Protective factors in Chinese university students at clinical high risk for psychosis

Shi, Jingyu; Wang, Lu; Yao, Yuhong; Chen, Fazhan; Su, Ni; Zhao, Xudong; Zhan, Chenyu

doi:10.1016/j.psychres.2016.03.036

Cited by 16 publications

(26 citation statements)

References 49 publications

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“…A novel aspect of this study is the focus on the potential mediating roles of both parental support and parental supervision. Previous research has found that trauma in childhood was associated with both psychotic symptomatology and poor parenting style in childhood (Catalan et al, 2017), and has identified poorer family communication and social support in families of young people with a first psychotic episode (Otero et al, 2011) or at high risk of psychosis (Pruessner et al, 2011; Shi et al, 2016). Our focus on adolescents with early indicators of potential risk of psychosis points to opportunities for early intervention, and in particular may provide support for family-based interventions (Falloon, 2003).…”

Section: Discussionmentioning

confidence: 99%

Risk and protective factors for psychotic experiences in adolescence: a population-based study

et al. 2020

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Background Psychotic experiences (PEs) are reported by a significant minority of adolescents and are associated with the development of psychiatric disorders. The aims of this study were to examine associations between PEs and a range of factors including psychopathology, adversity and lifestyle, and to investigate mediating effects of coping style and parental support on associations between adversity and PEs in a general population adolescent sample. Method Cross-sectional data were drawn from the Irish centre of the Saving and Empowering Young Lives in Europe study. Students completed a self-report questionnaire and 973 adolescents, of whom 522 (53.6%) were boys, participated. PEs were assessed using the 7-item Adolescent Psychotic Symptom Screener. Results Of the total sample, 81 (8.7%) of the sample were found to be at risk of PEs. In multivariate analysis, associations were found between PEs and number of adverse events reported (OR 4.48, CI 1.41–14.25; p < 0.011), maladaptive/pathological internet use (OR 2.70, CI 1.30–5.58; p = 0.007), alcohol intoxication (OR 2.12, CI 1.10–4.12; p = 0.025) and anxiety symptoms (OR 4.03, CI 1.57–10.33; p = 0.004). There were small mediating effects of parental supervision, parental support and maladaptive coping on associations between adversity and PEs. Conclusion We have identified potential risk factors for PEs from multiple domains including adversity, mental health and lifestyle factors. The mediating effect of parental support on associations between adversity and PEs suggests that poor family relationships may account for some of this mechanism. These findings can inform the development of interventions for adolescents at risk.

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Section: Discussionmentioning

confidence: 99%

Risk and protective factors for psychotic experiences in adolescence: a population-based study

et al. 2020

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“…Current evidence for the role of coping style and resilience as modulators of psychotic experiences in the general population is limited, although in a recent study, resilience was found to mediate the relationship between schizotypal features and psychological distress in a sample of university students (Shi et al, ).…”

Section: Introductionmentioning

confidence: 99%

The association between specific types of childhood adversity and attenuated psychotic symptoms in a community sample

Mongan

Shannon

Hanna

et al. 2017

Early Intervention Psych

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“…Previous studies indicate that the adolescents and young adults at CHR might show poor psychosocial functioning. In some CHR studies, it was reported that the subjects had shown a lower level of self-esteem and social support (SS) in comparison to healthy controls ( 24 , 25 ), and the levels of self-esteem and SS were negatively associated with the severity of the prodromal psychotic symptoms ( 25 – 28 ). However, many studies indicated that such psychosocial factors could play a positive role in mental health ( 29 – 31 ).…”

Section: Introductionmentioning

confidence: 99%

Systemic Therapy for Youth at Clinical High Risk for Psychosis: A Pilot Study

et al. 2017

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Psychosocial intervention trials for youth at clinical high risk (CHR) for psychosis have shown promising effects on treating psychotic symptoms but have not focused on psychosocial functional outcomes, and those studies have been conducted among help-seeking patients; there is a lack of research on non-clinical young CHR individuals. Systemic therapy (ST) is grounded in systemic-constructivist and psychosocial resilience theories. It has a number of advantages that makes it attractive for use with CHR individuals in non-clinical context. The present study evaluated the effect of ST for students at CHR on reducing symptoms and enhancing psychosocial function. This was a single-blind randomized controlled trial for CHR young people comparing ST to supportive therapy with a 6-month treatment. Psychotic and depressive symptoms (DS) as well as self-esteem and social support (SS) were assessed at pre- and posttreatment. 26 CHR individuals were randomly divided into intervention group (n = 13) and control group (n = 13). There were no significant differences in severity of symptoms, level of SS and self-esteem at baseline between the two groups (P > 0.05). At posttreatment, significant improvements in positive and DS as well as SS and self-esteem were observed in the ST group (P < 0.05); in the control group, these improvements were not significant (P > 0.05). The findings indicated that systemic intervention for university students at CHR for psychosis may have a positive effect on symptoms and self-esteem as well as SS in short term. More long-term research is needed to further evaluate this intervention.

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Protective factors in Chinese university students at clinical high risk for psychosis

Cited by 16 publications

References 49 publications

Risk and protective factors for psychotic experiences in adolescence: a population-based study

Risk and protective factors for psychotic experiences in adolescence: a population-based study

The association between specific types of childhood adversity and attenuated psychotic symptoms in a community sample

Systemic Therapy for Youth at Clinical High Risk for Psychosis: A Pilot Study

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