp;Sean Naughton,&nbsp;Keith Gaynor,&nbsp;Saoirse Byrne,&nbsp;Roisin Farrelly,&nbsp;Anja Stano,&nbsp;Mary Clarke","doi":"10.1111/eip.70163","DOIUrl":"10.1111/eip.70163","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early intervention in Psychosis (EIP) services are vital in reducing the long-term impact of first-episode psychosis (FEP). However, women with FEP encounter unique biological, social, and systemic challenges that may delay diagnosis, hinder access to care, and affect treatment engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study explores clinicians' perspectives on the sex-specific needs of women with FEP, focusing on hormonal influences, caregiving responsibilities, stigma, and systemic barriers to care within EIP services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative design was employed, utilising semi-structured interviews with 20 clinicians from EIP and adult mental health services in Dublin, Ireland. Reflective Thematic Analysis was used to identify key themes, with an inductive constructivist approach underpinning the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four key themes: (1) Sex differences in presentation, with women showing later onset, higher emotional distress, and lower rates of substance-induced psychosis; (2) Hormonal interactions, highlighting the impact of menstruation, pregnancy, and menopause on symptomatology and treatment response; (3) Shame and adjustment, with internalised stigma, delayed help-seeking, and disruption of social roles; (4) Barriers to care, including caregiving responsibilities and inflexible service models. Clinicians emphasised the need for integrated, sex-sensitive and trauma-informed care, as well as improved collaboration between psychiatry, gynaecology and endocrinology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Women with FEP face multifaceted barriers to accessing and engaging with EIP services. Implementing clinician recommendations, namely flexible and integrated care, trauma-informed and sex-sensitive approaches, and robust cross-disciplinary collaboration, is vital for improving outcomes. Future research should incorporate service user perspectives to further refine inclusive and effective EIP pathways for women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Research Priorities in Early Psychosis: A Collaborative Approach to Shaping the Future of Early Psychosis Clinical Trials in Australia","authors":"Amity E. Watson,&nbsp;Stephen J. Wood,&nbsp;Ellie Brown,&nbsp;Isabel Zbukvic,&nbsp;Joanna Fitzsimons,&nbsp;Deanna De Cicco,&nbsp;Karine Fernandez,&nbsp;Georgia Williams,&nbsp;Andrew Thompson","doi":"10.1111/eip.70170","DOIUrl":"10.1111/eip.70170","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychotic disorders are major contributors to disability and mortality, disproportionately affecting young people. Despite advances in early psychosis care, there are still barriers to treatment, suboptimal outcomes, and limited therapeutic options. Given limited funding for psychosis research, priority setting that incorporates perspectives from across the sector, but especially those with lived experience, is vital for directing resources. This paper outlines the Australian Early Psychosis Collaborative Consortium's process for identifying priorities to guide early psychosis clinical trial research in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative data were collected via online surveys and stakeholder workshops with people with lived experience, carers, clinicians and researchers. Content analysis was conducted, followed by iterative refinement and ranking of priority research questions across multiple stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six broad themes and 55 research questions were identified through both the initial survey and stakeholder consultations, culminating in ten research questions for ranking in the final poll. The top-ranked priority was identifying treatments with the most enduring benefits for individuals with early psychosis. Other priorities included: identifying effective treatments for negative symptoms; addressing trauma in psychosis risk and treatment; focusing on supports for neurodevelopmental conditions; understanding and targeting risk factors to prevent psychosis onset; translation of research findings to clinical care; considerations of cultural diversity; and effective support for people leaving early psychosis services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings reaffirm the core objective of specialised early intervention for psychosis: to support long-term recovery and improved outcomes. Identified priorities offer direction for future research and resource allocation that reflects diverse stakeholder perspectives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reporting and Specifying the Implementation Strategies Used in a National Programme of Primary Care Youth Mental Health","authors":"Jeff Moore,&nbsp;Gillian O'Brien,&nbsp;Sarah Cullinan,&nbsp;Joseph Duffy","doi":"10.1111/eip.70147","DOIUrl":"10.1111/eip.70147","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The implementation strategies used to facilitate the delivery of youth mental health interventions are rarely reported. Specifying and reporting implementation strategies for impactful innovations that have demonstrated good clinical outcomes has the potential to support replication in other contexts and accelerate the adoption of effective youth mental health interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Key project personnel conducted a retrospective review of implementation strategies used in a national programme of enhanced primary care youth mental health services. These strategies were classified and reported using the pragmatic implementation-reporting tool. We used univariate statistics to describe the implementation strategy types, temporality, dosage and actors. We conducted linear regression techniques to predict time investment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 30 implementation strategies used across the course of one year. Twenty percent of strategies identified were in the domains of evaluative and iterative strategies and stakeholder engagement. This was followed by training and educating stakeholders, providing interactive assistance and supporting clinicians. In terms of dosage, interactive assistance accounted for over half of all time invested. Interactive assistance was the only category to predict increased person hours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>By specifying and reporting the implementation strategies used in a youth mental health primary care programme, the pragmatic implementation-reporting tool can help demonstrate resourcing and skills required to reach programme sustainment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Parental Rejection in Mental Health Outcomes of Transgender and Gender-Diverse Youth","authors":"Zeynep Tüzün,&nbsp;Koray Başar,&nbsp;Cihan Aslan,&nbsp;Kevser Nalbant,&nbsp;Melis Pehlivantürk Kızılkan,&nbsp;Burcu Ersöz Alan,&nbsp;Sinem Akgül","doi":"10.1111/eip.70176","DOIUrl":"10.1111/eip.70176","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Early identification of mental health risks in transgender and gender-diverse youth is crucial for preventing severe psychiatric outcomes. This study examined the association between parental rejection and depression, suicidality and non-suicidal self-injury (NSSI) in a non-Western clinical setting, highlighting the implications for early intervention within this population experiencing marginalization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective chart review was conducted for youth presenting with gender dysphoria. Initial assessment data included gender identity, social transition status (chosen name, gender-affirming clothing at home), indicators of parental rejection (non-acknowledgment of identity, refusal to use chosen name, restriction of expression), psychiatric diagnoses, suicidal ideation, lifetime NSSI and suicide attempts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 81 adolescents (aged 12–18), 92.6% had disclosed their identity to at least one parent; 73.3% were sex-assigned female at birth. Social transition was evident in 61.3% (chosen name use) and 81.3% (gender-affirming clothing). At least one form of parental rejection was reported by 80%, including rejection of identity (76%), refusal of chosen name (79%) and clothing restriction (62.3%). Depression (40%) and anxiety (13.3%) were the most common diagnoses. Suicidal ideation occurred in 38.7%, NSSI in 36% and suicide attempts in 21.3%. Parental rejection was significantly associated with NSSI (<i>p</i> = 0.021) and depression (<i>p</i> = 0.010), but not with suicidal ideation or attempts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings underscore the need for early intervention strategies that actively engage families, as enhancing parental support may play a pivotal role in reducing depression and self-harm among transgender and gender-diverse youth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accelerating Access to Early Intervention Through Hospital-Wide Outreach and Enhanced Referral Support.","authors":"Hyun Jung Kim, Tamara Welikson, Julie M McCarthy, Zachary B Millman, Alexa Rivas, Dost Öngür, Emily E Carol","doi":"10.1111/eip.70174","DOIUrl":"10.1111/eip.70174","url":null,"abstract":"<p><strong>Aims: </strong>Detection and intervention of psychosis-risk states are typically delivered through clinical high risk for psychosis (CHR) clinics grounded in CHR research frameworks. However, real-world implementation is limited by major challenges, including clinical efficiency, comorbidity, and transdiagnostic presentations. At McLean Hospital, we launched the Outreach and Enhanced Referral Support project to address these challenges and extend early detection and intervention beyond traditional CHR clinic settings. Here we describe the project and report interim findings.</p><p><strong>Methods: </strong>This pilot project comprises three phases: needs assessment, outreach training, and enhanced referral support. Surveys assessed feasibility, acceptability, and selected clinical outcomes.</p><p><strong>Results: </strong>Ten referral support cases were completed between July 2024 and April 2025. Feasibility ratings ranged 80%-100%, and acceptability was 91.7%. The mean wait time for support services was 3 days (95% CI 2.11-3.89, SD = 1.25; range, 0-7).</p><p><strong>Conclusions: </strong>Preliminary findings indicate that the Outreach and Enhanced Referral Support model is feasible and acceptable in a large psychiatric hospital setting, warranting larger-scale evaluation of its clinical impact.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":"e70174"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Study of the Peer Supported Family Intervention, Psychosis Recovery by Enabling Adult Carers at Home (Psychosis-REACH) in an Early Psychosis Clinic","authors":"Melanie Lean,&nbsp;Katie C. Benitah,&nbsp;Diane E. Wakeham,&nbsp;Lauren Chang,&nbsp;Daniel Virtheim,&nbsp;Summer Runestad,&nbsp;Sarah L. Kopelovich,&nbsp;Kate V. Hardy","doi":"10.1111/eip.70169","DOIUrl":"10.1111/eip.70169","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Psychosis REACH (p-REACH) is a co-produced, bichronous (hybrid synchronous and asynchronous) Family Intervention for psychosis that leverages a direct-to-family delivery model to enhance access. We aimed to assess the effect, feasibility and acceptability of the p-REACH core training when combined with longitudinal, family peer-delivered support in an early psychosis setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>After completing the p-REACH core training, caregiver participants (<i>N</i> = 20) engaged in monthly peer and clinician co-led coaching groups for 6 months to support skill development and met with a peer with lived experience of caring for a loved one with psychosis twice a month for the course of the intervention. We assessed depression, anxiety, expressed emotion, perceptions of carer burden and attitudes towards psychosis at baseline, immediately post-intervention and at 3 and 6 months post-intervention, the latter of which coincided with the end of the coaching period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention, combined with ongoing peer facilitated group and individual family support, had a positive impact on all carers' outcomes, except depression which was subthreshold at baseline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates the feasibility and acceptability of the p-REACH intervention in an early psychosis clinic and demonstrates the positive impact of teaching CBTp-informed skills to caregivers on both carer and service user outcomes. Further randomised controlled studies are needed to fully assess the key components and impact of this intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Never Just the Next Case File”: A Qualitative Study Exploring Youth and Family Experiences Within Early Psychosis Coordinated Specialty Care","authors":"Rabia Zaheer,&nbsp;Brooke Magel,&nbsp;Quincy Vaz,&nbsp;Nicole Kozloff,&nbsp;Augustina Ampofo,&nbsp;Lillian Duda,&nbsp;Janet Durbin,&nbsp;George Foussias,&nbsp;Sanjeev Sockalingam,&nbsp;Juveria Zaheer,&nbsp;Aristotle Voineskos,&nbsp;Sophie Soklaridis","doi":"10.1111/eip.70168","DOIUrl":"10.1111/eip.70168","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Early intervention is critical in preventing relapse and promoting recovery for people with psychosis; however, recovery-based services are not always delivered consistently across early psychosis intervention programs. NAVIGATE, a coordinated specialty care program, was developed to standardise care for psychosis while embracing principles of person-centred care. It has demonstrated promising recovery outcomes internationally; however, the experiences of youth with psychosis and their families in this program are less documented and more broadly are often neglected in research and mental healthcare. This study explored youth and family member experiences of the NAVIGATE program as part of a broader multi-site implementation study in Ontario, Canada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-two qualitative semi-structured interviews with youth and family members were conducted using an open exploration approach to encourage participants to centre their experience in the program. Interview transcripts were analysed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two key themes related to the impactful aspects of NAVIGATE were identified: (1) being treated as a person; (2) meaningful inclusion of family members. Overall, both youth and family members expressed a strong sense of satisfaction with the program. This satisfaction likely reflects the program's focus on shared decision-making, individualization, and comprehensive care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Youth and family member perspectives are critical to inform the implementation and delivery of psychosis care that helps youth achieve their recovery goals and supports family members.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Arabic-Language Version of the Laune-Slade Hallucinations Scale-Extended (LSHS-E) in Young General Population Adults","authors":"Feten Fekih-Romdhane,&nbsp;Salma Marrakchi,&nbsp;Carlos Laranjeira,&nbsp;Farah Ghrissi,&nbsp;Majda Cheour,&nbsp;Mohamad El Haj,&nbsp;Souheil Hallit","doi":"10.1111/eip.70172","DOIUrl":"10.1111/eip.70172","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To date, no validated Arabic version of the Laune-Slade Hallucination Scale (LSHS) has been reported, and this scale has not been used in any Arab countries including Tunisia. This study has as main goal to investigate the psychometric reliability and validity of the Arabic version of the extended version of the LSHS (LSHS-E) scores in a Tunisian sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional data were collected from April 2025 to June 2025. Our target population consisted of 416 young adults aged 18–35 years. The forward–backward translation methodology was followed to obtain the Arabic version of the LSHS-E. The Arabic LSHS-E was tested against the Prodromal Questionnaire-brief for convergent validity and for other relevant measures for concurrent validity of the scores. Confirmatory factor analysis was used to estimate construct validity indicators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings showed that up to 93.3% of our sample endorsed at least one of the hallucination experiences. Fit indices showed that the four-factor solution determined by previous factorial studies fitted the data well. Besides, the psychometric equivalence of the LSHS-E between sex groups has been tested and verified at the metric, scalar, and configural levels. No differences in the intensity of hallucinatory experiences between males and females were found. As expected, results revealed that individuals with greater levels of hallucinatory experiences were more likely to admit having endorsed positive psychotic experiences. Finally, higher LSHS-E scores were associated with greater depression, anxiety, lower sleep quality, and more suicidal ideation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings provide the first evidence supporting the reliability and validity of the Arabic version of the LSHS-E scores for assessing hallucinatory experiences in the Tunisian community population. The scale can benefit clinicians by helping them to timely and successfully detect people at risk for or experiencing hallucinations. Researchers and policymakers developing prevention programs could make use of the scale when designing and implementing hallucination prevention strategies to ensure their effectiveness and cultural appropriateness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}