Early Intervention in Psychiatry最新文献

{"title":"Transdiagnostic Symptom Dimensions in Individuals at Ultra-High Risk for Psychosis: Towards Dimensional Representations of Pluripotent Risk","authors":"Julia C. C. Schulte-Strathaus,&nbsp;Christian Rauschenberg,&nbsp;Isabell Paetzold,&nbsp;Diego Quattrone,&nbsp;Jessica Hartmann,&nbsp;Paul Amminger,&nbsp;Hok Pan Yuen,&nbsp;Patrick D. McGorry,&nbsp;Barnaby Nelson,&nbsp;Ulrich Reininghaus","doi":"10.1111/eip.70086","DOIUrl":"https://doi.org/10.1111/eip.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Intro</h3>\u0000 \u0000 <p>Research has shifted focus from categorical to dimensional conceptualisations of mental health conditions. This is supported by high overlap between disorders, particularly psychosis spectrum and affective disorders, which cuts across traditional diagnostic boundaries. While there is evidence for a general factor of psychopathology in individuals with schizophrenia, schizoaffective disorder, and psychotic bipolar I disorder, transdiagnostic dimensions of psychopathology have not been investigated in young individuals at ultra-high risk for psychosis, that is, youth with pluripotent symptom patterns preceding first-episode psychosis. The current study sought to investigate (1) whether there is a general dimension underlying psychopathological symptoms in individuals and (2) whether the formation of specific symptom dimensions (i.e., positive symptoms, negative symptoms, affect, and activation) is justified alongside a general dimension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Item factor analyses were conducted on symptom ratings of the Brief Psychiatric Rating Scale at baseline in the Staged Treatment in Early Psychosis (STEP) trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 342 UHR participants were included. A bifactor model with one general symptom dimension and four specific factors (positive symptoms, negative symptoms, affect, and activation) yielded the best relative model fit and interpretability when compared to uni- and multidimensional models, albeit absolute model fit statistics provided no strong evidence to support this finding. However, model stability and interpretability tentatively suggest it can help tell apart pluripotent and domain-specific symptom patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings cautiously suggest that the BPRS may index both a general dimension and several more specific dimensions, reflecting pluripotency underlying psychological features in the sample. A ‘common ground’ across the risk syndrome in this heterogeneous sample, with various comorbidities, would lend further evidence to support the notion of a transdiagnostic phenotype in youth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881088","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":"Correction to “Mixed-Methods Evaluation of the Expanded Implementation of Supported Education Within Community Youth Mental Health Services”","authors":"","doi":"10.1111/eip.70072","DOIUrl":"https://doi.org/10.1111/eip.70072","url":null,"abstract":"&lt;p&gt;Ardill-Young, O., S. Teasdale, A. Ottavio, H. Galley, R. Singh, R. King, P. Levy, A. Scully, G. Chinnery, J. Nicholas, E. Killackey, and J. Curtis. 2025. “Mixed-Methods Evaluation of the Expanded Implementation of Supported Education Within Community Youth Mental Health Services.” &lt;i&gt;Early Intervention in Psychiatry&lt;/i&gt; 19: e70043. https://doi.org/10.1111/eip.70043.&lt;/p&gt;&lt;p&gt;In this article, Section 4.1 “Educational Outcomes” contains the following paragraph:&lt;/p&gt;&lt;p&gt;“As one of the first IPS-based supported education programmes embedded within routine clinical practice, there is a lack of valid comparison data available (Hofstra et al. 2023; Reddy Annapally et al. 2021). One comparable intervention is Digital Work and Study Services, a programme delivered in headspace centres nationally. The intervention is also IPS-based, though time-limited to a maximum of 6 months, providing work and study support to young people aged 15–25 through a digital platform. An evaluation between July 2019 and March 2020 found that 45 (18.1%) of the 248 young people who entered and completed the programme achieved positive study outcomes (commencing or maintaining education). This is considerably fewer than in the current paper, though, as a combined work and study intervention, the proportion of young people specifically accessing support for education is unclear as goals are not reported. Interestingly, the majority of positive outcomes in the evaluation were commencement of education (31 (69%) of the 45), in contrast to the current paper and the first year of IPS(Ed) implementation.”&lt;/p&gt;&lt;p&gt;We have noted that the reference to the Digital Work and Study Services which is described was omitted. The sentence “One comparable intervention is Digital Work and Study Services, a programme delivered in headspace centres nationally.” makes reference to the evaluation of this programme conducted by KPMG for the Department of Social Services in 2020. The full reference to this evaluation is: KPMG for the Department of Social Services. (2020). Digital Work and Study Service Evaluation. https://www.dss.gov.au/disability-employment-reforms/resource/digital-work-and-study-service-evaluation-2020.&lt;/p&gt;&lt;p&gt;We have inserted the appropriate reference within the paragraph in Section 4.1 “Educational Outcomes”: “As one of the first IPS-based supported education programmes embedded within routine clinical practice, there is a lack of valid comparison data available (Hofstra et al. 2023; Reddy Annapally et al. 2021). One comparable intervention is Digital Work and Study Services, a programme delivered in headspace centres nationally (KPMG for the Department of Social Services 2020). The intervention is also IPS-based, though time-limited to a maximum of 6 months, providing work and study support to young people aged 15–25 through a digital platform. An evaluation between July 2019 and March 2020 found that 45 (18.1%) of the 248 young people who entered and completed the programme achieved pos","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869954","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":"Communication Targets and Applications for Family Members of People With Early Psychosis and Substance Use","authors":"Patrick Y. Kelly,&nbsp;Max H. Cook,&nbsp;Julie M. McCarthy","doi":"10.1111/eip.70077","DOIUrl":"https://doi.org/10.1111/eip.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Poor family communication can worsen early psychosis and substance use outcomes. While families find communication skills valuable, which components to offer in resource-limited settings remain unclear. This study identified communication strengths/areas of improvement, <i>conversations</i> families wanted to practise, and their communication happiness with their relative versus people generally.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Family members (<i>N</i> = 36) of relatives with early psychosis and substance use participated in communication coaching. Strengths/areas of improvement and role-play content were rated from session recordings and progress notes. Self-report items assessed communication happiness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants aimed to improve being brief (44%), specific and clear (39%) and offering help (36%). Role-plays focused on independence (44.1%), substance use (29.4%) and mental health treatment (17.6%). Participants reported greater communication happiness with others than with their relative (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Families wanted to improve communication, brevity, clarity and effectively offer help, particularly to foster independence with their relative with early psychosis and substance use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869117","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":"Rates of Suicidal Thoughts and Behaviours Across the Psychosis Continuum: A Comparison of Clinical High-Risk, First-Episode and Longstanding Psychosis Samples","authors":"Margaret E. Manges,&nbsp;Melissa F. V. Kilicoglu,&nbsp;Aubrey M. Moe,&nbsp;Nancy B. Lundin,&nbsp;David M. Weiss,&nbsp;Anne C. Holmes,&nbsp;Heather M. Wastler","doi":"10.1111/eip.70082","DOIUrl":"https://doi.org/10.1111/eip.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Suicidal thoughts are highly prevalent among individuals with psychotic disorders and individuals at risk for psychosis. Although a growing body of literature demonstrates that this risk is greatest during the earliest stage of psychotic illness, few studies have directly compared rates of suicidal thoughts and behaviours across stages of illness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The current study addressed this gap by using a retrospective chart review to compare rates of past 2-week suicidal thoughts and past year suicidal behaviour across individuals at clinical high risk for psychosis (CHR-P; <i>n</i> = 50), first-episode psychosis (FEP; <i>n</i> = 84) and longstanding psychosis (LP; <i>n</i> = 59). Chi-squared analyses were used to compare groups on past two-week suicidal thoughts and past year suicidal behaviour. Frequencies of the various methods for suicidal behaviour were computed across the entire sample and within each group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicate that individuals at CHR-P had the highest rate of past two-week suicidal thoughts compared to FEP and LP. The most common method for suicidal behaviour in all groups was overdose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest that CHR-P is a particularly vulnerable period for suicide risk and highlight the continued need for research and resources for this population. These findings also underscore the importance of careful monitoring of medication use and efforts to reduce the risk of overdose.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832446","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":"Sexual Activity and Risky Sexual Behaviour Amongst Canadian Youth With and at Risk for Bipolar Disorder","authors":"Jessica Barton,&nbsp;Mikaela K. Dimick,&nbsp;Vanessa Timmins,&nbsp;Eric A. Youngstrom,&nbsp;Benjamin I. Goldstein","doi":"10.1111/eip.70085","DOIUrl":"https://doi.org/10.1111/eip.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Despite substantial evidence in adults, data on sexual behaviour in youth with bipolar disorder (BD) are limited. We therefore examined this topic in youth with BD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study included 625 youth (<i>n</i> = 246 BD, <i>n</i> = 233 high risk for BD [BD-risk] and 146 healthy controls [HC]), ages 13–20 years. Semi-structured interviews evaluated diagnoses and treatment, as well as sexual activity, risky sexual behaviour (RSB) and reasons for RSB. Analyses compared lifetime sexual activity and RSB across the three groups and evaluated correlates of sexual activity and RSB within BD and BD-risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Lifetime sexual activity and RSB were significantly higher amongst both BD and BD-risk youth versus HC. In univariate analyses, several overlapping clinical and suicide risk factors were associated with lifetime sexual activity amongst both BD and BD-risk youth. In multivariate analysis amongst BD youth, comorbid substance use disorder (SUD), post-traumatic stress disorder, and family history of anxiety were associated with lifetime sexual activity. In BD-risk youth, older age, lifetime depression severity, comorbid SUD and interpersonal chaos were associated with lifetime sexual activity. Affective lability and family history of suicide attempt were associated with RSB.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Lifetime sexual activity was two-fold greater, and RSB was over fifteen-fold greater, amongst BD and BD-risk youth versus HCs. Understanding which demographic and clinical factors are associated with lifetime sexual activity amongst BD and BD-risk youth may enable us to identify youth more likely to engage in RSB and help us develop treatments and preventative strategies to avoid RSB accordingly.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832747","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":"Relationship Between Personality Traits and Psychological Well-Being in Childhood Obesity: A Cross-Sectional Study Following the Five-Factor Model","authors":"Ana Rosa Sepúlveda,&nbsp;Andrea Gil Gómez-Lobo,&nbsp;Marta Rojo,&nbsp;María Del Camino Del Blanco-Barredo,&nbsp;Óscar Luis Veiga","doi":"10.1111/eip.70080","DOIUrl":"https://doi.org/10.1111/eip.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Childhood obesity, a global public health issue, is associated with numerous psychological comorbidities. Identifying risk factors that could impact the psychological well-being of this population is essential. Personality traits have been linked to obesity and mental health; however, research in children remains limited. Personality traits may predict differences in mental health in children with obesity by influencing emotional, cognitive and behavioural patterns, which could affect how they cope with lifestyle habits, weight-related stigma and other psychosocial stressors associated with obesity. This study aimed to evaluate the relationship between personality traits and psychological well-being variables in children with excess weight.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with a sample of 145 children with overweight or obesity (mean age = 10.34, SD = 1.42; 43.40% female). Personality traits were assessed using the Big Five Personality Questionnaire, depressive symptomatology with the Children's Depression Inventory, anxiety with the Spence Children's Anxiety Scale and self-esteem with the Lawrence Self-Esteem Questionnaire. Principal statistical analyses included multiple hierarchical regression analyses, with personality traits as predictor variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After controlling for sociodemographic variables and <i>z</i>-BMI, personality traits-particularly Neuroticism and Conscientiousness-significantly predicted depressive (<i>β Neuroticism</i> = 0.44), anxious symptoms (<i>β Conscientiousness</i> = 0.69) and self-esteem (<i>β Neuroticism</i> = −0.39), explaining an additional 30%, 19%, and 20% of the variance, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest that certain personality traits may increase the vulnerability of children with obesity to mental health issues. Considering a child's personality profile could enhance both the prevention and treatment of obesity by developing interventions tailored to each child's behavioural patterns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773938","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":"Positive Reframing of Psychosis Risk is Perceived as Less Frightening and Stigmatising Than Negative Framing by Adolescents With and Without Prodromal Symptoms: An Experimental Simulated Feedback Study","authors":"Yamit Sol-Nottes,&nbsp;Sujoud Saqer,&nbsp;David Roe,&nbsp;Shlomo Mendlovic,&nbsp;Ayat Nasser,&nbsp;Danny Koren","doi":"10.1111/eip.70083","DOIUrl":"https://doi.org/10.1111/eip.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Recent studies have shown that communicating and psycho-educating young individuals and their families about high-risk psychosis can offer benefits, like validation and access to specialised care. However, it can also negatively impact self-perception, distress and help-seeking behaviour. In a recent study (Sol-Nottes et al.), we demonstrated that clinicians view positive reframing as a way to mitigate these concerns. This study aimed to extend those findings to community-dwelling adolescents with high versus low levels of distressing ‘prodromal’ experiences. An additional goal was to explore the moderating role of sex and culture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study replicated the design from Sol-Nottes et al. Exactly 108 adolescents were randomly assigned to view either negatively or positively framed simulated feedback sessions, followed by questions about the session's impact. Prior to viewing the simulated session, all participants completed the brief version of the Prodromal Questionnaire (PQ-B).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>As hypothesised, positive framing significantly reduced fear and stigma. However, contrary to our secondary hypothesis, these effects were not moderated by the level of prodromal symptoms. Finally, exploratory analyses revealed a moderating effect of sex and culture, with a stronger effect of positive reframing on stigma, mobilisation to seek help and hopefulness, among male and Arab adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings provide further support for the potential beneficial effect of positive reframing in the context of at-risk mental states and highlight the importance of cultural factors. Together, these results lay the groundwork for clinical trials on positive framing in real-world settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773833","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":"College Students' Community Attitudes Towards Mental Illness: Do Mental Health Problems and Literacy Matter?","authors":"Shushan Liu,&nbsp;Lei Wang","doi":"10.1111/eip.70075","DOIUrl":"https://doi.org/10.1111/eip.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The mental health of college students has become a critical concern, with depression, anxiety and stress (DAS) reaching alarming levels. Despite the vital role of societal attitudes in shaping mental health outcomes, the factors and mechanisms influencing college students' community attitudes towards mental illness (CAMI) remain underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to investigate the CAMI, mental health problems and mental health literacy (MHL) among Chinese college students and to analyse the relationships between them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 600 college students from Jinan City, Shandong Province, China, completed the Community Attitudes towards the Mentally Ill Scale, the Depression–Anxiety–Stress Scale and the Mental Health Literacy Scale. Data were analysed using structural equation modelling (SEM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings showed that DAS significantly negatively predicted positive CAMI, while MHL significantly positively predicted more favourable CAMI. Notably, MHL, as a moderating variable, attenuated the negative predictive effect of DAS on positive CAMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The results of this study highlight the crucial role of the government, universities, and families in guiding college students to develop more positive CAMI, particularly in the post-pandemic era. Efforts should focus on creating a supportive mental health environment within universities. Additionally, the direction of mental health education should shift from merely imparting knowledge to a more contextualised and interactive educational approach, aiming to enhance understanding and acceptance of mental illness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773931","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":"Perspectives of Patients With Early Psychosis on the Use of an App in Acceptance and Commitment Therapy: A Qualitative Study","authors":"Jara Bouws,&nbsp;Lotte Uyttebroek,&nbsp;Joanne R. Beames,&nbsp;Mariken de Koning,&nbsp;Frederike Schirmbeck,&nbsp;An Henrard,&nbsp;Ulrich Reininghaus,&nbsp;Lieuwe de Haan,&nbsp;Inez Myin-Germeys","doi":"10.1111/eip.70073","DOIUrl":"https://doi.org/10.1111/eip.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Individuals with early psychosis received Acceptance and Commitment Therapy in daily life (ACT-DL), consisting of 8 face-to-face sessions and use of a mobile app at home, as part of a randomised controlled trial (INTERACT). Those receiving ACT-DL showed improvement in negative symptoms and global functioning compared to the control condition. The current study qualitatively explores patients' perspectives on the ACT-DL app and perceived areas for improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The ACT-DL app prompted individuals randomly multiple times a day between therapy sessions to complete questionnaires (Ecological Momentary Assessments, EMA) and ACT metaphors or exercises (Ecological Momentary Interventions, EMI). User experiences with the ACT-DL app were explored in 17 semi-structured interviews within 6 months after the intervention and analysed using template thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes were formed: 1. App functionalities and usability; consisting mainly of perceived practical obstacles. 2. Additional value of the app; on how the EMAs raised levels of awareness for feelings, thoughts, and behaviour, and the positive evaluation of the ACT exercises in the EMI part of the app. 3. Improving applicability and effect of the ACT-DL app; with practical feedback from participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Individuals with early psychosis were generally positive about the effects of the ACT-DL app, attributing benefits to increased awareness via EMAs and to the ACT exercises. However, they experienced difficulties using the app during work and social activities. Participants provided valuable suggestions to improve the app's effectiveness and applicability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773832","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":"Resilience as a Mediator Between School Climate and Psychotic-Like Experiences Among Adolescents: Cross-Sectional and Prospective Analyses","authors":"Xuan Wang,&nbsp;Bingna Xu,&nbsp;Yifan Zhang,&nbsp;Xiangting Zhang,&nbsp;Huolian Li,&nbsp;Dongfang Wang,&nbsp;Fang Fan","doi":"10.1111/eip.70074","DOIUrl":"https://doi.org/10.1111/eip.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>School climate may influence psychotic-like experiences (PLEs). The study aimed to explore the association between school climate and PLEs among adolescents and to investigate whether resilience mediates this association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 11 860 Chinese junior high school students were involved in a two-wave longitudinal study. The baseline survey (time 1, T1) was conducted from 21 April to 12 May 2021, and the follow-up survey (time 2, T2) was carried out between December 17 and 26, 2021. At T1, adolescents completed questionnaires assessing their school climate, resilience, and sociodemographic characteristics. PLEs were evaluated at both T1 and T2.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of PLEs in adolescents was 15.8% at T1 and 13.2% at T2. The correlation analyses indicated that school climate (T1) was positively correlated with resilience (T1) and negatively correlated with PLEs (T1 and T2). After controlling for confounding variables, the final model showed that the impact of school climate on PLEs at T1 (indirect effect = −0.09, 95% CI <i>=</i> −0.22, −0.20) and T2 (indirect effect = −0.01, 95% CI <i>=</i> −0.06, −0.02) was mediated by resilience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings offer new insights into the mechanisms linking school climate and PLEs, highlighting the importance of resilience in the effective prevention and intervention of PLEs among adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767451","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}