Early Intervention in Psychiatry最新文献

{"title":"Identifying Factors Influencing the Implementation of Early Intervention Services for Psychosis in Quebec, Canada: A Qualitative Study of Health Care Providers' Perspectives","authors":"Bastian Bertulies-Esposito,&nbsp;Paula Pires de Oliveira Padilha,&nbsp;Ruben Valle,&nbsp;Srividya N. Iyer,&nbsp;Amal Abdel-Baki","doi":"10.1111/eip.70104","DOIUrl":"https://doi.org/10.1111/eip.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Early intervention services for psychosis are clinically and cost-effective. Despite the availability of national and international guidelines and well-identified essential components of high-quality services, the implementation of early intervention services varies greatly. However, factors underpinning this are poorly understood and infrequently studied. In Quebec, the provision of earmarked funding and political support since 2017 has resulted in widespread dissemination of early intervention, which presented a valuable context to examine what shapes and influences the implementation of early intervention for psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey was sent to leaders of all early intervention programmes (<i>n</i> = 33) in Quebec to assess service organisation and delivery. The survey's qualitative component included open-ended questions about factors impacting implementation, which are the focus of this report. Deductive and inductive thematic analysis was conducted through multiple iterations to reach consensus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-seven programmes responded to the questionnaire. Factors influencing implementation were separated into eight themes: human resources, workload, finances, physical resources, training, service delivery, service users and relationship with management. Every theme and subtheme was represented as a potential barrier or facilitator, with work atmosphere, quality of the clinic's premises, and management buy-in of early intervention more frequently noted as facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Factors at the organisational, service and staff levels affect the implementation of early psychosis programmes. Despite political support and increased funding, insufficient funding and its consequences, along with limited implementation supports, remain important barriers to successful implementation. Rapid learning health systems can provide effective feedback to programmes to identify strategies to overcome identified barriers and enhance understanding of interactions between the identified factors. Lived experiences perspectives should also be included in future implementation research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145196346","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":"Case Managers' Experiences of Engagement With Service Users in UK Early Intervention Services for First-Episode Psychosis: A Hermeneutic Interpretive Phenomenological Analysis Study","authors":"Paul Henderson,&nbsp;Suzanne Hodge,&nbsp;Bill Sellwood","doi":"10.1111/eip.70098","DOIUrl":"10.1111/eip.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Staff engagement with individuals with first-episode psychosis (FEP) in early intervention services (EIS) settings is important to reduce the longer-term impact of this condition and promote recovery. There is a paucity of qualitative evidence exploring engagement from the perspectives of staff in these settings. This study aimed to explore and understand Case Managers' experiences of engagement with service users in EIS settings in the United Kingdom.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Hermeneutic interpretive phenomenological analysis (IPA) using semi-structured interviews with purposively sampled EIS case managers with mental health nursing backgrounds from a single NHS Trust in the North of England. Data analysis followed IPA's six stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five master themes were identified as being key to effective engagement: (1) Being on the same page, (2) Engagement as an interpersonal relationship, (3) Managing self and emotions, (4) The practicalities of engagement and (5) The impact of organisational factors upon engagement. Engagement was experienced as multi-faceted, complex and changeable. Key engagement strategies identified as helpful were trust, therapeutic dialogue, shared understanding, collaboration and practical approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Engagement in the context of EIS can be defined as a mutually beneficial connection that takes place between service users and staff which allows for the implementation of treatment. Engagement strategies are an important consideration to reduce the potentially devastating impact of FEP, and to facilitate recovery. Further exploratory research should be conducted across multiple settings to further build on and understand engagement within the wider EIS context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211972","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":"How Do Youth Interpret Self-Report Questions Screening for Psychosis? Insights From Cognitive Interviewing","authors":"Kristen A. Woodberry,&nbsp;Kelsey A. Johnson,&nbsp;Alex E. Keller,&nbsp;Cailin L. Ryrie,&nbsp;Lydia A. Shrier","doi":"10.1111/eip.70101","DOIUrl":"https://doi.org/10.1111/eip.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Early detection of psychosis can facilitate earlier intervention and improve mental health outcomes. However, self-report screens probing specific and non-specific experiences related to psychosis and psychosis risk can yield high rates of false positive screens. We conducted cognitive interviews with youth who had completed a self-report psychosis screen to explore item misunderstanding as a reason for these false positives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We interviewed 13 racially and ethnically diverse patients ages 14–21 from an urban adolescent and young adult medicine clinic. Master's-level clinicians asked participants to rate the degree to which they thought they understood each item and to describe the item in their own words. Two independent raters used deductive coding to rate participant understanding and inductive coding to identify types of understanding and misunderstanding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants had high confidence that they understood the items (mean of 8.1 out of 10) but were rated as understanding items as intended only 42% of the time. Two major types of misunderstanding were identified: (1) as a non-psychotic mental health experience and (2) as a developmentally or contextually normative experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our results identify sources of misunderstanding that may lead youth to falsely endorse self-reported psychosis screening items. Unless or until items are known to be well-understood, it is imperative that positive screens receive clinical follow-up to explore the responses in light of each person's medical, developmental and social context. Future research is needed to improve item wording for readability and clarity and to test strategies for minimising risk of false positive screening results.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145196386","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":"Borderline Personality Disorder or First-Episode Psychosis? Challenges in Assessing Psychotic Features in Early Intervention: A Case Report","authors":"Mie Sedoc Jørgensen,&nbsp;Stephen Fitzgerald Austin,&nbsp;Ole Jakob Storebø,&nbsp;Stig Poulsen,&nbsp;Sune Bo,&nbsp;Emma Beck,&nbsp;Erik Simonsen","doi":"10.1111/eip.70103","DOIUrl":"https://doi.org/10.1111/eip.70103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adolescence is a crucial period for the onset of both borderline personality disorder (BPD) and first-episode psychosis. Although transient stress-related paranoid ideation and dissociative symptoms are one of the diagnostic criteria for BPD, determining when these psychotic features progress to early-stage schizophrenia remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two case studies aimed to explore the challenges in assessing and following up on psychotic features in BPD over time. Two adolescent girls aged 14 and 15 were initially diagnosed with BPD using semi-structured clinical interviews for DSM-IV personality disorder. Five years later, symptom development was explored using comprehensive diagnostic interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both cases exhibited lapses in reality testing at baseline, interpreted as transient and stress-related symptoms. The first case illustrated the difficulties in distinguishing normative magical and imaginative thinking in youth from odd beliefs or bizarre fantasies and preoccupations, emphasizing the need for age-adapted and elaborate, detailed phenomenological assessment of the content, duration and frequency of these experiences and their impact on functioning. The second case demonstrated the progression of psychotic features from adolescence into early adulthood and the challenge of judging whether these features crossed the threshold to psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both cases underscore the need for clinical training regarding differential diagnostics and management of psychotic features when present in early manifestations of BPD. This gap in care presents a missed opportunity for inclusion of patients in targeted early intervention programs for first-episode psychosis. We propose the implementation of a continuous monitoring strategy in BPD with psychotic features.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145196388","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":"Suicidal Behaviour in Adolescents With Eating Disorders: A Pandemic Timeline Comparison","authors":"Ayşe Bilge Baklaci,&nbsp;Eylem Şerife Kalkan,&nbsp;Yelda Kiliç,&nbsp;Melis Pehlivantürk Kizilkan,&nbsp;Orhan Derman,&nbsp;Sinem Akgül","doi":"10.1111/eip.70091","DOIUrl":"https://doi.org/10.1111/eip.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to explore the impact of the COVID-19 pandemic on suicide attempts (SA), suicide ideation (SI), and self-harm behaviours (SHB) in adolescents with eating disorders (EDs) across four pandemic phases (pre, early, middle and late).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The prevalence of SA, SI and SHB during the pandemic was assessed retrospectively using the HEEADSSS (Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicidal ideation and Safety) instrument of participants, with four time periods defined based on clinic visits: pre-pandemic (T0), early (T1), middle (T2) and late (T3) pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among all participants (403), 112 (27.8%) reported SHB, 137 (34%) reported SI, and 41 (10.2%) reported SA in the study across all periods. During T1 + T2 + T3 compared to T0, SHB and SI increased significantly (<i>p</i> &lt; 0.001), especially at T2 and T3, while SA did not show any significant change (<i>p</i> = 0.124), and SHB increased in anorexia nervosa (AN) (<i>p</i> = 0.017), atypical anorexia nervosa (AAN) (<i>p</i> = 0.002), bulimia nervosa (BN) (<i>p</i> = 0.001) and unspecified feeding or eating disorder (UFED) (<i>p</i> = 0.025) groups, while SI increased by 2.2 times in the BN group (<i>p</i> = 0.015), but no significant change was found in SA in any of the ED groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study indicates an increase in SI and SHB among adolescents with EDs during the pandemic, especially in the middle and late phases, highlighting the need for healthcare providers to be aware of the long-term mental health impacts of the pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145196390","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":"Longitudinal Trajectories of Depression and Anxiety Among Chinese Adolescents in the Later Stage of the COVID-19 Pandemic","authors":"Huolian Li,&nbsp;Xiangting Zhang,&nbsp;Luowei Bu,&nbsp;Yifan Zhang,&nbsp;Xuan Wang,&nbsp;Haoxian Ye,&nbsp;Wenxu Liu,&nbsp;Dongfang Wang,&nbsp;Fang Fan","doi":"10.1111/eip.70090","DOIUrl":"https://doi.org/10.1111/eip.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study aimed to examine trajectories of depression and anxiety and predictors of these trajectories among Chinese adolescents in the later stage of the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was a three-timepoint repeated cross-sectional survey with a nested longitudinal subsample. Data collection took place from April 2021 to June 2022. A total of 7529 Chinese adolescents completed the online questionnaire across three timepoints (50% male, mean age 13.89 years). Participants completed the Patient Heath Questionnaire (PHQ-9), Generalised Anxiety Disorder Scale (GAD-7), Adolescent Self-Rating Life Events Checklist (ASLEC), and self-developed questionnaire. Latent Growth Mixture Modelling was employed to investigate the heterogeneous trajectories of depression and anxiety, while multivariate logistic regression analysis was applied to examine predictors for trajectories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three trajectories were identified: resilience group (55.6% depression and 63.7% anxiety), mild group (38.4% depression and 30.2% anxiety) and dysfunction group (6% depression and 6.1% anxiety). Predictors of the mild depression/anxiety group were female, study in public school, academic activities and social communication impacted by COVID-19. Female, lack of exercise, academic activities and social communication impacted by COVID-19 were also risk factors for dysfunction depression/anxiety group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The patterns of depression and anxiety are different, and each trajectory is influenced by different predictors. Resilience group remains the most common outcome, while over one-third of adolescents exhibit mild and dysfunction symptoms, indicating the need for individualised intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 10","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145196389","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":"Social Feedback Perception in Adolescents With Major Depressive Disorder: A Potential Marker of Depression","authors":"Shan Gao,&nbsp;Yuxuan Chen,&nbsp;Yunge Li,&nbsp;Yao Li,&nbsp;Aolin Yin,&nbsp;Mengdie Yan,&nbsp;Luni Zhou,&nbsp;Lizhu Luo","doi":"10.1111/eip.70088","DOIUrl":"10.1111/eip.70088","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Depression hinders adolescent development and contributes to lifelong psychosocial difficulties. Given adolescents' heightened sensitivity to social feedback, understanding how depression affects their perception of such feedback is essential for supporting their transition to adulthood.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To address the issue, we engaged 33 adolescents with major depressive disorder (MDD) and 33 non-depressed peers in rating self-referential praise, criticism, and neutral descriptions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Results showed that MDD patients relative to controls perceived praise less pleasant (&lt;i&gt;F&lt;/i&gt;&lt;sub&gt;1,64&lt;/sub&gt; = 26.162, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msubsup&gt;\u0000 &lt;mi&gt;η&lt;/mi&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msubsup&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ {eta}_p^2 $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; = 0.25) and less acceptable as truly describing their attributes (&lt;i&gt;F&lt;/i&gt;&lt;sub&gt;1,64&lt;/sub&gt; = 66.768, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msubsup&gt;\u0000 &lt;mi&gt;η&lt;/mi&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msubsup&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ {eta}_p^2 $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; = 0.511) while they viewed criticism more acceptable (&lt;i&gt;F&lt;/i&gt;&lt;sub&gt;1,64&lt;/sub&gt; = 31.562, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msubsup&gt;\u0000 &lt;mi&gt;η&lt;/mi&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msubsup&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ {eta}_p^2 $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; = 0.33) despite the absence of group differences in pleasantness. Critically, with anxiety controlled, group differences in pleasantness disappeared but those in acceptance persisted such that MDD patients exhibited decreased acceptance of praise (&lt;i&gt;F&lt;/i&gt;&lt;sub&gt;1,60&lt;/sub&gt; = 6.619, &lt;i&gt;p&lt;/i&gt; = 0.013, &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msubsup&gt;\u0000 &lt;mi&gt;η&lt;/mi&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msubsup&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 9","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184947","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":"Formal Thought Disorder in Individuals at Ultra-High Risk for Psychosis: Factor Structure and Associations With Cognitive and Global Functioning","authors":"Ezgi Ince Guliyev,&nbsp;Melis Ceylan,&nbsp;Cagla Ceren Turkoglu,&nbsp;Handan Noyan,&nbsp;Alp Ucok","doi":"10.1111/eip.70089","DOIUrl":"https://doi.org/10.1111/eip.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Formal thought disorder (FTD) reflects an impairment in the organisation, goal-directedness, and logical flow of thinking. It is a core feature of psychosis spectrum disorders encountered in patients ranging from early psychosis to chronic schizophrenia. However, less is known about individuals at ultra-high risk (UHR) for psychosis. This study aimed to examine the frequency and factor structure of FTD in UHR individuals and explore its associations with clinical characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>FTD was assessed in 122 UHR individuals using relevant items from the Scale for the Assessment of Negative Symptoms and the Scale for the Assessment of Positive Symptoms. We used exploratory factor analysis (EFA) using principal axis factoring to identify factor structures. Associations with clinical characteristics were investigated using two-group comparisons, correlations, and multivariable linear regression models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EFA revealed a three-factor structure—disorganisation, incoherence, and poverty—accounting for 48.50% of the variance. Only the poverty factor was negatively associated with attention composite scores (<i>β</i> = −0.229; <i>p</i> = 0.040) after correcting for age and education. Total FTD and poverty factor scores were negatively correlated with GAF (<i>r</i> = −0.340 and <i>r</i> = −0.343, respectively; <i>p</i> &lt; 0.001). The ones who had impaired role functioning during the past month at admission had higher scores on the total FTD (<i>U</i> = 878.0; <i>p</i> &lt; 0.001) as well as the poverty factor (<i>U</i> = 1166.0; <i>p</i> = 0.011).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings indicated that FTD in UHR individuals exhibits a three-factor structure, with the poverty factor significantly linked to global and cognitive functioning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 9","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145146723","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":"The Impact of Community-Level Interventions on Improving Help Seeking and Access to Support Among Ethnic Minority People Living With Psychotic Disorders in Non-Secondary Care Settings: A Systematic Review","authors":"Nikki Wood,&nbsp;Jo Hodgekins,&nbsp;Sherifat Oduola","doi":"10.1111/eip.70078","DOIUrl":"https://doi.org/10.1111/eip.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Research has shown that people from ethnic minority backgrounds living with psychosis are less likely to seek support from healthcare professionals (e.g., GP), but more likely to seek support from non-healthcare professionals (e.g., faith leaders). This systematic review assessed the impact of community-level interventions aimed at improving help seeking and access to support for psychosis in non-secondary care settings among ethnic minority populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The EMBASE, PsychINFO, Medline Ultimate, CINAHL Ultimate and Scopus databases were searched in December 2023. Studies were included if published in English, conducted in high-income countries, reported on psychosis and minority ethnic groups aged 18–65 years, and interventions targeted at people from minority ethnic groups with or at risk of psychosis, caregivers, or the general public. Outcomes of interest were changes in help-seeking behaviours, pathways to care characteristics, and barriers and facilitators of intervention implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five studies (pooled n, participants = 332) reporting two interventions met the inclusion criteria. All studies were conducted in the United States. Narrative synthesis revealed mixed results about the effectiveness of interventions on help seeking and duration of untreated psychosis. The results show promise for professional help-seeking recommendations post-intervention across the studies. Barriers and facilitators were identified for intervention implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Community-level interventions have some success in promoting help-seeking for psychosis in ethnic minority populations. However, research in this area was limited. Future research could include studies across different countries, ethnicities, genders, and socioeconomic status to ensure generalisable results.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891590","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":"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}