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How Do Youth Interpret Self-Report Questions Screening for Psychosis? Insights From Cognitive Interviewing 青少年如何解读精神病筛查的自我报告问题？认知访谈的启示

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-10-02 DOI: 10.1111/eip.70101

Kristen A. Woodberry, Kelsey A. Johnson, Alex E. Keller, Cailin L. Ryrie, Lydia A. Shrier

Introduction

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.

Methods

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.

Results

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.

Conclusion

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.

早期发现精神病有助于早期干预和改善心理健康结果。然而，自我报告筛查探查与精神病和精神病风险相关的特定和非特定经历可能产生高假阳性筛查率。我们对完成自我报告精神病筛查的青少年进行了认知访谈，以探索项目误解作为这些假阳性的原因。方法我们采访了13名来自城市青少年和青年医学诊所的14-21岁的不同种族和民族的患者。硕士级别的临床医生要求参与者对他们认为自己对每个项目的理解程度进行评分，并用自己的话描述项目。两名独立的评分者使用演绎编码来评估参与者的理解程度，使用归纳编码来识别理解和误解的类型。结果参与者有很高的信心，他们理解了这些项目（平均8.1分，满分10分），但只有42%的时间被评为理解项目。确定了两种主要类型的误解：(1)作为一种非精神病性心理健康体验；(2)作为一种发展或情境规范性体验。结论我们的结果确定了可能导致青少年错误地认可自我报告的精神病筛查项目的误解来源。除非或直到已知项目已被充分理解，否则必须对阳性筛查进行临床随访，以根据每个人的医疗、发育和社会背景探索反应。未来的研究需要改进项目措辞的可读性和清晰度，并测试将假阳性筛查结果风险降至最低的策略。

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引用次数: 0

Suicidal Behaviour in Adolescents With Eating Disorders: A Pandemic Timeline Comparison 青少年饮食失调的自杀行为：流行病时间轴比较

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-10-02 DOI: 10.1111/eip.70091

Ayşe Bilge Baklaci, Eylem Şerife Kalkan, Yelda Kiliç, Melis Pehlivantürk Kizilkan, Orhan Derman, Sinem Akgül

Objective

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).

Methods

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.

Results

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 (p < 0.001), especially at T2 and T3, while SA did not show any significant change (p = 0.124), and SHB increased in anorexia nervosa (AN) (p = 0.017), atypical anorexia nervosa (AAN) (p = 0.002), bulimia nervosa (BN) (p = 0.001) and unspecified feeding or eating disorder (UFED) (p = 0.025) groups, while SI increased by 2.2 times in the BN group (p = 0.015), but no significant change was found in SA in any of the ED groups.

Conclusions

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.

目的本研究旨在探讨COVID-19大流行对饮食失调（EDs）青少年自杀企图（SA）、自杀意念（SI）和自残行为（SHB）在4个大流行阶段（前、早期、中期和后期）的影响。方法采用HEEADSSS（家庭、教育/就业、饮食、活动、药物、性行为、自杀意念和安全）量表对大流行期间SA、SI和SHB的流行情况进行回顾性评估，并根据门诊就诊确定4个时间段：大流行前（T0）、早期（T1）、中期（T2）和晚期（T3）。结果在所有参与者（403）中，112（27.8%）报告SHB， 137（34%）报告SI， 41（10.2%）报告SA。T1 + T2 + T3与T0相比，SHB和SI显著升高（p < 0.001），尤其是T2和T3时，SA无显著变化（p = 0.124）， SHB在神经性厌食症（AN）组（p = 0.017）、非典型神经性厌食症（AAN）组（p = 0.002）、神经性贪食症（p = 0.001）和不明确进食障碍（UFED）组（p = 0.025）均升高，而BN组SI升高2.2倍（p = 0.015）。但没有发现任何ED组的SA有明显变化。本研究表明，在大流行期间，特别是在中期和后期，青少年急症患者的SI和SHB增加，突出了卫生保健提供者需要意识到大流行对心理健康的长期影响。

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引用次数: 0

Borderline Personality Disorder or First-Episode Psychosis? Challenges in Assessing Psychotic Features in Early Intervention: A Case Report 边缘型人格障碍还是首发精神病？早期干预评估精神病特征的挑战：一个病例报告

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-10-02 DOI: 10.1111/eip.70103

Mie Sedoc Jørgensen, Stephen Fitzgerald Austin, Ole Jakob Storebø, Stig Poulsen, Sune Bo, Emma Beck, Erik Simonsen

Introduction

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.

Methods

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.

Results

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.

Conclusion

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.

青春期是边缘型人格障碍（BPD）和首发精神病发病的关键时期。虽然短暂的与压力相关的偏执观念和分离症状是BPD的诊断标准之一，但确定这些精神病性特征何时进展为早期精神分裂症尚不清楚。方法通过两例病例研究，探讨BPD患者精神病性特征的长期评估和随访所面临的挑战。两名年龄分别为14岁和15岁的青春期女孩最初通过DSM-IV人格障碍的半结构化临床访谈被诊断为BPD。五年后，使用综合诊断访谈探讨症状发展。结果两例患者在基线时均表现出现实测试失误，可解释为短暂的应激相关症状。第一个案例说明了在区分青少年规范的魔法和想象思维与奇怪的信仰或奇异的幻想和关注方面的困难，强调了对这些经历的内容、持续时间和频率及其对功能的影响进行年龄适应和详细的现象学评估的必要性。第二个病例显示了从青春期到成年早期精神病特征的发展，以及判断这些特征是否越过精神病的门槛的挑战。结论这两个病例都强调了在BPD早期表现时需要进行临床培训，以鉴别诊断和处理精神病性特征。这种护理上的差距错失了将患者纳入首发精神病有针对性的早期干预计划的机会。我们建议对具有精神病性特征的BPD实施连续监测策略。

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引用次数: 0

Longitudinal Trajectories of Depression and Anxiety Among Chinese Adolescents in the Later Stage of the COVID-19 Pandemic 新冠肺炎大流行后期中国青少年抑郁和焦虑的纵向轨迹

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-10-02 DOI: 10.1111/eip.70090

Huolian Li, Xiangting Zhang, Luowei Bu, Yifan Zhang, Xuan Wang, Haoxian Ye, Wenxu Liu, Dongfang Wang, Fang Fan

Introduction

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.

Methods

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.

Results

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.

Conclusions

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.

本研究旨在研究COVID-19大流行后期中国青少年的抑郁和焦虑轨迹及其预测因素。方法采用纵向嵌套抽样的三时间点重复横断面调查方法。数据收集于2021年4月至2022年6月进行。共有7529名中国青少年在三个时间点完成了在线问卷调查（50%为男性，平均年龄13.89岁）。参与者完成了患者健康问卷（PHQ-9）、广泛性焦虑障碍量表（GAD-7）、青少年生活事件自评表（ASLEC）和自编问卷。使用潜在生长混合模型来研究抑郁和焦虑的异质性轨迹，并使用多变量逻辑回归分析来检查轨迹的预测因子。结果心理恢复组（抑郁55.6%，焦虑63.7%）、轻度组（抑郁38.4%，焦虑30.2%）和功能障碍组（抑郁6%，焦虑6.1%）共3个轨迹。轻度抑郁/焦虑组的预测因子为受COVID-19影响的女性、公立学校学习、学术活动和社交。女性、缺乏锻炼、受COVID-19影响的学术活动和社交交流也是功能障碍抑郁/焦虑组的危险因素。结论抑郁和焦虑的模式不同，且各轨迹受不同预测因子的影响。恢复力组仍然是最常见的结果，而超过三分之一的青少年表现出轻微和功能障碍症状，表明需要个性化干预。

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引用次数: 0

Social Feedback Perception in Adolescents With Major Depressive Disorder: A Potential Marker of Depression 青少年重度抑郁障碍的社会反馈知觉：抑郁的潜在标志。

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-09-28 DOI: 10.1111/eip.70088

Shan Gao, Yuxuan Chen, Yunge Li, Yao Li, Aolin Yin, Mengdie Yan, Luni Zhou, Lizhu Luo

Introduction

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.

Methods

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.

Results

Results showed that MDD patients relative to controls perceived praise less pleasant (F_1,64 = 26.162, p < 0.001, $� � � �_{η}^{�} � � �$ = 0.25) and less acceptable as truly describing their attributes (F_1,64 = 66.768, p < 0.001, $� � � �_{η}^{�} � � �$ = 0.511) while they viewed criticism more acceptable (F_1,64 = 31.562, p < 0.001, $� � � �_{η}^{�} � � �$ = 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 (F_1,60 = 6.619, p = 0.013, $� � � �_{η}^{�} � � <$

抑郁症阻碍青少年发展，并导致终身的社会心理困难。鉴于青少年对社会反馈的高度敏感性，了解抑郁如何影响他们对这种反馈的看法对于支持他们向成年过渡至关重要。方法：为了解决这一问题，我们对33名重度抑郁症青少年和33名非抑郁症同龄人进行了自我参照表扬、批评和中性描述的评分。结果：结果显示，相对于对照组，MDD患者对表扬的接受程度较低（F1,64 = 26.162, p η p 2 $$ {eta}_p^2 $$ = 0.25），对真实描述其属性的接受程度较低（F1,64 = 66.768, p η p 2 $$ {eta}_p^2 $$ = 0.511），而对批评的接受程度较高（F1,64 = 31.562, p η p 2 $$ {eta}_p^2 $$ = 0.33），尽管在愉快程度上没有组间差异。重要的是，在焦虑得到控制后，各组在愉悦度上的差异消失，但在接受度上的差异持续存在，MDD患者对表扬的接受度下降（F1,60 = 6.619, p = 0.013, η p2 $$ {eta}_p^2 $$ = 0.099），对批评的接受度增加（F1,60 = 5.008, p = 0.029, η p2 $$ {eta}_p^2 $$ = 0.077）。结论：这些发现强调了在日常交往中评估对表扬和批评的态度的潜力，作为青少年抑郁的一种隐性和有效的测量，同时最大限度地减少焦虑相关的混淆。

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引用次数: 0

Formal Thought Disorder in Individuals at Ultra-High Risk for Psychosis: Factor Structure and Associations With Cognitive and Global Functioning 精神病超高风险个体的形式思维障碍：因素结构及其与认知和整体功能的关联

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-09-26 DOI: 10.1111/eip.70089

Ezgi Ince Guliyev, Melis Ceylan, Cagla Ceren Turkoglu, Handan Noyan, Alp Ucok

Aim

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.

Methods

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.

Results

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 (β = −0.229; p = 0.040) after correcting for age and education. Total FTD and poverty factor scores were negatively correlated with GAF (r = −0.340 and r = −0.343, respectively; p < 0.001). The ones who had impaired role functioning during the past month at admission had higher scores on the total FTD (U = 878.0; p < 0.001) as well as the poverty factor (U = 1166.0; p = 0.011).

Conclusions

Our findings indicated that FTD in UHR individuals exhibits a three-factor structure, with the poverty factor significantly linked to global and cognitive functioning.

目的形式思维障碍（FTD）反映了思维的组织性、目标方向性和逻辑流的损害。从早期精神病到慢性精神分裂症，这是精神病谱系障碍的核心特征。然而，对精神病超高风险（UHR）个体的了解却很少。本研究旨在探讨UHR个体FTD的频率和因素结构，并探讨其与临床特征的关系。方法采用《阴性症状评估量表》和《阳性症状评估量表》的相关项目对122例UHR个体进行FTD评估。我们使用探索性因子分析（EFA），使用主轴因子分析来确定因子结构。使用两组比较、相关性和多变量线性回归模型研究与临床特征的关系。结果EFA揭示了三因素结构-无序，不连贯和贫困-占方差的48.50%。在校正年龄和教育程度后，只有贫困因素与注意综合得分呈负相关（β = - 0.229; p = 0.040）。总FTD和贫困因素得分与GAF呈负相关（r = - 0.340和r = - 0.343; p < 0.001）。在入学前一个月内有角色功能受损的学生在总FTD （U = 878.0; p < 0.001）和贫困因素（U = 1166.0; p = 0.011）上得分较高。我们的研究结果表明，UHR个体的FTD表现出三因素结构，其中贫困因素与全球和认知功能显著相关。

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引用次数: 0

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 社区干预对改善非二级医疗机构中少数民族精神障碍患者寻求帮助和获得支持的影响：一项系统综述

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-08-23 DOI: 10.1111/eip.70078

Nikki Wood, Jo Hodgekins, Sherifat Oduola

Aim

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.

Methods

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.

Results

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.

Conclusions

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.

研究表明，少数民族精神病患者不太可能向医疗保健专业人员（如全科医生）寻求支持，但更有可能向非医疗保健专业人员（如宗教领袖）寻求支持。本系统综述评估了社区层面干预措施的影响，这些干预措施旨在改善少数民族人群在非二级医疗机构中寻求帮助和获得精神病支持的机会。方法于2023年12月检索EMBASE、PsychINFO、Medline Ultimate、CINAHL Ultimate和Scopus数据库。在高收入国家进行的以英语发表的研究，报告了18-65岁的精神病和少数民族人群，以及针对患有或有精神病风险的少数民族人群、护理人员或普通公众的干预措施。结果感兴趣的是寻求帮助行为的改变，护理特征的途径，以及干预实施的障碍和促进因素。结果5项研究（共n项，参与者= 332）报告了两种干预措施符合纳入标准。所有的研究都在美国进行。叙述性综合揭示了关于寻求帮助和未治疗精神病持续时间干预的有效性的混合结果。研究结果表明，在所有研究中，干预后寻求专业帮助的建议是有希望的。确定了实施干预措施的障碍和促进因素。结论社区干预在促进少数民族人群精神病求助方面取得了一定成效。然而，这方面的研究是有限的。未来的研究可能包括对不同国家、种族、性别和社会经济地位的研究，以确保结果的普遍性。

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引用次数: 0

Transdiagnostic Symptom Dimensions in Individuals at Ultra-High Risk for Psychosis: Towards Dimensional Representations of Pluripotent Risk 精神病超高风险个体的跨诊断症状维度：多能性风险的维度表征

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-08-21 DOI: 10.1111/eip.70086

Julia C. C. Schulte-Strathaus, Christian Rauschenberg, Isabell Paetzold, Diego Quattrone, Jessica Hartmann, Paul Amminger, Hok Pan Yuen, Patrick D. McGorry, Barnaby Nelson, Ulrich Reininghaus

Intro

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.

Methods

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.

Results

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.

Conclusion

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.

导论研究已将重点从分类转移到心理健康状况的维度概念化。这一点得到了疾病之间高度重叠的支持，特别是精神病谱系和情感障碍，这跨越了传统的诊断界限。虽然有证据表明精神分裂症、分裂情感性障碍和精神病性双相I型障碍患者存在精神病理学的一般因素，但精神病理学的跨诊断维度尚未在精神病超高风险的年轻人中进行调查，即在首次发作精神病之前具有多能症状模式的年轻人。目前的研究试图调查(1)个体的精神病理症状是否存在一般维度，以及(2)特定症状维度（即阳性症状、阴性症状、情感和激活）的形成是否与一般维度相一致。方法对早期精神病分期治疗（STEP）试验中简易精神病学评定量表的症状评分基线进行项目因子分析。结果共纳入342名UHR参与者。与单一和多维模型相比，具有一个一般症状维度和四个特定因素（阳性症状、阴性症状、影响和激活）的双因素模型产生了最佳的相对模型拟合和可解释性，尽管绝对模型拟合统计没有提供强有力的证据来支持这一发现。然而，模型的稳定性和可解释性初步表明，它可以帮助区分多能性和领域特异性症状模式。结论研究结果谨慎地表明，BPRS可能同时反映了一般维度和几个更具体的维度，反映了样本中潜在的多能性心理特征。在这个具有各种合并症的异质性样本中，风险综合征的“共同点”将为支持青年跨诊断表型的概念提供进一步的证据。

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引用次数: 0

Correction to “Mixed-Methods Evaluation of the Expanded Implementation of Supported Education Within Community Youth Mental Health Services” 对“社区青少年心理健康服务扩大实施支持教育的混合方法评价”的更正

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-08-19 DOI: 10.1111/eip.70072

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.” Early Intervention in Psychiatry 19: e70043. https://doi.org/10.1111/eip.70043.

In this article, Section 4.1 “Educational Outcomes” contains the following paragraph:

“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.”

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.

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

阿迪尔-杨，O. S.蒂斯代尔，A.奥塔维奥，H.加利，R.辛格，R.金，P.列维，A.斯库利，G.钦纳利，J.尼古拉斯，E.基拉基和J.柯蒂斯，2025。社区青少年心理健康服务中支持性教育扩展实施的混合方法评估精神病学早期干预[j]；https://doi.org/10.1111/eip.70043.In本文第4.1节“教育成果”包含以下段落：“作为常规临床实践中第一个基于ips的支持教育项目之一，缺乏有效的比较数据（Hofstra et al. 2023; Reddy Annapally et al. 2021）。一个类似的干预措施是数字工作和学习服务，这是一个在全国高空中心提供的项目。该干预措施也是基于ips的，但时间限制为最多6个月，通过数字平台为15-25岁的年轻人提供工作和学习支持。2019年7月至2020年3月期间的一项评估发现，248名进入并完成该计划的年轻人中，有45人（18.1%）取得了积极的学习成果（开始或继续接受教育）。这比目前的论文少得多，尽管作为工作和学习相结合的干预措施，由于没有报告目标，专门获得教育支持的年轻人的比例尚不清楚。有趣的是，与目前的论文和IPS（Ed）实施的第一年相比，评估中的大多数积极结果都是教育的开始（31(69%)）。”我们注意到，所描述的数字工作和学习服务的参考被省略了。“一个类似的干预措施是数字工作和学习服务，这是一个在全国高空中心提供的项目，”这句话参考了毕马威在2020年为社会服务部进行的该项目评估。这一评价的全文是：毕马威社会服务部。(2020)。数字工作和学习服务评估。https://www.dss.gov.au/disability-employment-reforms/resource/digital-work-and-study-service-evaluation-2020.We在4.1节“教育成果”的段落中插入了适当的参考：“作为常规临床实践中第一个基于ips的支持教育项目之一，缺乏有效的比较数据（Hofstra et al. 2023; Reddy Annapally et al. 2021）。一种类似的干预措施是数字工作和学习服务，这是一个在全国顶尖中心提供的项目（毕马威2020年社会服务部）。该干预措施也是基于ips的，但时间限制为最多6个月，通过数字平台为15-25岁的年轻人提供工作和学习支持。2019年7月至2020年3月的一项评估发现，248名进入并完成该计划的年轻人中，有45人（18.1%）取得了积极的学习成果（开始或继续接受教育）（KPMG for Department of Social Services 2020）。这比目前的论文少得多，尽管作为工作和学习相结合的干预措施，由于没有报告目标，专门获得教育支持的年轻人的比例尚不清楚。有趣的是，与目前的论文和IPS（Ed）实施的第一年（毕马威2020年社会服务部）相比，评估中的大多数积极成果都是教育的开始（45个中的31个（69%））。”我们为这个错误道歉。

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引用次数: 0

Communication Targets and Applications for Family Members of People With Early Psychosis and Substance Use 早期精神病和药物滥用者家庭成员的沟通目标和应用

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry

Pub Date : 2025-08-18 DOI: 10.1111/eip.70077

Patrick Y. Kelly, Max H. Cook, Julie M. McCarthy

Aim

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, conversations families wanted to practise, and their communication happiness with their relative versus people generally.

Method

Family members (N = 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.

Results

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 (p < 0.05).

Conclusion

Families wanted to improve communication, brevity, clarity and effectively offer help, particularly to foster independence with their relative with early psychosis and substance use.

目的不良的家庭沟通可使早期精神病和药物使用结果恶化。虽然家庭认为沟通技巧很有价值，但在资源有限的环境中，该提供哪些内容仍不清楚。这项研究确定了沟通的优势/改进的领域，家庭想要练习的对话，以及他们与亲人和一般人的沟通快乐。方法对36例有早期精神障碍和药物使用的亲属进行沟通辅导。根据会议记录和进度记录对优势/改进领域和角色扮演内容进行评级。自我报告项目评估沟通幸福感。结果参与者的目标是提高简洁（44%）、具体和清晰（39%）和提供帮助（36%）。角色扮演侧重于独立性（44.1%）、物质使用（29.4%）和心理健康治疗（17.6%）。参与者报告与其他人的交流比与其亲属的交流更快乐（p < 0.05）。结论家庭希望改善与早期精神病患者和药物使用患者的沟通、简洁、清晰和有效的帮助，特别是培养他们的独立性。

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引用次数: 0

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