Pub Date : 2022-01-04DOI: 10.1080/17522439.2021.1983011
Daniel Fernandez Martinez, I. Liu, A. Preti, J. M. Haro, S. Siddi
ABSTRACT Background The Launay–Slade Hallucination Scale – Extended (LSHS-E) is one of the most used self-reported questionnaires to explore the multidimensionality of hallucinatory-like experiences (HLEs). This scale is defined as a 5-level Likert scale, which goes from 0-“certainly does not apply to me” to 4-“certainly applies to me.” Like any Likert scale, the LSHS-E scale assumes that the ordinal categories are equally spaced among them, which might not be true, giving rise to possible issues in offering a valid interpretation of the responses. Method This study introduces a parametric model: the ordered stereotype model. This model determines the uneven spacing among ordinal responses, dictated by the studied data. Results This work shows that the ordinal categories of the LSHS-E scale are determined both by unequal spacing and by the spacing among the last three adjacent categories, which makes them indistinguishable. Subsequent analysis showed good internal reliability, and also a four-factor structure was maintained. Discussion The current study’s findings suggest that people who suffer from HLEs might not easily disclose their experiences and so give neutral responses for fear of being stigmatized. Further, neutral responses might identify people at risk of psychosis, and individuals during the prodromal stage may not be aware of their transient or fleeting HLEs. Future research should determine the distance among the categories on a Likert scale as a first step before analyzing and understanding the data.
{"title":"Launay–Slade Hallucination Scale-Extended: simplifying its interpretation","authors":"Daniel Fernandez Martinez, I. Liu, A. Preti, J. M. Haro, S. Siddi","doi":"10.1080/17522439.2021.1983011","DOIUrl":"https://doi.org/10.1080/17522439.2021.1983011","url":null,"abstract":"ABSTRACT Background The Launay–Slade Hallucination Scale – Extended (LSHS-E) is one of the most used self-reported questionnaires to explore the multidimensionality of hallucinatory-like experiences (HLEs). This scale is defined as a 5-level Likert scale, which goes from 0-“certainly does not apply to me” to 4-“certainly applies to me.” Like any Likert scale, the LSHS-E scale assumes that the ordinal categories are equally spaced among them, which might not be true, giving rise to possible issues in offering a valid interpretation of the responses. Method This study introduces a parametric model: the ordered stereotype model. This model determines the uneven spacing among ordinal responses, dictated by the studied data. Results This work shows that the ordinal categories of the LSHS-E scale are determined both by unequal spacing and by the spacing among the last three adjacent categories, which makes them indistinguishable. Subsequent analysis showed good internal reliability, and also a four-factor structure was maintained. Discussion The current study’s findings suggest that people who suffer from HLEs might not easily disclose their experiences and so give neutral responses for fear of being stigmatized. Further, neutral responses might identify people at risk of psychosis, and individuals during the prodromal stage may not be aware of their transient or fleeting HLEs. Future research should determine the distance among the categories on a Likert scale as a first step before analyzing and understanding the data.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"56 - 65"},"PeriodicalIF":1.2,"publicationDate":"2022-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47088622","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}
Pub Date : 2021-12-26DOI: 10.1080/17522439.2021.2019819
J. Devylder
ABSTRACT The DSM-5 and other psychiatric texts define delusions as fixed beliefs that are unamenable to change. However, many fixed beliefs are considered culturally or socially normative, and may even serve an important function in unifying groups and communities. The clinical definition of delusions does not take into account the potential social function of fixed beliefs, which may be a key factor in distinguishing fixed beliefs that are beneficial from those that are pathological. This article proposes that including a social dimension in our definition and understanding of delusions may facilitate clinical distinctions between normative fixed beliefs and clinically relevant delusions.
{"title":"The accepted definition of delusions does not effectively separate clinical from non-clinical phenomena","authors":"J. Devylder","doi":"10.1080/17522439.2021.2019819","DOIUrl":"https://doi.org/10.1080/17522439.2021.2019819","url":null,"abstract":"ABSTRACT The DSM-5 and other psychiatric texts define delusions as fixed beliefs that are unamenable to change. However, many fixed beliefs are considered culturally or socially normative, and may even serve an important function in unifying groups and communities. The clinical definition of delusions does not take into account the potential social function of fixed beliefs, which may be a key factor in distinguishing fixed beliefs that are beneficial from those that are pathological. This article proposes that including a social dimension in our definition and understanding of delusions may facilitate clinical distinctions between normative fixed beliefs and clinically relevant delusions.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"211 - 214"},"PeriodicalIF":1.2,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48352928","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}
Pub Date : 2021-12-26DOI: 10.1080/17522439.2021.2014943
Rory P. Sorenson, S. Rossell, P. Sumner
ABSTRACT Background This study investigated relationships between self-reported experiences of social defeat and individual dimensions of self-reported schizotypy. Methods 1632 adults aged between 18 and 79 participated across two non-clinical samples (n = 920, n = 712). Multiple regression analyses tested the relationships between dimensions of schizotypy and social defeat. Results The analyses demonstrated evidence of relationships between increased overall schizotypy and increased social defeat, with schizotypal suspiciousness and disorganised or constrained thought and speech consistently emerging as the two most important individual predictors. Conclusion These results suggest that increased schizotypy is associated with increased social defeat, although the specific relationships may depend on the specific aspects of social defeat and schizotypy being measured. Future research should investigate whether social defeat plays a role in the manifestation of specific schizotypy traits.
{"title":"Exploring the associations between dimensions of schizotypy and social defeat","authors":"Rory P. Sorenson, S. Rossell, P. Sumner","doi":"10.1080/17522439.2021.2014943","DOIUrl":"https://doi.org/10.1080/17522439.2021.2014943","url":null,"abstract":"ABSTRACT Background This study investigated relationships between self-reported experiences of social defeat and individual dimensions of self-reported schizotypy. Methods 1632 adults aged between 18 and 79 participated across two non-clinical samples (n = 920, n = 712). Multiple regression analyses tested the relationships between dimensions of schizotypy and social defeat. Results The analyses demonstrated evidence of relationships between increased overall schizotypy and increased social defeat, with schizotypal suspiciousness and disorganised or constrained thought and speech consistently emerging as the two most important individual predictors. Conclusion These results suggest that increased schizotypy is associated with increased social defeat, although the specific relationships may depend on the specific aspects of social defeat and schizotypy being measured. Future research should investigate whether social defeat plays a role in the manifestation of specific schizotypy traits.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"306 - 316"},"PeriodicalIF":1.2,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43398283","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}
Pub Date : 2021-12-21DOI: 10.1080/17522439.2021.2019298
Alexander H. Jack
Dissenting and contrary perspectives are part of the rich tapestry of life within a free society, though certain beliefs hold greater verisimilitude than others. Differentiation between normative and delusional beliefs is a core requirement of psychiatric assessment. Whilst always a complex and nuanced task, I submit that misinformation and conspiracy theories pose a novel threat to basic psychiatric assumptions.
{"title":"Is psychiatry equipped for a post-truth world?","authors":"Alexander H. Jack","doi":"10.1080/17522439.2021.2019298","DOIUrl":"https://doi.org/10.1080/17522439.2021.2019298","url":null,"abstract":"Dissenting and contrary perspectives are part of the rich tapestry of life within a free society, though certain beliefs hold greater verisimilitude than others. Differentiation between normative and delusional beliefs is a core requirement of psychiatric assessment. Whilst always a complex and nuanced task, I submit that misinformation and conspiracy theories pose a novel threat to basic psychiatric assumptions.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"378 - 379"},"PeriodicalIF":1.2,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45724027","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}
Pub Date : 2021-12-21DOI: 10.1080/17522439.2021.2011387
S. Cheli, N. Petrocchi, Veronica Cavalletti
ABSTRACT Background We explored the role of criticism of self and of others, and metacognitive abilities in hearing voices that may refer to god or a divine presence, and qualitatively compared differences and similarities between persons who were diagnosed with psychosis and those who were not. Methods We recruited two samples of persons who heard divine voices: six were diagnosed with brief psychotic disorder (sub-sample A) and six were not (sub-sample B). All participants were interviewed according to a mixed-method design that integrated content analysis and phenomenological procedures. Results The narratives of sub-sample A showed higher levels of self-criticism and other-criticism and lower levels of narrative coherence than those of sub-sample B. The latter showed an intention of the voices characterized by compassion and connectedness. Discussion This qualitative study highlighted the importance of considering criticism and metacognition as central mechanisms in understanding the distress of persons hearing divine voices.
{"title":"Hearing divine voices: a qualitative enquiry about criticism, connectedness, and compassion","authors":"S. Cheli, N. Petrocchi, Veronica Cavalletti","doi":"10.1080/17522439.2021.2011387","DOIUrl":"https://doi.org/10.1080/17522439.2021.2011387","url":null,"abstract":"ABSTRACT Background We explored the role of criticism of self and of others, and metacognitive abilities in hearing voices that may refer to god or a divine presence, and qualitatively compared differences and similarities between persons who were diagnosed with psychosis and those who were not. Methods We recruited two samples of persons who heard divine voices: six were diagnosed with brief psychotic disorder (sub-sample A) and six were not (sub-sample B). All participants were interviewed according to a mixed-method design that integrated content analysis and phenomenological procedures. Results The narratives of sub-sample A showed higher levels of self-criticism and other-criticism and lower levels of narrative coherence than those of sub-sample B. The latter showed an intention of the voices characterized by compassion and connectedness. Discussion This qualitative study highlighted the importance of considering criticism and metacognition as central mechanisms in understanding the distress of persons hearing divine voices.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"100 - 111"},"PeriodicalIF":1.2,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44696049","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}
Pub Date : 2021-12-10DOI: 10.1080/17522439.2021.2006764
Natalie Femia
{"title":"The Practical Handbook of Hearing Voices","authors":"Natalie Femia","doi":"10.1080/17522439.2021.2006764","DOIUrl":"https://doi.org/10.1080/17522439.2021.2006764","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"201 - 201"},"PeriodicalIF":1.2,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43822806","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}
Pub Date : 2021-12-05DOI: 10.1080/17522439.2021.1994635
M. Visser, N. Boonstra, P. de Bont, B. M. van der Vleugel, D. V. D. van den Berg
ABSTRACT Background Studies show that the trauma-sensitivity of professionals working with patients with psychosis is insufficient. As a result, trauma-related problems remain undetected and untreated, which may impede recovery in this group. This study explored the effects of a specialised staff training on six trauma-sensitivity factors (i.e. knowledge, credibility, expected burden, harm expectancy, diagnostic competency and organizational support), self-reported trauma-sensitive behaviour and objective indicators of trauma-sensitive behaviour in medical files. Method Professionals (N = 56) rated the six trauma-sensitivity factors and their own trauma-sensitive behaviour at pre-training, post-training and at 6- and 12-months follow-up. Changes in indicators of trauma-sensitive behaviours were assessed by a review of medical files (N = 97). Results The specialized training increased knowledge, crediblity and experienced diagnostic compentence. The training decreased burden and harm expectancies, and enhanced self-reported trauma-sensitive behaviour. However, this positive change could not be objectified by indicators of trauma-sensitive behaviour in medical files. Discussion These findings support the notion that specialised training has a positive effect on increasing trauma-sensitivity and decreasing burden and harm expectancies, but not necessarily on observable trauma-sensitive behaviour. In addition to training staff, structural implementation and organisational support are argued to be essential to attain actual behaviour change.
{"title":"The effects of a specialized staff training on trauma-sensitivity in professionals working with patients with a psychotic disorder: A pilot study","authors":"M. Visser, N. Boonstra, P. de Bont, B. M. van der Vleugel, D. V. D. van den Berg","doi":"10.1080/17522439.2021.1994635","DOIUrl":"https://doi.org/10.1080/17522439.2021.1994635","url":null,"abstract":"ABSTRACT Background Studies show that the trauma-sensitivity of professionals working with patients with psychosis is insufficient. As a result, trauma-related problems remain undetected and untreated, which may impede recovery in this group. This study explored the effects of a specialised staff training on six trauma-sensitivity factors (i.e. knowledge, credibility, expected burden, harm expectancy, diagnostic competency and organizational support), self-reported trauma-sensitive behaviour and objective indicators of trauma-sensitive behaviour in medical files. Method Professionals (N = 56) rated the six trauma-sensitivity factors and their own trauma-sensitive behaviour at pre-training, post-training and at 6- and 12-months follow-up. Changes in indicators of trauma-sensitive behaviours were assessed by a review of medical files (N = 97). Results The specialized training increased knowledge, crediblity and experienced diagnostic compentence. The training decreased burden and harm expectancies, and enhanced self-reported trauma-sensitive behaviour. However, this positive change could not be objectified by indicators of trauma-sensitive behaviour in medical files. Discussion These findings support the notion that specialised training has a positive effect on increasing trauma-sensitivity and decreasing burden and harm expectancies, but not necessarily on observable trauma-sensitive behaviour. In addition to training staff, structural implementation and organisational support are argued to be essential to attain actual behaviour change.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"308 - 321"},"PeriodicalIF":1.2,"publicationDate":"2021-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48947453","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}
Pub Date : 2021-11-26DOI: 10.1080/17522439.2021.1988685
Esmira Ropaj, D. Keatley, J. Dickson, Corinna J. Milroyd, P. Taylor
ABSTRACT Background It is suggested that goals are hierarchically organised, with goals at the highest level representing fundamental values and motivations. These abstract goals are said to have a series of sub-goals which represent a means of reaching higher-level goals. While a number of studies have explored goals in the context of psychosis, little is known about idiographic goal generation processes in those experiencing psychosis. Methods Using a Behaviour Sequence Analysis approach, the aim of the current study was to assess the feasibility of the goal task for use with individuals experiencing psychosis. A total of 73 adults receiving care from UK rehabilitation services completed a goal task designed to elicit higher-level goals. Results Results indicated that the goal task may be a feasible tool to support those experiencing psychosis to generate lower- and higher-level goals. Discussion The goal task utilised in the current study may therefore be a valuable goal generation tool for use by clinicians.
{"title":"A behaviour sequence analysis of goal generation processes in a psychosis rehabilitation sample","authors":"Esmira Ropaj, D. Keatley, J. Dickson, Corinna J. Milroyd, P. Taylor","doi":"10.1080/17522439.2021.1988685","DOIUrl":"https://doi.org/10.1080/17522439.2021.1988685","url":null,"abstract":"ABSTRACT Background It is suggested that goals are hierarchically organised, with goals at the highest level representing fundamental values and motivations. These abstract goals are said to have a series of sub-goals which represent a means of reaching higher-level goals. While a number of studies have explored goals in the context of psychosis, little is known about idiographic goal generation processes in those experiencing psychosis. Methods Using a Behaviour Sequence Analysis approach, the aim of the current study was to assess the feasibility of the goal task for use with individuals experiencing psychosis. A total of 73 adults receiving care from UK rehabilitation services completed a goal task designed to elicit higher-level goals. Results Results indicated that the goal task may be a feasible tool to support those experiencing psychosis to generate lower- and higher-level goals. Discussion The goal task utilised in the current study may therefore be a valuable goal generation tool for use by clinicians.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"89 - 99"},"PeriodicalIF":1.2,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47175296","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}
Pub Date : 2021-11-22DOI: 10.1080/17522439.2021.1978530
Ghizlane Moussaoui, C. Rigas, Sophia Escobar, S. Torres-Platas, Saulo Castel, Michelle Yang, Joseph Inhaber, Julia Novielli, Juliana Van Amsterdam, Neeti Sasi, A. Potes, K. Nikolitch, Romeo Penheiro, K. Looper, M. Segal, D. Élie, Alex Kiss, Steven Selchen, Nathan Hermann, Harmehr Sekhon, S. Rej
ABSTRACT Background Mindfulness-based interventions are effective in treating numerous psychiatric symptoms, but data about brief mindfulness-oriented intervention (MOI) use with psychiatric inpatients are limited. We investigated whether a brief MOI was feasible and effective in reducing psychosis and other symptoms in a psychiatric inpatient unit. Methods In an assessor-blinded feasibility randomized-controlled trial, adult psychiatric inpatients were randomized to the intervention or control group. Feasibility outcomes included enrollment rate, retention rate and intervention-completion rate. The quantitative outcome was the impact on symptom reduction (mean and % difference in Brief Psychiatric Rating Scale (BPRS) between baseline and 7-day follow-up scores). Exploratory outcomes included improvement in quality of sleep, mindfulness and quality of life. Qualitative intervention feedback was obtained from therapists and participants. Results Feasibility outcomes were 39.2% participant enrollment, 85% study completion and 81.8% intervention completion. No symptom outcomes significantly differed. There were no significant differences in exploratory outcomes. Interventionists reported system-level barriers in treatment delivery; patients subjectively reported enjoying the intervention. Discussion The MOI is feasible in the inpatient psychiatric setting. There were no significant effects on psychiatric symptoms during the follow-up period, but no adverse effects were reported. Therapeutic effects could be further investigated in longer-term interventions and larger confirmatory RCTs.
{"title":"Brief mindfulness-oriented interventions (MOIs) to improve psychiatric symptoms in a psychiatric inpatient unit: a randomized controlled feasibility trial","authors":"Ghizlane Moussaoui, C. Rigas, Sophia Escobar, S. Torres-Platas, Saulo Castel, Michelle Yang, Joseph Inhaber, Julia Novielli, Juliana Van Amsterdam, Neeti Sasi, A. Potes, K. Nikolitch, Romeo Penheiro, K. Looper, M. Segal, D. Élie, Alex Kiss, Steven Selchen, Nathan Hermann, Harmehr Sekhon, S. Rej","doi":"10.1080/17522439.2021.1978530","DOIUrl":"https://doi.org/10.1080/17522439.2021.1978530","url":null,"abstract":"ABSTRACT Background Mindfulness-based interventions are effective in treating numerous psychiatric symptoms, but data about brief mindfulness-oriented intervention (MOI) use with psychiatric inpatients are limited. We investigated whether a brief MOI was feasible and effective in reducing psychosis and other symptoms in a psychiatric inpatient unit. Methods In an assessor-blinded feasibility randomized-controlled trial, adult psychiatric inpatients were randomized to the intervention or control group. Feasibility outcomes included enrollment rate, retention rate and intervention-completion rate. The quantitative outcome was the impact on symptom reduction (mean and % difference in Brief Psychiatric Rating Scale (BPRS) between baseline and 7-day follow-up scores). Exploratory outcomes included improvement in quality of sleep, mindfulness and quality of life. Qualitative intervention feedback was obtained from therapists and participants. Results Feasibility outcomes were 39.2% participant enrollment, 85% study completion and 81.8% intervention completion. No symptom outcomes significantly differed. There were no significant differences in exploratory outcomes. Interventionists reported system-level barriers in treatment delivery; patients subjectively reported enjoying the intervention. Discussion The MOI is feasible in the inpatient psychiatric setting. There were no significant effects on psychiatric symptoms during the follow-up period, but no adverse effects were reported. Therapeutic effects could be further investigated in longer-term interventions and larger confirmatory RCTs.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"368 - 377"},"PeriodicalIF":1.2,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48517454","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}
Pub Date : 2021-11-12DOI: 10.1080/17522439.2021.1986123
A. Ghelani, G. Armstrong, Ashley Haywood
ABSTRACT Background Youth in First Episode Psychosis (FEP) programs have high rates of cannabis use and consumption is associated with negative treatment outcomes. Motivations for use in this group are under-studied and investigating reasons for use can aid in the development of engagement strategies. Methods This scoping review uses the framework proposed by Arksey & O’Malley and PRISMA ScR to map the research in this area, synthesize common themes, and identify gaps in knowledge. Eleven studies examining the motivations for cannabis use among youth with FEP met eligibility criteria. Results This group uses cannabis for social reasons, to relax, enhance activities, cope with unpleasant affect, alter perceptions, improve sleep, and manage symptoms. Four studies identified risk perceptions and three distinguished reasons for starting and continued consumption. The effects of consumption on social relationships were under-studied, as were perspectives in jurisdictions where cannabis is legal. Most studies did not report on the racial background of participants and minority groups were underrepresented. Discussion Assessing social dynamics and perceptions toward the link between cannabis and psychosis can enhance interventions with this group. Those using cannabis to manage negative emotions can benefit from development of a broader range of coping skills.
背景:青少年首发精神病(FEP)项目有很高的大麻使用率和消费与负面治疗结果相关。这一群体使用游戏的动机尚未得到充分研究，调查使用游戏的原因有助于开发用户粘性策略。方法使用Arksey & O 'Malley和PRISMA ScR提出的框架来绘制该领域的研究图谱，综合共同主题，并识别知识空白。11项研究调查了患有慢性心力衰竭的青少年使用大麻的动机，符合资格标准。结果:这组人使用大麻是出于社会原因，放松、增强活动、应对不愉快的影响、改变感知、改善睡眠和控制症状。四项研究确定了风险认知和三个不同的开始和继续消费的原因。消费对社会关系的影响以及大麻合法的司法管辖区的观点都没有得到充分的研究。大多数研究没有报告参与者的种族背景，少数群体的代表性不足。评估社会动态和对大麻和精神病之间联系的看法可以加强对这一群体的干预。那些使用大麻来管理负面情绪的人可以从更广泛的应对技能的发展中受益。
{"title":"Motivations for cannabis use in youth with first episode psychosis: a scoping review","authors":"A. Ghelani, G. Armstrong, Ashley Haywood","doi":"10.1080/17522439.2021.1986123","DOIUrl":"https://doi.org/10.1080/17522439.2021.1986123","url":null,"abstract":"ABSTRACT Background Youth in First Episode Psychosis (FEP) programs have high rates of cannabis use and consumption is associated with negative treatment outcomes. Motivations for use in this group are under-studied and investigating reasons for use can aid in the development of engagement strategies. Methods This scoping review uses the framework proposed by Arksey & O’Malley and PRISMA ScR to map the research in this area, synthesize common themes, and identify gaps in knowledge. Eleven studies examining the motivations for cannabis use among youth with FEP met eligibility criteria. Results This group uses cannabis for social reasons, to relax, enhance activities, cope with unpleasant affect, alter perceptions, improve sleep, and manage symptoms. Four studies identified risk perceptions and three distinguished reasons for starting and continued consumption. The effects of consumption on social relationships were under-studied, as were perspectives in jurisdictions where cannabis is legal. Most studies did not report on the racial background of participants and minority groups were underrepresented. Discussion Assessing social dynamics and perceptions toward the link between cannabis and psychosis can enhance interventions with this group. Those using cannabis to manage negative emotions can benefit from development of a broader range of coping skills.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"17 - 27"},"PeriodicalIF":1.2,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48265891","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}
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